Comparison of professional and laypeople
evaluation of nasolabial esthetics following unilateral cleft lip repair

Adetayo, Adekunle Moses; Adetayo, Modupe Olusola; A, Oguntade Funmi; Somoye, Mayowa Solomon; Adeyemi, Mike; Adeyemo, Wasiu Lanre

doi:10.4103/ejd.ejd_31_18

Cited by 5 publications

(3 citation statements)

References 34 publications

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“…More recently, Mulder et al (2018) concluded that there were no differences between professionals and laypeople in the assessment of nasolabial appearance on cropped photographs using the CARS. Adetayo et al (2018) found that there were no significant differences when professionals and laypeople graded the lip, but for grading the nose laypeople reported significantly poorer scores, using direct panel assessment. Alhayek et al (2019) reported that professionals rated facial appearance of patients with repaired clefts significantly lower than laypeople using a visual analogue scale, but professionals had a higher perceived need for further treatment.…”

Section: Discussionmentioning

confidence: 81%

Atypical Outcomes of Nasal and Lip Appearance After Unilateral Cleft Lip Repair: Judgment by Professionals, Patients, and Laypeople

Tan

Mulder

Schwirtz

et al. 2021

The Cleft Palate-Craniofacial Journal

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Objective: To gain more insight into the assessment of “atypical” nasal and lip appearance outcomes compared to “typical” appearance outcomes after unilateral cleft lip and palate (UCLP) repair, when judged by professionals, patients with repaired UCLP, and laypeople. Design: An online survey containing 3 series of photographs with various degrees of “typical” and “atypical” nasal and lip appearance outcomes after UCLP repair was sent to 30 professionals, 30 patients with repaired UCLP, and 50 laypeople in 2 countries. Participants were instructed to rank the photographs from excellent to poor based on overall appearance. Mean rank positions of photographs were analyzed and differences in mean rank score between “typical” and “atypical” results were assessed using a T-test. Agreement of ranking between the 3 groups was assessed with an analysis of variance analysis. Setting: Amsterdam UMC, location VUmc, Netherlands and Boston Children’s Hospital, Boston, USA. Patients: Photographs of 6- to 18-year-old patients with repaired UCLP. Results: “Atypical” appearance outcomes were ranked significantly less favorably (small nostril: P = 0.00; low vermillion border: P = 0.02; whistling deformity: P = 0.00) compared to “typical” outcomes. Difference between professionals, patients and laypeople in rank positioning the photographs was not statistically significant ( P = 0.89). Conclusions: Noses with a smaller nostril and lips containing a whistling deformity were perceived as poorer outcome compared to the “typical” results. Professionals, patients, and laypeople are in agreement when assessing these outcomes.

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Section: Discussionmentioning

confidence: 81%

Atypical Outcomes of Nasal and Lip Appearance After Unilateral Cleft Lip Repair: Judgment by Professionals, Patients, and Laypeople

Tan

Mulder

Schwirtz

et al. 2021

The Cleft Palate-Craniofacial Journal

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“…Currently, there are no objective measures to guide revision decisions, and decisions are made based on preferences of the patient, guardian, and surgeon. Prior research has shown both parents and cleft surgeons often have a critical eye and increased awareness of SCLD (Eliason et al, 1991;Papamanou et al, 2012;Chung et al, 2013;Adetayo et al, 2018). Although the adults' concern for negative perception of the SCLD by peers often drives the decision for revision prior to the child starting school, it has not previously been investigated if peers, who are young children and adolescents, objectively notice SCLD to the same degree as adults.…”

Section: Discussionmentioning

confidence: 99%

Developing an Eye-Tracking Protocol to Determine Children’s Visual Perception of Secondary Cleft Lip Deformity

