Evaluation of facial appearance in patients with repaired cleft lip and palate: comparing the assessment of laypeople and healthcare professionals
Evaluation of facial appearance in patients with repaired cleft lip and palate: comparing the assessment of laypeople and healthcare professionals
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DOI：
10.1186/s40902-019-0189-1
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发表时间：
2019-02-06
影响因子：
2.3
通讯作者：
Omair, Aamir
中科院分区：
文献类型：
--
作者：
Alhayek, Samar;Alsalem, Mohammed;Omair, Aamir
工作背景：本研究旨在确定外行和专业人士是否对单侧或双侧完全性唇腭裂修复后的面部外观进行评价（UCLP，BCLP）类似地基于查看完整面部图像。该研究遵循横断面分析设计，其中5名10至14岁的年轻患者，完成单侧或双侧唇腭裂治疗的所有患者（双侧：3例，单侧：2例），由两组进行评估。评估由外行和97名合格的专业人员（33名整形外科医生，32名整形外科医生和32名口腔颌面外科医生）完成。结果：专业人群对不同面部美学的面部外观评价显著低于非专业人群，且对进一步治疗的需求更高。另一方面，外行人有较高的审美评级和较低的感知需要进一步治疗。各专业群体的评估也存在差异。参与者谁有较低的美学评估修复倾向于报告较高的影响唇腭裂的社会活动和专业life.Conclusion：医疗保健专业人员和外行之间存在的感知差异。专业群体之间的差异可归因于不同的治疗方式和方案。
Background: The present study aimed to determine whether laypeople and professionals rate the facial appearance of individuals with repaired complete unilateral or bilateral cleft lip and palate (UCLP, BCLP) similarly based on viewing full facial images.Methods: The study followed a cross-sectional analytical design where five young patients aged 10 to 14 years, who had completed all stages of their unilateral or bilateral cleft lip and palate treatment (bilateral: three, unilateral: two), were evaluated by two groups. The assessment was done by laypeople and 97 qualified professionals (33 orthodontists, 32 plastic surgeons, and 32 oral and maxillofacial surgeons). Professionals were not involved in any stage of the patients' treatment.Results: The facial appearance assessment of the professional groups on different facial aesthetics was significantly lower than that of laypeople, and they had higher perceived need for further treatment. On the other hand, laypeople had higher aesthetic ratings and lower perceived need for further treatment. Differences were also observed between the assessments of the professional groups. Participants who had lower aesthetic assessments of the repair tended to report a higher influence of cleft lip and palate on social activities and professional life.Conclusion: Differences in perception exist between healthcare professionals and laypeople. The discrepancies between the professional groups could be attributed to different treatment modalities and protocols.