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. |