BackgroundFemale pattern hair loss (FPHL) is a common complaint in adult women and
inflicts major impact in quality of life, however, there is no specific
questionnaire available in Portuguese for such evaluation.ObjectivesTranslation into Brazilian Portuguese, cultural adaptation and validation of
the WAA-QoL (Women's Androgenetic Alopecia Quality of Life
Questionnaire).MethodsMethodological study. After authorization by the author, cultural
(linguistic) translation and adaptation to Portuguese of the WAA-QoL
questionnaire were carried out. The translated version (WAA-QoL-BP) and DLQI
(Dermatology Life Quality index) were submitted to patients with FPHL for
concurrent validation. Twenty patients were reevaluated to assess temporal
stability.ResultsA total of 116 patients with APF were evaluated, the mean age (SD) was 47
(14) years, and 89 (76%) patients were classified as grades II and III
(Sinclair). There was high internal consistency: Cronbach´s alpha was 0.97
for the WAA-QoL-BP and 0.87 for the DLQI. The correlation between WAA-QoL
and DLQI resulted in (rho) 0.81 (p <0.01). The intraclass correlation
coefficient for complete agreement of WAA-QoL-BP was 0.95 (p <0.01) in
the test-retest comparison.Study LimitationsSampling of patients only from the State of São Paulo.ConclusionsA Brazilian version for WAA-QoL was translated and adapted, which proved to
be valid and consistent.
In 1955, Millard developed the concept of rotation-advancement flap to treat cleft lip. Almost 6 decades later, it remains the most popular technique worldwide. Since the technique evolved and Millard published many technical variations, we decided to ask 10 experienced cleft surgeons how they would mark Millard's 7 points in two unilateral cleft lip patient photos and compared the results. In both pictures, points 1 and 2 were marked identically among surgeons. Points 3 were located adjacent to each other, but not coincident, and the largest distances between points 3 were 4.95 mm and 4.03 mm on pictures 1 and 2, respectively. Similar patterns were obtained for points 4, eight of them were adjacent, and the greatest distance between the points was 4.39 mm. Points 5 had the most divergence between the points among evaluators, which were responsible for the different shapes of the C-flap. Points 6 also had dissimilar markings, and such difference accounts for varying resection areas among evaluators. The largest distances observed were 11.66 mm and 7 mm on pictures 1 and 2, respectively. In summary, much has changed since Millard's initial procedure, but his basic principles have survived the inexorable test of time, proving that his idea has found place among the greatest concepts of modern plastic surgery.
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