Facial perception of infants with cleft lip and palate with/without the NAM appliance

Quast, Anja; Waschkau, J.; Saptschak, J.; Daratsianos, Nikolaos; Jordan, Kirsten; Fromberger, Peter; Müller, Jürgen; Meyer-Marcotty, Philipp

doi:10.1007/s00056-018-0157-x

Cited by 12 publications

(35 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Psychosocial caregiver burden has been studied through caregiver interviews, adult facial perception, measurements of depression and anxiety, questionnaires and reported occurrence of breast milk feeding in patients (Sischo et al, 2015; Hopkins et al, 2016; Sischo et al, 2016; Alperovich et al, 2017; Quast et al, 2018; Woods et al, 2018; Dean et al, 2019; Nur Yilmaz et al, 2019). These psychosocial outcomes are improved when parents receive counseling to give breast milk (Alperovich et al, 2017), in addition to develop coping strategies through the process of balancing the demands of NAM therapy (Sischo et al, 2015; Sischo et al, 2016).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

What Is the Burden of Care of Nasoalveolar Molding?

Alfonso

Ramly

Kantar

et al. 2020

The Cleft Palate-Craniofacial Journal

View full text Add to dashboard Cite

Objective: This systematic review aims to evaluate nasoalveolar molding (NAM) in the context of burden of care defined as physical, psychosocial, or financial burden on caregivers. Search Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 5 databases were searched from inception through December 24, 2019, for keywords and subject headings pertaining to cleft lip and/or palate and NAM. Eligibility Criteria: Clinical studies on NAM with reference to physical (access to care, number of visits, distance traveled), psychosocial (caregiver perceptions, family interactions, breast milk feeding), and financial (direct and indirect costs) burden were included. Data Collection and Analysis: Study selection was performed by 2 independent reviewers. Results: The search identified 1107 articles and 114 articles remained for qualitative synthesis. Burden of care domains were discussed but not measured in 43% of articles and only 25% assessed burden of care through a primary outcome. Of these, 20 articles reported on physical, 8 articles on psychosocial, and 12 articles on financial burden. Quality of evidence is limited by study design and risk of bias. Conclusion: Nasoalveolar molding has been indiscriminately associated with burden of care in the literature. Although NAM may not be the ideal treatment option for all patients and families, the physical considerations are limited when accounting for the observed psychosocial advantages. Financial burden appears to be offset, but further research is required. Teams should directly assess the impact of this early intervention on the well-being of caregivers and advance strategies that improve access to care.

show abstract

Section: Resultsmentioning

confidence: 99%

“…These trends could be better assessed in future studies with a control group and subcategories by cleft type. Interestingly, the NAM appliance itself has been shown to aid in improving the emotional assessment and adult gaze patterns toward cleft, although the reasoning behind this finding is not well known (Quast et al, 2018).…”

Section: Psychosocial Burdenmentioning

confidence: 99%

What Is the Burden of Care of Nasoalveolar Molding?

Alfonso

Ramly

Kantar

et al. 2020

The Cleft Palate-Craniofacial Journal

View full text Add to dashboard Cite

show abstract

“…34 We sought to better understand how parotidectomy and reconstruction of the parotidectomy facial contour deformity impacts casual observer attention using eye tracking, a well-established tool for measuring outcomes in facial plastic and reconstructive surgery. [22][23][24][25]27,30,[35][36][37][38][39][40][41][42][43] Eye tracking is a valuable tool because it allows us to objectively measure normalization in facial attention, an important measure of successful reconstruction. Casual observer attention is important because many of our daily social interactions are brief encounters with people in society (casual observers), and it is these high-volume encounters that can be a large contributor to a patient's reduced quality of life.…”

Section: Discussionmentioning

confidence: 99%

Dermal Fat Grafting to Reconstruct the Parotidectomy Defect Normalizes Facial Attention

