Abstract
4/2018
vol. 14
Clinical research
Evaluation of interdisciplinary treatment outcomes in patients with cleft lip and palate. Part 1.
- Zakład Ortodoncji, Gdański Uniwersytet Medyczny Department of Orthodontics, Medical University of Gdansk
- Zakład Badań nad Jakością Życia, Gdański Uniwersytet Medyczny Department of Quality of Life Research, Medical University of Gdansk
- Wydział Nauk o Zdrowiu, Akademia Pomorska w Słupsku Department of Health Sciences, Pomeranian University in Słupsk
- Katedra Logopedii, Wydział Filologiczny, Uniwersytet Gdański Department of Logopaedics, Faculty of Languages, University of Gdansk
Forum Ortod 2018; 14: 270-283
Online publish date: 2019/07/16
Cleft palate is the most common congenital defect within
the facial skeleton. Coexisting facial deformations are not
only visible, but also audible after surgery – children born
with cleft lip and palate belong to the risk group for occurrence
of speech-language disorders. Due to this fact, they may face inappropriate responses of people around, which may cause
poor mental condition. Majority of subjects (ca. 67 percent)
experienced unpleasant feelings caused by people around
them and noticed contribution of the cleft to lowered selfconfidence.
Almost 56 percent of the studied group notices
influence of this congenital defect on ability to establish social
relationships, and 33 percent – on results achieved at school.
Aim. The main aim of the study was to evaluate efficacy of
treatment in patients with cleft lip and palate as well as
usefulness of applied research tools (questionnaire, GOSLON
score). Material and methods. Study material included a group
of 45 subjects with unilateral and bilateral cleft lip and palate,
who completed multidisciplinary treatment. Mean age of the
subjects was 22 years. The study was conducted at the
Outpatient Orthodontic Clinic of the University Dentistry
Centre of the Medical University of Gdansk. Research methods
included evaluation of the occlusal abnormalities before and
after treatment using GOSLON score, questionnaire completed
by the patient, and specialist speech-language examination.
Results. The highest percentage of satisfied patients was
observed among subjects, who underwent orthodontic
treatment (ca. 90 percent), which corresponded with
established improvement in occlusal conditions after treatment.
Appearance of the respective facial areas was mainly defined
as good or very good. It was also noticed that the more the
patient was satisfied with speech-language therapy, the more
he/she was satisfied with speech quality. Conclusions.
Evaluation of final outcomes of the multidisciplinary treatment
in patients with cleft lip and palate constitutes high clinical
significance in order to make further development and to
evaluate currently used therapeutic management standards.
(Racka-Pilszak B, Wojtaszek-Słomińska A, Zdun-Ryżewska
A, Majkowicz M, Banaszkiewicz A, Basiński K. Evaluation
of interdisciplinary treatment outcomes in patients with
cleft lip and palate. Part 1. Orthod Forum 2018; 14: 270-
83).
the facial skeleton. Coexisting facial deformations are not
only visible, but also audible after surgery – children born
with cleft lip and palate belong to the risk group for occurrence
of speech-language disorders. Due to this fact, they may face inappropriate responses of people around, which may cause
poor mental condition. Majority of subjects (ca. 67 percent)
experienced unpleasant feelings caused by people around
them and noticed contribution of the cleft to lowered selfconfidence.
Almost 56 percent of the studied group notices
influence of this congenital defect on ability to establish social
relationships, and 33 percent – on results achieved at school.
Aim. The main aim of the study was to evaluate efficacy of
treatment in patients with cleft lip and palate as well as
usefulness of applied research tools (questionnaire, GOSLON
score). Material and methods. Study material included a group
of 45 subjects with unilateral and bilateral cleft lip and palate,
who completed multidisciplinary treatment. Mean age of the
subjects was 22 years. The study was conducted at the
Outpatient Orthodontic Clinic of the University Dentistry
Centre of the Medical University of Gdansk. Research methods
included evaluation of the occlusal abnormalities before and
after treatment using GOSLON score, questionnaire completed
by the patient, and specialist speech-language examination.
Results. The highest percentage of satisfied patients was
observed among subjects, who underwent orthodontic
treatment (ca. 90 percent), which corresponded with
established improvement in occlusal conditions after treatment.
Appearance of the respective facial areas was mainly defined
as good or very good. It was also noticed that the more the
patient was satisfied with speech-language therapy, the more
he/she was satisfied with speech quality. Conclusions.
Evaluation of final outcomes of the multidisciplinary treatment
in patients with cleft lip and palate constitutes high clinical
significance in order to make further development and to
evaluate currently used therapeutic management standards.
(Racka-Pilszak B, Wojtaszek-Słomińska A, Zdun-Ryżewska
A, Majkowicz M, Banaszkiewicz A, Basiński K. Evaluation
of interdisciplinary treatment outcomes in patients with
cleft lip and palate. Part 1. Orthod Forum 2018; 14: 270-
83).
Keywords
cleft palate, orthodontic treatment, GOSLON score, speech-language therapy, satisfaction with treatment outcome
Integrated with
