Nasal appearance after secondary cleft rhinoplasty: comparison of professional rating with patient satisfaction

被引:11
作者
Pausch N.C. [1 ]
Unger C. [1 ]
Pitak-Arnnop P. [2 ]
Subbalekha K. [3 ]
机构
[1] Department of Oral, Craniomaxillofacial and Facial Plastic Surgery, Faculty of Medicine, University Hospital of Leipzig, Leipzig
[2] Department of Oral, Craniomaxillofacial and Facial Plastic Surgery, Faculty of Medicine, University Hospital of Kiel, Kiel
[3] Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok
关键词
Cleft lip and palate; Facial perception; Patient satisfaction; Secondary rhinoplasty;
D O I
10.1007/s10006-016-0555-4
中图分类号
学科分类号
摘要
Objective: The purpose of this study was to compare professional rating and patient satisfaction of nasal appearance after secondary cleft rhinoplasty. Method: We used a cross-sectional study design and enrolled German adults with nonsyndromic unilateral or bilateral cleft lip and/or palate (UCLP and BCLP, respectively) undergoing secondary cleft rhinoplasty from January 2001 to December 2013. The predictor variable was professional rating. The outcome variable was patient satisfaction with postoperative nasal aesthetics. Other study variables included patient age and gender, type of surgery, and patient rating of nasal function. Appropriate descriptive and univariate statistics were computed, and a P value of <0.05 was regarded as statistically significant. Inter-rater reliability was assessed by the use of Cohen’s kappa coefficient. Results: The study sample consisted of 242 adult cleft patients of mean age of 22.1 ± 9.2 years (range 14–64), including 97 females (40 %) and 176 unilateral clefts (73 %). Most of the patients reported good function (82 %) and good aesthetics (74 %). The main professional rating was good aesthetics (65 %). Analysis of inter-observer reliability revealed significant differences between patient satisfaction and professional assessment (κ = 0.385; P < 0.0001). Conclusions: Although most of the patients were satisfied with the functional and aesthetic results of secondary cleft rhinoplasty, patient self-assessment of nasal appearance differed from professional assessment. © 2016, Springer-Verlag Berlin Heidelberg.
引用
收藏
页码:195 / 201
页数:6
相关论文
共 39 条
  • [1] Mastroiacovo P., Maraschini A., Leoncini E., Mosscy P., Bower C., Castilla E.E., Feldkamp M.L., Halliday J., Little J., Prevalence at birth of cleft lip with or without cleft palate: data from the International Perinatal Database of Typical Oral Clefts (IPDTOC), Cleft Palate Craniofac J, 48, pp. 66-81, (2011)
  • [2] Mani M.R., Semb G., Andlin-Sobocki A., Nasolabial appearance in adults with repaired unilateral cleft lip and palate: relation between professional and lay rating and patients’ satisfaction, J Plast Surg Hand Surg, 44, 4-5, pp. 191-198, (2010)
  • [3] Marcusson A., Paulin G., Ostrup L., Facial appearance in adults who had cleft lip and palate treated in childhood, Scand J Plast Reconstr Surg Hand Surg, 36, 1, pp. 16-23, (2002)
  • [4] Sinko K., Jagsch R., Prechtl V., Watzinger F., Hollmann K., Baumann A., Evaluation of esthetic, functional, and quality-of-life outcome in adult cleft lip and palate patients, Cleft palate Craniofac J, 42, 4, pp. 355-361, (2005)
  • [5] Oosterkamp B.C., Dijkstra P.U., Remmelink H.J., van Oort R.P., Goorhuis-Brower S.M., Sandham A., de Bont L.B., Satisfaction with treatment outcome in bilateral cleft lip and palate patients, Int J Oral Maxillofac Surg, 36, 10, pp. 890-895, (2007)
  • [6] Meyer-Marcotty P., Stellzig-Eisenhauer A.J., Dentofacial self-perception and social perception of adults with unilateral cleft lip and palate, Orofac Orthop, 70, 3, pp. 224-236, (2009)
  • [7] Marcusson A., Adult patients with treated complete cleft lip and palate. Methodological and clinical studies, Swed Dent J Suppl (145), pp. 1-57, (2001)
  • [8] Turner S.R., Rumsey N., Sandy J.R., Psychological aspects of cleft lip and palate, Eur J Orthod, 20, pp. 407-415, (1998)
  • [9] Noar J.H., A questionnaire survey of attitudes and concerns of three professional groups involved in the cleft palate team, Cleft Palate Craniofac J, 29, pp. 92-95, (1992)
  • [10] Noor S.N., Musa S., Assessment of patients’ level of satisfaction with cleft treatment using the cleft evaluation profile, Cleft Palate Craniofac J, 44, pp. 292-303, (2007)