et al. 2020

View full text Add to dashboard Cite

Objectives/Hypothesis Use validated eye‐tracking technology to objectively measure 1) the attentional distraction of facial contour defects after superficial and total parotidectomy and 2) changes in attentional distraction with abdominal dermal fat graft reconstruction. Methods Standardized frontal and oblique facial images of 16 patients who had undergone superficial or total parotidectomy with or without fat graft reconstruction; four normal controls were obtained. One hundred casual observers were recruited to view these images, and gaze data were collected using a Tobii Pro eye‐tracking system. Gaze durations for predefined facial areas of interest were analyzed using mixed‐effects linear regression to test study hypotheses. Results For frontal images, total parotidectomy increased gaze to the operated parotid area compared to the contralateral nonoperated parotid area (92 milliseconds, 95% confidence interval [CI]: 48‐138 milliseconds, P < .001). Fat grafting normalized the attentional distraction, with no difference in gaze time on the operated parotid region compared to normal control faces (P = .414). For oblique images, total parotidectomy increased gaze to the operated parotid area compared to the contralateral nonoperated parotid area (658 milliseconds, 95% CI: 463‐854 milliseconds, P < .001). Fat grafting normalized this attentional distraction, with no difference in gaze time on the operated parotid region compared to normal control faces (P = .504). In both views, superficial parotidectomy demonstrated no significant attentional distractions, with or without fat grafting. Conclusions This eye‐tracking study objectively demonstrates that total parotidectomy results in a facial contour deformity that is distracting to observers, whereas superficial parotidectomy does not. For total parotidectomy, this attentional distraction can be normalized with dermal fat graft reconstruction. Level of Evidence 3b Laryngoscope, 131:E124–E131, 2021

show abstract

“…In terms of facial perception research, studies have shown a triangle of internal facial features is the most salient part of the face; first the eyes, then nose, then mouth (Yarbus, 1967; Janik et al, 1978; Van Belle et al, 2010; Mehoudar et al, 2014). In addition, studies show saliency has a strong effect in perception of the lip when looking at faces with cleft, which exists in the internal facial feature triangle (Meyer-Marcotty et al, 2010; Meyer-Marcotty et al, 2011; van Schijndel et al, 2015; Dindaroglu et al, 2017; Rayson et al, 2017; Quast et al, 2018; Warne et al, 2018; Morzycki et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Eye tracking provides an objective assessment of perception and attention toward patients with craniofacial differences. Eye tracking has been studied in coronal craniosynostosis (Linz et al, 2016) and cleft lip (Meyer-Marcotty et al, 2010; Meyer-Marcotty et al, 2011; van Schijndel et al, 2015; Dindaroglu et al, 2017; Rayson et al, 2017; Quast et al, 2018; Warne et al, 2018; Morzycki et al, 2019) as an objective method to test attention and perception through gaze patterns (Gibaldi et al, 2017). This objective assessment of attention and perception can provide insight on the social stigma of a craniofacial deformity established in the literature (Ozgur et al, 2006; Marchac et al, 2008; Singh and Moss, 2015) and how the surgery eliminates this stigma.…”

Section: Introductionmentioning

confidence: 99%

The Use of Eye Tracking to Discern the Threshold at Which Metopic Orbitofrontal Deformity Attracts Attention

Pressler

Geisler

Hallac

et al. 2020

The Cleft Palate-Craniofacial Journal

View full text Add to dashboard Cite

Introduction and Objectives: Surgical treatment for trigonocephaly aims to eliminate a stigmatizing deformity, yet the severity that captures unwanted attention is unknown. Surgeons intervene at different points of severity, eliciting controversy. This study used eye tracking to investigate when deformity is perceived. Material and Methods: Three-dimensional photogrammetric images of a normal child and a child with trigonocephaly were mathematically deformed, in 10% increments, to create a spectrum of 11 images. These images were shown to participants using an eye tracker. Participants’ gaze patterns were analyzed, and participants were asked if each image looked “normal” or “abnormal.” Results: Sixty-six graduate students were recruited. Average dwell time toward pathologic areas of interest (AOIs) increased proportionally, from 0.77 ± 0.33 seconds at 0% deformity to 1.08 ± 0.75 seconds at 100% deformity ( P < .0001). A majority of participants did not agree an image looked “abnormal” until 90% deformity from any angle. Conclusion: Eye tracking can be used as a proxy for attention threshold toward orbitofrontal deformity. The amount of attention toward orbitofrontal AOIs increased proportionally with severity. Participants did not generally agree there was “abnormality” until deformity was severe. This study supports the assertion that surgical intervention may be best reserved for more severe deformity.

show abstract

Facial perception of infants with cleft lip and palate with/without the NAM appliance

Cited by 12 publications

References 41 publications

What Is the Burden of Care of Nasoalveolar Molding?

What Is the Burden of Care of Nasoalveolar Molding?

Dermal Fat Grafting to Reconstruct the Parotidectomy Defect Normalizes Facial Attention

The Use of Eye Tracking to Discern the Threshold at Which Metopic Orbitofrontal Deformity Attracts Attention

Contact Info

Product

Resources

About