High patient satisfaction after secondary rhinoplasty in cleft lip patients

Hens, Greet; Picavet, Valerie A.; Poorten, Vincent Vander; Schoenaers, Joseph; Jorissen, Mark; Hellings, Peter W.

doi:10.1002/alr.20023

Cited by 29 publications

(25 citation statements)

References 13 publications

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“…One study found patients' ratings of their own appearance to be lower than ratings provided by professionals (Sinko et al, 2005). In contrast, patients gave more positive ratings of their own appearance when compared to professionals' ratings in three cases (Hens et al, 2011;Gkantidis et al, 2013;Byrne et al, 2014). In an analysis of specific facial features, Meyer-Marcotty and Stellzig-Eisenhauer gave higher ratings of appearance than those provided by laypersons (Chetpakdeechit et al, 2011;Eichenberger et al, 2014;Ferrari Júnior et al, 2015).…”

Section: Perceptions Of Appearance Among Professionals and Laypersonsmentioning

confidence: 99%

Psychological adjustment to cleft lip and/or palate: A narrative review of the literature

Stock

Feragen

2016

Psychology & Health

125

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Section: Perceptions Of Appearance Among Professionals and Laypersonsmentioning

confidence: 99%

Psychological adjustment to cleft lip and/or palate: A narrative review of the literature

Stock

Feragen

2016

Psychology & Health

125

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“…Patients with body dysmorphic disorder (BDD) benefited less from rhinoplasty depending on the severity of BDD symptoms (11) . Hens et al (12) found that the postoperative satisfaction of cleft lip and non-cleft lip patients after secondary rhinoplasty was comparable.…”

Section: Discussionmentioning

confidence: 98%

Quality of life after septorhinoplasty measured with the Functional Rhinoplasty Outcome Inventory 17 (FROI-17)

Bulut¹,

Wallner²,

Plinkert³

et al. 2015

Rhin

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“…Previous studies revealed mixed results, demonstrating that patients with clefts stated that their noses were either better or worse after skeletofacial surgical management than those with dentofacial deformities 8,15 . We hypothesized that as patients with clefts have received longitudinal multidisciplinary support since their infancy, they would have incorporated coping skills that helped them judge the surgical-induced nasal changes along with the presence of nasal deformities in a relatively positive perspective than their peers with dentofacial deformities 2,31,[42][43][44] .…”

Section: Discussionmentioning

confidence: 99%

Patient- and 3D morphometry-based nose outcomes after skeletofacial reconstruction

Denadai

Chou

Seo

et al. 2020

Sci Rep

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Patient satisfaction with the shape and appearance of their nose after orthognathic surgery-based skeletofacial reconstruction is an important, but often overlooked, outcome. We assessed the nose-related outcomes through a recently developed patient-reported outcome instrument and a widely adopted 3D computer-based objective outcome instrument, to verify any correlation in the results produced by these tools. We collected FACE-Q nose appearance reports (2 scales) and 3D nasal morphometry (10 parameters) from patients with class III skeletal pattern and congenital cleft lip palate deformity (n = 23) or developmental dentofacial deformity (n = 23) after (>12 months) skeletofacial reconstruction. The cleft and dentofacial cohorts demonstrated significantly (p < 0.001) poorer satisfaction scores with regard to the FACE-Q nostrils scale than the normal age-, gender-, and ethnicity-matched subjects (n = 107), without any significant difference in FACE-Q nose scale. The cleft cohort had significantly (p < 0.001) smaller nasal length, nasal tip projection, and columellar angle and greater nasal protrusion, alar width, and columellar-labial angle values than the dentofacial and normal cohorts; however, there were no significant differences between the dentofacial versus normal cohorts. The FACE-Q nose and nostrils scales were significantly (p < 0.001; r = −0.26-0.27) correlated to the results of the 3D morphometric analysis, with regard to nasal length, alar width, columella angle, and columellar-labial angle parameters. This study revealed differences in satisfaction with the appearance of the nose according to the type of underlying deformity, and demonstrated a significant correlation (low correlation coefficients) between the patient-reports and 3D image-based outcome measure tools, which has implications for multidisciplinary-centered research, auditing, and clinical care. Facial deformities associated with abnormal maxillo-mandibular relationships, such as congenital cleft lip and palate and developmental dentofacial deformities, significantly affect oral function and facial aesthetics 1,2. Skeletofacial reconstruction using orthognathic surgery principle is a successful treatment modality for these abnormalities 3-5. However, a number of post-surgical facial modifications are the primary causes of concern among the patients, particularly changes in the nasal morphology 6. A growing number of studies have addressed this issue by adopting three-dimensional (3D) nasal measurements 6-15 , but the effects of skeletofacial reconstruction are beyond these imaging-guided outcome metrics 1,4,5. The patient satisfaction with the appearance of their nose is an important, albeit often overlooked, outcome parameter after orthognathic surgery. Therefore, including a patient's self-perception by employing patient-reported outcome (PRO) techniques may help clinicians to understand the health-related concerns of the patient 16,17. Literature reviews 4,5 have revealed that a plethora of PRO instruments have been utilized to primaril...

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High patient satisfaction after secondary rhinoplasty in cleft lip patients

Abstract: Patient satisfaction after secondary rhinoplasty in cleft lip patients is high and comparable to that of non-cleft lip rhinoplasty patients.

Cited by 29 publications

References 13 publications

Psychological adjustment to cleft lip and/or palate: A narrative review of the literature

Psychological adjustment to cleft lip and/or palate: A narrative review of the literature

Quality of life after septorhinoplasty measured with the Functional Rhinoplasty Outcome Inventory 17 (FROI-17)

Patient- and 3D morphometry-based nose outcomes after skeletofacial reconstruction

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