Do cleft lip and palate patients opt for secondary corrective surgery of upper lip and nose, frequently?

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Do cleft lip and palate patients opt for secondary corrective surgery of upper lip and nose, frequently? / Nkenke, Emeka; Stelzle, Florian; Vairaktaris, Elefterios; Knipfer, Christian.

in: HEAD FACE MED, Jahrgang 9, 09.12.2013, S. 38.

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@article{7a02e05f7dc2469aaca9a1f52c086f31,
title = "Do cleft lip and palate patients opt for secondary corrective surgery of upper lip and nose, frequently?",
abstract = "PURPOSE: This prospective study was aimed at assessing cleft lip and palate (CLP) patients' opinions and attitudes towards their upper lip and nose and the number of secondary corrective surgical interventions electively undertaken to upper lip and nose that were carried out during a 2 year follow-up period.MATERIALS AND METHODS: During a 2 year follow-up period CLP outpatients were recruited for the study who attended follow-up examinations at a cleft lip and palate craniofacial center and received a recommendation for secondary corrective facial surgery. The participants filled in a questionnaire that included questions regarding the patients' opinions and attitudes towards appearance of lip and nose and need for secondary corrective facial surgery. During an additional interval of 2 years the rate of patients who underwent secondary corrective surgery to lip and nose was documented.RESULTS: Out of 362 CLP patients 37 (mean age 13.6 ± 7.6 years) received a recommendation for secondary corrective surgery to upper lip and/or nose. 22 patients (mean age 12.6 ± 6.3 years) filled in the questionnaire (response rate of 62.1%). The satisfaction with the overall facial appearance following the first corrective operation was statistically significantly better than the satisfaction with the nose (p = .016). The satisfaction with facial symmetry (5.6 ± 2.0) did not differ statistically significantly from the overall satisfaction with the facial appearance (6.2 ± 1.8; p = .093). Significantly fewer patients (n = 9) opted for corrective surgery compared to the number of patients who got the recommendation to have secondary corrective surgery done (n = 22, p < .0005).CONCLUSIONS: The findings of the present study may reflect a high overall patient satisfaction with the primary treatment outcome following surgery for CLP. Perceived patient need for secondary operation for the lip/nose may be as low as 5%.",
keywords = "Adolescent, Attitude to Health, Child, Cleft Lip, Cleft Palate, Female, Humans, Male, Oral Surgical Procedures, Patient Satisfaction, Prospective Studies, Reconstructive Surgical Procedures, Young Adult, Journal Article",
author = "Emeka Nkenke and Florian Stelzle and Elefterios Vairaktaris and Christian Knipfer",
year = "2013",
month = dec,
day = "9",
doi = "10.1186/1746-160X-9-38",
language = "English",
volume = "9",
pages = "38",
journal = "HEAD FACE MED",
issn = "1746-160X",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - Do cleft lip and palate patients opt for secondary corrective surgery of upper lip and nose, frequently?

AU - Nkenke, Emeka

AU - Stelzle, Florian

AU - Vairaktaris, Elefterios

AU - Knipfer, Christian

PY - 2013/12/9

Y1 - 2013/12/9

N2 - PURPOSE: This prospective study was aimed at assessing cleft lip and palate (CLP) patients' opinions and attitudes towards their upper lip and nose and the number of secondary corrective surgical interventions electively undertaken to upper lip and nose that were carried out during a 2 year follow-up period.MATERIALS AND METHODS: During a 2 year follow-up period CLP outpatients were recruited for the study who attended follow-up examinations at a cleft lip and palate craniofacial center and received a recommendation for secondary corrective facial surgery. The participants filled in a questionnaire that included questions regarding the patients' opinions and attitudes towards appearance of lip and nose and need for secondary corrective facial surgery. During an additional interval of 2 years the rate of patients who underwent secondary corrective surgery to lip and nose was documented.RESULTS: Out of 362 CLP patients 37 (mean age 13.6 ± 7.6 years) received a recommendation for secondary corrective surgery to upper lip and/or nose. 22 patients (mean age 12.6 ± 6.3 years) filled in the questionnaire (response rate of 62.1%). The satisfaction with the overall facial appearance following the first corrective operation was statistically significantly better than the satisfaction with the nose (p = .016). The satisfaction with facial symmetry (5.6 ± 2.0) did not differ statistically significantly from the overall satisfaction with the facial appearance (6.2 ± 1.8; p = .093). Significantly fewer patients (n = 9) opted for corrective surgery compared to the number of patients who got the recommendation to have secondary corrective surgery done (n = 22, p < .0005).CONCLUSIONS: The findings of the present study may reflect a high overall patient satisfaction with the primary treatment outcome following surgery for CLP. Perceived patient need for secondary operation for the lip/nose may be as low as 5%.

AB - PURPOSE: This prospective study was aimed at assessing cleft lip and palate (CLP) patients' opinions and attitudes towards their upper lip and nose and the number of secondary corrective surgical interventions electively undertaken to upper lip and nose that were carried out during a 2 year follow-up period.MATERIALS AND METHODS: During a 2 year follow-up period CLP outpatients were recruited for the study who attended follow-up examinations at a cleft lip and palate craniofacial center and received a recommendation for secondary corrective facial surgery. The participants filled in a questionnaire that included questions regarding the patients' opinions and attitudes towards appearance of lip and nose and need for secondary corrective facial surgery. During an additional interval of 2 years the rate of patients who underwent secondary corrective surgery to lip and nose was documented.RESULTS: Out of 362 CLP patients 37 (mean age 13.6 ± 7.6 years) received a recommendation for secondary corrective surgery to upper lip and/or nose. 22 patients (mean age 12.6 ± 6.3 years) filled in the questionnaire (response rate of 62.1%). The satisfaction with the overall facial appearance following the first corrective operation was statistically significantly better than the satisfaction with the nose (p = .016). The satisfaction with facial symmetry (5.6 ± 2.0) did not differ statistically significantly from the overall satisfaction with the facial appearance (6.2 ± 1.8; p = .093). Significantly fewer patients (n = 9) opted for corrective surgery compared to the number of patients who got the recommendation to have secondary corrective surgery done (n = 22, p < .0005).CONCLUSIONS: The findings of the present study may reflect a high overall patient satisfaction with the primary treatment outcome following surgery for CLP. Perceived patient need for secondary operation for the lip/nose may be as low as 5%.

KW - Adolescent

KW - Attitude to Health

KW - Child

KW - Cleft Lip

KW - Cleft Palate

KW - Female

KW - Humans

KW - Male

KW - Oral Surgical Procedures

KW - Patient Satisfaction

KW - Prospective Studies

KW - Reconstructive Surgical Procedures

KW - Young Adult

KW - Journal Article

U2 - 10.1186/1746-160X-9-38

DO - 10.1186/1746-160X-9-38

M3 - SCORING: Journal article

C2 - 24321223

VL - 9

SP - 38

JO - HEAD FACE MED

JF - HEAD FACE MED

SN - 1746-160X

ER -