Skip to main content
. 2011 Feb 16;2011(2):CD003315. doi: 10.1002/14651858.CD003315.pub3

Prahl 2005.

Methods Multicentre RCT. 
 18 month follow‐up. 
 Conducted in The Netherlands.
Participants 54 babies with complete unilateral cleft lip and palate. Babies born at term. Babies with other congenital malformations and soft tissue bands were excluded. 
 Age: randomised within 2 weeks of birth. 
 Gender: 41 boys, 13 girls.
Interventions Gp1. Passive acrylic plate, worn 24 hour/day. Plates initially adjusted every 3 weeks. Plate maintained until surgical soft palate closure (n = 27). 
 Gp2. No plate worn (n = 27). 
 In both groups lip surgery was performed according to the Millard technique (18 weeks of age); soft palate closure was performed according to a modified Von Lagenbeck procedure (52 weeks of age).
Outcomes Weight (kg) and length (cm) and feeding diaries. 
 Weight‐for‐age, length‐for‐age and weight‐for‐length z‐scores were evaluated.
Notes Funded by National Health Insurance Board of The Netherlands.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk Computer balanced allocation procedure.
Allocation concealment? Low risk Computer balanced allocation procedure.
Blinding? 
 All outcomes Low risk Weight and length measured by the National Infant Consultation Centers.
Incomplete outcome data addressed? 
 All outcomes Unclear risk Reasons for drop outs not reported.
Free of selective reporting? High risk No reporting of head circumference.
Free of other bias? Low risk Comparable baseline data.
Adequate follow‐up period.