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The Cleft Aesthetic Rating Scale for 18-Year-Old Unilateral Cleft Lip and Palate Patients: A Tool for Nasolabial Aesthetics Assessment.
Cleft Palate Craniofac J. 2018 08; 55(7):1006-1012.CP

Abstract

OBJECTIVE

To develop a reliable and easy-to-use method to assess the nasolabial appearance of 18-year-old patients with unilateral cleft lip and palate (CLP).

DESIGN

Retrospective analysis of nasolabial aesthetics using a 5-point ordinal scale and newly developed photographic reference scale: the Cleft Aesthetic Rating Scale (CARS). Three cleft surgeons and 20 medical students scored the nasolabial appearance on standardized frontal photographs.

SETTING

VU University Medical Center, Amsterdam.

PATIENTS

Inclusion criteria: 18-year-old patients, unilateral cleft lip and palate, available photograph of the frontal view.

EXCLUSION CRITERIA

history of facial trauma, congenital syndromes affecting facial appearance. Eighty photographs were available for scoring.

MAIN OUTCOME MEASURES

The interobserver and intraobserver reliability of the CARS for 18-year-old patients when used by cleft surgeons and medical students.

RESULTS

The interobserver reliability for the nose and lip together was 0.64 for the cleft surgeons and 0.61 for the medical students. There was an intraobserver reliability of 0.75 and 0.78 from the surgeons and students, respectively, on the nose and lip together. No significant difference was found between the cleft surgeons and medical students in the way they scored the nose (P = 0.22) and lip (P = 0.72).

CONCLUSIONS

The Cleft Aesthetic Rating Scale for 18-year-old patients has a substantial overall estimated reliability when the average score is taken from three or more cleft surgeons or medical students assessing the nasolabial aesthetics of CLP patients.

Authors

No 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

27996297

Citation

Mulder, F J., et al. "The Cleft Aesthetic Rating Scale for 18-Year-Old Unilateral Cleft Lip and Palate Patients: a Tool for Nasolabial Aesthetics Assessment." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 55, no. 7, 2018, pp. 1006-1012.
Mulder FJ, Mosmuller DGM, de Vet HCW, et al. The Cleft Aesthetic Rating Scale for 18-Year-Old Unilateral Cleft Lip and Palate Patients: A Tool for Nasolabial Aesthetics Assessment. Cleft Palate Craniofac J. 2018;55(7):1006-1012.
Mulder, F. J., Mosmuller, D. G. M., de Vet, H. C. W., Mouës, C. M., Breugem, C. C., van der Molen, A. B. M., & Don Griot, J. P. W. (2018). The Cleft Aesthetic Rating Scale for 18-Year-Old Unilateral Cleft Lip and Palate Patients: A Tool for Nasolabial Aesthetics Assessment. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 55(7), 1006-1012. https://doi.org/10.1597/16-123
Mulder FJ, et al. The Cleft Aesthetic Rating Scale for 18-Year-Old Unilateral Cleft Lip and Palate Patients: a Tool for Nasolabial Aesthetics Assessment. Cleft Palate Craniofac J. 2018;55(7):1006-1012. PubMed PMID: 27996297.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Cleft Aesthetic Rating Scale for 18-Year-Old Unilateral Cleft Lip and Palate Patients: A Tool for Nasolabial Aesthetics Assessment. AU - Mulder,F J, AU - Mosmuller,D G M, AU - de Vet,H C W, AU - Mouës,C M, AU - Breugem,C C, AU - van der Molen,A B Mink, AU - Don Griot,J P W, Y1 - 2018/02/22/ PY - 2016/12/21/pubmed PY - 2019/11/5/medline PY - 2016/12/21/entrez KW - cleft lip and palate KW - nasolabial appearance KW - photographic evaluation KW - scoring system SP - 1006 EP - 1012 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac. J. VL - 55 IS - 7 N2 - OBJECTIVE: To develop a reliable and easy-to-use method to assess the nasolabial appearance of 18-year-old patients with unilateral cleft lip and palate (CLP). DESIGN: Retrospective analysis of nasolabial aesthetics using a 5-point ordinal scale and newly developed photographic reference scale: the Cleft Aesthetic Rating Scale (CARS). Three cleft surgeons and 20 medical students scored the nasolabial appearance on standardized frontal photographs. SETTING: VU University Medical Center, Amsterdam. PATIENTS: Inclusion criteria: 18-year-old patients, unilateral cleft lip and palate, available photograph of the frontal view. EXCLUSION CRITERIA: history of facial trauma, congenital syndromes affecting facial appearance. Eighty photographs were available for scoring. MAIN OUTCOME MEASURES: The interobserver and intraobserver reliability of the CARS for 18-year-old patients when used by cleft surgeons and medical students. RESULTS: The interobserver reliability for the nose and lip together was 0.64 for the cleft surgeons and 0.61 for the medical students. There was an intraobserver reliability of 0.75 and 0.78 from the surgeons and students, respectively, on the nose and lip together. No significant difference was found between the cleft surgeons and medical students in the way they scored the nose (P = 0.22) and lip (P = 0.72). CONCLUSIONS: The Cleft Aesthetic Rating Scale for 18-year-old patients has a substantial overall estimated reliability when the average score is taken from three or more cleft surgeons or medical students assessing the nasolabial aesthetics of CLP patients. SN - 1545-1569 UR - https://www.unboundmedicine.com/medline/citation/27996297/The_Cleft_Aesthetic_Rating_Scale_for_18_Year_Old_Unilateral_Cleft_Lip_and_Palate_Patients:_A_Tool_for_Nasolabial_Aesthetics_Assessment_ L2 - http://journals.sagepub.com/doi/full/10.1597/16-123?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -