Evaluation of the results of cleft lip and palate surgical treatment: preliminary report.
OBJECTIVE
The aim of this study was to present a measuring tool, in the form of a dual-rating grid, for preoperative appearance and postoperative results in the treatment of labionasal clefts.


METHODS
This study was carried out on 43 children with partial unilateral clefts, operated on using a derivation of Millard's technique. The preoperative initial severity score (ISS) was the sum of points each corresponding to a precise anatomic anomaly. A severe cleft was given a rating of 6, and a mild cleft a rating of 1. The postoperative results score (PRS) was the sum of points corresponding to residual or acquired anatomic anomalies: a good result was given 0.5, and a poor result 3.5. Each score was a mark given separately and agreed on by two surgeons. To compare the rating grids, the correlation between the ISS and the PRS was calculated.


RESULTS
Twenty-four patients had an ISS less than 5; 19 patients had an IGS more than or equal to 5. Marks for the PRS were between 0.5 and 3.5 with the majority at 1 to 1.5.


CONCLUSIONS
This study demonstrates the coherent connection between these two pre- and postoperative rating grids.
Mortier
P B
PB
Service de Chirurgie Plastique, Hôpital R. Saleuro CHR, Lille, France.
Martinot
V L
VL
Anastassov
Y
Y
Kulik
J F
JF
Duhamel
A
A
Pellerin
P N
PN
D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D005145:Face / Q000033:anatomy & histology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D017063:Outcome Assessment, Health Care; D011379:Prognosis; D012016:Reference Values; D012720:Severity of Illness Index; D013515:Surgery, Oral / Q000592:standards*