Karp

Scott

Martin³

et al. 2019

The Cleft Palate-Craniofacial Journal

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Objective: To develop a protocol that will be used to measure children’s perception of secondary cleft lip deformity (SCLD) using objective eye-tracking technology. Design: Cross-sectional study. Data collection May and June of 2018. Setting: Single tertiary care pediatric hospital with a well-established cleft team. Participants: Participants were recruited from a general pediatric otolaryngology clinic. Sixty participants from 4 age groups (5-6, 10, 13, and 16 years) were enrolled on a voluntary basis. Intervention: Pediatric participants viewed images of children’s faces while wearing eye-tracking glasses. Ten images with unilateral SCLD and 2 control images with no facial scarring were viewed as gaze was assessed. Main Outcome and Measure: Successful gaze fixation was recorded across all age groups. Results: This article illustrates the types of data generated from glasses-based eye tracking in children. All children, regardless of age, spent more time with their gaze on a SCLD images (mean = 4.23 seconds; standard deviation [SD] = 1.41 seconds) compared to control images (mean = 3.97 seconds; SD = 1.42). Younger age groups spent less time looking at specific areas of interest in SCLD images. Conclusion: In this pilot study, we were able to successfully use eye-tracking technology in children to demonstrate gaze preference and a trend toward visual perception of SCLD changing with age. This protocol will allow for a future study, with larger and more diverse populations. Better understanding of how SCLD is perceived among children and adolescents has the potential to guide future interventions for SCLD and other facial deformities in pediatric patients.

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“…12 To date, the most common application for eye-tracking in plastic surgery has been to assess observer gaze in subjects with cleft lip and SCLD. 1,3,13,14 However, these studies do not consider how cleft lip pathology affects facial viewing patterns in different groups of individuals.…”

Section: Introductionmentioning

confidence: 99%

Exploring Self-Perception and Peer-Perception in Adolescents With Secondary Cleft Lip Deformities Using Eye-Tracking

Rizvi,

Jackson,

Kane

et al. 2023

FACE

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Background: Patients with cleft lip often have a secondary cleft-lip deformity (SCLD), resulting from the initial repair procedure for their congenital cleft. Patients with SCLD often undergo multiple surgeries to achieve symmetry of the lip and nose. However, little is known about how patients perceive their deformity, and if those deformities are noticeable to their peers. The purpose of this study is to use eye-tracking to evaluate how patients with cleft lip repair look at themselves and evaluate how this perception changes when the same photo is perceived by 2 different cohorts: patients who have undergone cleft-lip surgeries and control subjects who have no craniofacial pathology. Methods: Participants were divided into 4 cohorts: adolescents with SCLD viewing images of themselves (Cohort 1), adolescents with SCLD viewing images of peers with SCLD (Cohort 2), adolescents without SCLD viewing images of peers with SCLD (Cohort 3), and healthy adolescents without SCLD viewing images of themselves (Cohort 4). Surveys were conducted after the eye-tracking portion to determine correlations between objective gaze data and subjective opinions. Results: Total fixation duration was highest in the eye region for all 3 cohorts, followed by the upper lip region. Cohort 2 fixated the longest on all areas of pathology, while Cohort 1 fixated the least on all areas of pathology. Cohort 4 spent significantly more time looking at the nose bridge compared to Cohort 1. Conclusions: The results provide insight into how adolescents with SCLD are perceived by themselves and others and can help to better understand the complexities of the roles different areas of pathology play in self-perception.

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Comparison of professional and laypeople evaluation of nasolabial esthetics following unilateral cleft lip repair

Cited by 5 publications

References 34 publications

Atypical Outcomes of Nasal and Lip Appearance After Unilateral Cleft Lip Repair: Judgment by Professionals, Patients, and Laypeople

Atypical Outcomes of Nasal and Lip Appearance After Unilateral Cleft Lip Repair: Judgment by Professionals, Patients, and Laypeople

Developing an Eye-Tracking Protocol to Determine Children’s Visual Perception of Secondary Cleft Lip Deformity

Exploring Self-Perception and Peer-Perception in Adolescents With Secondary Cleft Lip Deformities Using Eye-Tracking

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