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The Development of the Cleft Aesthetic Rating Scale: A New Rating Scale for the Assessment of Nasolabial Appearance in Complete Unilateral Cleft Lip and Palate Patients.
Cleft Palate Craniofac J. 2017 09; 54(5):555-561.CP

Abstract

OBJECTIVE

The development of the Cleft Aesthetic Rating Scale, a simple and reliable photographic reference scale for the assessment of nasolabial appearance in complete unilateral cleft lip and palate patients.

DESIGN

A blind retrospective analysis of photographs of cleft lip and palate patients was performed with this new rating scale.

SETTING

VU Medical Center Amsterdam and the Academic Center for Dentistry of Amsterdam.

PATIENTS

Complete unilateral cleft lip and palate patients at the age of 6 years.

MAIN OUTCOME MEASURES

Photographs that showed the highest interobserver agreement in earlier assessments were selected for the photographic reference scale. Rules were attached to the rating scale to provide a guideline for the assessment and improve interobserver reliability. Cropped photographs revealing only the nasolabial area were assessed by six observers using this new Cleft Aesthetic Rating Scale in two different sessions.

RESULTS

Photographs of 62 children (6 years of age, 44 boys and 18 girls) were assessed. The interobserver reliability for the nose and lip together was 0.62, obtained with the intraclass correlation coefficient. To measure the internal consistency, a Cronbach alpha of .91 was calculated. The estimated reliability for three observers was .84, obtained with the Spearman Brown formula.

CONCLUSION

A new, easy to use, and reliable scoring system with a photographic reference scale is presented in this study.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27537493

Citation

Mosmuller, David G M., et al. "The Development of the Cleft Aesthetic Rating Scale: a New Rating Scale for the Assessment of Nasolabial Appearance in Complete Unilateral Cleft Lip and Palate Patients." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 54, no. 5, 2017, pp. 555-561.
Mosmuller DGM, Mennes LM, Prahl C, et al. The Development of the Cleft Aesthetic Rating Scale: A New Rating Scale for the Assessment of Nasolabial Appearance in Complete Unilateral Cleft Lip and Palate Patients. Cleft Palate Craniofac J. 2017;54(5):555-561.
Mosmuller, D. G. M., Mennes, L. M., Prahl, C., Kramer, G. J. C., Disse, M. A., van Couwelaar, G. M., Niessen, F. B., & Griot, J. P. W. D. (2017). The Development of the Cleft Aesthetic Rating Scale: A New Rating Scale for the Assessment of Nasolabial Appearance in Complete Unilateral Cleft Lip and Palate Patients. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 54(5), 555-561. https://doi.org/10.1597/15-274
Mosmuller DGM, et al. The Development of the Cleft Aesthetic Rating Scale: a New Rating Scale for the Assessment of Nasolabial Appearance in Complete Unilateral Cleft Lip and Palate Patients. Cleft Palate Craniofac J. 2017;54(5):555-561. PubMed PMID: 27537493.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Development of the Cleft Aesthetic Rating Scale: A New Rating Scale for the Assessment of Nasolabial Appearance in Complete Unilateral Cleft Lip and Palate Patients. AU - Mosmuller,David G M, AU - Mennes,Lisette M, AU - Prahl,Charlotte, AU - Kramer,Gem J C, AU - Disse,Melissa A, AU - van Couwelaar,Gijs M, AU - Niessen,Frank B, AU - Griot,J P W Don, Y1 - 2016/08/18/ PY - 2016/8/19/pubmed PY - 2018/6/5/medline PY - 2016/8/19/entrez KW - cleft lip and palate KW - nasolabial appearance KW - scoring system SP - 555 EP - 561 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac. J. VL - 54 IS - 5 N2 - OBJECTIVE: The development of the Cleft Aesthetic Rating Scale, a simple and reliable photographic reference scale for the assessment of nasolabial appearance in complete unilateral cleft lip and palate patients. DESIGN: A blind retrospective analysis of photographs of cleft lip and palate patients was performed with this new rating scale. SETTING: VU Medical Center Amsterdam and the Academic Center for Dentistry of Amsterdam. PATIENTS: Complete unilateral cleft lip and palate patients at the age of 6 years. MAIN OUTCOME MEASURES: Photographs that showed the highest interobserver agreement in earlier assessments were selected for the photographic reference scale. Rules were attached to the rating scale to provide a guideline for the assessment and improve interobserver reliability. Cropped photographs revealing only the nasolabial area were assessed by six observers using this new Cleft Aesthetic Rating Scale in two different sessions. RESULTS: Photographs of 62 children (6 years of age, 44 boys and 18 girls) were assessed. The interobserver reliability for the nose and lip together was 0.62, obtained with the intraclass correlation coefficient. To measure the internal consistency, a Cronbach alpha of .91 was calculated. The estimated reliability for three observers was .84, obtained with the Spearman Brown formula. CONCLUSION: A new, easy to use, and reliable scoring system with a photographic reference scale is presented in this study. SN - 1545-1569 UR - https://www.unboundmedicine.com/medline/citation/27537493/The_Development_of_the_Cleft_Aesthetic_Rating_Scale:_A_New_Rating_Scale_for_the_Assessment_of_Nasolabial_Appearance_in_Complete_Unilateral_Cleft_Lip_and_Palate_Patients_ L2 - http://journals.sagepub.com/doi/full/10.1597/15-274?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -