Document Detail

Panel and patient perceptions of nasal aesthetics after secondary cleft rhinoplasty with versus without columellar grafting.
MedLine Citation:
PMID:  20832328     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Cleft-lip nasal deformity alters patient's self-image, as well as posing unique challenges for the rhinoplastic surgeon.
OBJECTIVES: The main purpose of this study was to compare the panel perceptions of nasal aesthetics following secondary cleft rhinoplasty with versus without caudal septal extension grafting (columella grafting). We also investigated whether patient's self-assessment and satisfaction correlated with 4 other variables: (1) rhinoplasty techniques; (2) patients' age; (3) patients' gender; and (4) panel perceptions.
METHODS: Using a cross-sectional study design, we enrolled a sample of adult laypersons and medical experts. The predictor variable was the rhinoplasty techniques (with/without columellar grafting). The outcome variable was the panel rankings of nasal aesthetics based on the photographs of 50 nonsyndromic cleft patients before and after the rhinoplasty. Other variables included the patient's subjective assessment and satisfaction, demographic and anatomic variables. Appropriate descriptive, uni- and bivariate statistics were calculated. The significance level was set at P≤0.05 and <0.05 for single- and two-tailed tests of hypothesis, respectively.
RESULTS: The sample consisted of 507 laypersons and 51 professionals who gave comparative ratings (P>0.05). Columellar grafting was associated with higher rankings of postoperative nasal aesthetics (P =0.04). Most of the patients (90%) rated positive outcomes. Surgical techniques, patients' age and gender, and panel perceptions were not individually significantly associated with subjective measures and satisfaction.
CONCLUSIONS: Our results suggest that caudal septal extension grafting improves the nasal aesthetics of the cleft patients, as judged by the panel. Patient's self-assessment seems unreliable to be used as an outcome measure.
Poramate Pitak-Arnnop; Alexander Hemprich; Kittipong Dhanuthai; Vedat Yildirim; Niels Christian Pausch
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Publication Detail:
Type:  Journal Article     Date:  2010-09-15
Journal Detail:
Title:  Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery     Volume:  39     ISSN:  1878-4119     ISO Abbreviation:  J Craniomaxillofac Surg     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-06-14     Completed Date:  2011-09-12     Revised Date:  2013-06-06    
Medline Journal Info:
Nlm Unique ID:  8704309     Medline TA:  J Craniomaxillofac Surg     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  319-25     Citation Subset:  D; IM    
Copyright Information:
2010 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
Department of Oral, Craniomaxillofacial and Facial Plastic Surgery, Scientific Unit for Clinical and Psychosocial Research, Evidence-Based Surgery and Ethics in Oral and Maxillofacial Surgery, Faculty of Medicine, University Hospital of Leipzig, Leipzig, Germany.
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MeSH Terms
Age Factors
Analysis of Variance
Attitude of Health Personnel
Cartilage / transplantation*
Cleft Lip / complications
Cleft Palate / complications
Cross-Sectional Studies
Middle Aged
Nasal Cartilages / abnormalities*,  surgery
Nose / abnormalities*,  surgery
Outcome Assessment (Health Care) / methods
Patient Satisfaction*
Rhinoplasty / methods,  psychology*
Sex Factors
Statistics, Nonparametric
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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