The Goslon Yardstick Applied to a Consecutive Series of Patients with Unilateral Clefts of the Lip and Palate

Frenchay Hospital, Bristol, United Kingdom.
The Cleft Palate-Craniofacial Journal (Impact Factor: 1.2). 12/1996; 33(6):494-6. DOI: 10.1597/1545-1569(1996)033<0494:TGYATA>2.3.CO;2
Source: PubMed


First described in 1987, the Goslon yardstick has been used since as a reliable and reproducible means of measuring dental arch relationships and, therefore, the quality of facial growth. The dental study models of a group of 32 consecutively treated patients with unilateral clefts of lip and palate, from the Frenchay Hospital, Bristol, U.K., were analyzed using the Goslon yardstick. More than 50% of the sample were in the unfavorable Goslon groups IV and V. Because of these results, we at Frenchay Hospital now base our related surgical procedures on the early vomerine closure of the anterior hard palate without nasal or alveolar repair at 3 months, followed by primary hard and soft palate closure at 6 months.

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    • "This is to ensure standardization, so that scoring between operators and units is as reliable as possible, and because there are various conventions within the scoring system which must be adhered too. Much work has subsequently been done using the GOSLON Yardstick which is widely accepted to have good face validity and good reliability (Noverraz et al., 1993; Hathorn et al., 1996), and as a result, is the most widely used outcome measure of the occlusal effects of primary surgery (Hathaway et al., 2011; Jack et al., 2011). "
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    ABSTRACT: This article provides a summary of the main outcome measures currently available and in use within modern cleft care. The fact that there are such a diverse range, including surgical, orthodontic, dental, speech and patient satisfaction measures, is a reflection of the complex, multidisciplinary and longitudinal nature of the care provided. The use of such measures of outcome is essential in the auditing and drive for continued improvements in the standards of care for patients affected with cleft lip and palate.
    Full-text · Article · Feb 2014 · Journal of Orthodontics
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    • "ipation of multiple low - volume surgeons . As a result , the Eurocleft comparison studies of the outcomes of six European cleft centers and Americleft comparison studies showed that centers with centralized care and high - volume operators seemed to get better results ( Mars et al . , 1992 ; Molsted et al . , 1992 ; Shaw et al . , 1992a , 1992b ; Hathorn et al . , 1996 ; Morris et al . , 2000 ; Bearn et al . , 2001 ; Williams et al . , 2001 ; Molsted et al . , 2005 ; Nollet et al . , 2005 ; Shaw et al . , 2005 ; Susami et al . , 2006 ; Sinko et al . , 2008 ; Fudalej et al . , 2009 ; Zreaqat et al . , 2009 ; Hathaway et al . , 2011 ; Long et al . , 2011 ; Love et al . , 2011 ; Ozawa et al . , 2011 ; ) "
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    ABSTRACT: Abstract Objective: To compare the dental arch relationships of Turkish patients with complete unilateral cleft lip and palate (UCLP) with the results reported for participants in the Eurocleft study. Patients: Study models of 109 patients with complete UCLP from five university clinics in Turkey were evaluated (clinic A = 25 patients, clinic B = 23 patients, clinic C = 20 patients, clinic D = 21 patients, and clinic E = 20 patients). The mean age of the patient cohort was nine years old (range = 8-11 years old), and the cohort was born between 1976 and 1990. Methods: The examiners rated the three-dimensional (3D) models using the GOSLON Yardstick. The scores were compared with those from the Eurocleft centers: E1(B), E2(E), E3(A), E4(F), E5(C), and E6(D). Intra- and interexaminer agreements were evaluated using weighted kappa statistics. Results: The mean Goslon scores for the Turkish clinics were as follows: clinic A = 3.16, clinic B = 3.13, clinic C = 3.25, clinic D = 3.67, and clinic E = 3.70. Scores for three of the Turkish clinics (A, B, and C) were significantly worse than the scores for the three best Eurocleft centers, E1(B), E2(E), and E3(A) (p < 001, p < 001, and p < 05, respectively). Scores for two of the Turkish clinics (D and E) were similar to those for Eurocleft center E6(D) but worse than the scores for the other Eurocleft centers (p < 0001, p < 001, respectively). Conclusions: This was the first study in which three-dimensional models were used to derive scores to compare with those of the Eurocleft centers. According to the results of analysis of 109 3D models, 50.4 % of the patients in Turkey were classified as Goslon score 4 and 5. This may have been attributable to poor surgical procedures, low-volume surgeons, and the decentralized treatment approach in Turkey between 1985 and 2000. Further research is needed to assess the situation in Turkey in more recent years.
    Full-text · Article · Jul 2012 · The Cleft Palate-Craniofacial Journal
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    • "This Yardstick rates the dental arch relationships in the late mixed and early permanent dentition of patients with unilateral cleft lip and palate (UCLP) into five categories: excellent, good, fair, poor, and very poor. The Goslon Yardstick proved to be capable of discerning dental arch relationships and inference of facial morphology outcomes between different centers (Mars et al., 1992; Hathorn et al., 1996; Morris et al., 2000; Williams et al., 2001). The Yardstick has been verified as an easy and practical evaluation to discriminate between the qualities of dental arch relationships during all stages of dental development (Noverraz et al., 1993). "

    Full-text · Chapter · Mar 2012
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