Document Detail

The GOSLON yardstick in patients with unilateral cleft lip and palate: review of a Vienna sample.
MedLine Citation:
PMID:  18215096     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare a Vienna unilateral cleft lip and palate (UCLP) patient sample with the Eurocleft samples using the GOSLON score, to determine the intra- and interrater agreement between several raters and ratings, and to establish whether training with the original GOSLON models enhances accuracy. PATIENTS AND METHODS: One hundred twenty-three plaster casts of UCLP patients born between 1970 and 1997, with an average age of 9.2 years and all treated with the same regimen, were rated according to the GOSLON score. RESULTS: Of the patients, 71.5% were ranked GOSLON 1 or 2. Only 8.9% were rated GOSLON 4 or 5. There were no significant differences between the different raters and the ratings. Training with the original GOSLON models increased kappa from 0.57 before training to 0.84 after training. CONCLUSION: The "Vienna concept" was found to be a good regimen for treating UCLP patients in regard to maxillary growth. Personal training on the original GOSLON models appears to improve the accuracy of rating.
Klaus Sinko; Emma Caacbay; Reinhold Jagsch; Dritan Turhani; Arnulf Baumann; Michael Mars
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Validation Studies    
Journal Detail:
Title:  The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association     Volume:  45     ISSN:  1055-6656     ISO Abbreviation:  Cleft Palate Craniofac. J.     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-24     Completed Date:  2008-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102566     Medline TA:  Cleft Palate Craniofac J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  87-92     Citation Subset:  D; IM    
University Hospital of Cranio-Maxillofacial and Oral Surgery, Medical University of Vienna, Austria.
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MeSH Terms
Chi-Square Distribution
Cleft Lip / classification*,  pathology
Cleft Palate / classification*,  pathology
Dental Arch / pathology
Dental Models
Facial Bones / abnormalities,  growth & development
Functional Laterality
Linear Models
Malocclusion / classification*,  pathology
Maxilla / abnormalities,  growth & development
Maxillofacial Development*
Observer Variation
Orthodontics, Corrective / methods*
Outcome Assessment (Health Care) / methods
Reproducibility of Results
Retrospective Studies
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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