Aesthetic Evaluation by Laypersons of Noordhoff's Technique of Unilateral Cleft Lip Cheiloplasty
Abstract
Background: Successful surgical repair of the unilateral cleft lip is commonly defined as having a normal orbicularis oris function and a near perfect symmetry of the lip and nose. It is important that the aesthetic evaluation should not only be evaluated by the surgical team, as there may be a tendency to give a higher score. It should also be evaluated by members of family and relatives in their community.
In Srinagarind Hospital, we found that Noordhoff's technique cheiloplasty for unilateral cleft lip with particular attention to the primary nasal repair provided the best outcome. However, we did not have accurate parameter to evaluate aesthetic results by general public.
Objective: The aim of this study was to develop an aesthetic index for the evaluation of complete unilateral cleft lip repair by general public.
Materials and Methods: The photographs of the post operative outcome were graded by direct observation and by random from twenty relatives of the patients in the out patient clinic, none of them were related to the surgical department personnel.
Complete unilateral cleft lips were repaired by the author from March 2002 to July 2003. The 1-10 analog scale was evaluated separately from the aesthetic score of nose, lip and general appearance.
Results: Results showed moderate to good outcome score. The mean score of general appearance was in the range of 6.50-8.60, the aesthetic of the mouth was 6.30-8.50 and the nose was 6.15-8.30.
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