Maxillofac Plast Reconstr Surg.  2019 ;41(1):5. 10.1186/s40902-019-0189-1.

Evaluation of facial appearance in patients with repaired cleft lip and palate: comparing the assessment of laypeople and healthcare professionals

Affiliations
  • 1Preventive Dental Science Department, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. mohammed.n.alsalem@gmail.com.
  • 2Dental Department, National Guard Health Affairs, Riyadh, Saudi Arabia.
  • 3Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Abstract

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.

Keyword

Assessment; Cleft lip palate; Facial appearance; Laypeople

MeSH Terms

Cleft Lip*
Delivery of Health Care*
Esthetics
Hand
Humans
Orthodontists
Palate*
Plastics
Surgeons
Plastics
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