Archives of Plastic Surgery

  • 제52권2호
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  • Pages.82-89
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  • 2025
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Evaluation of Nasolabial Aesthetics and SelfImage Satisfaction among 16- to 20-Year-Old Patients with Cleft Lip and Palate in Northeast Thailand

  • Palakorn Surakunprapha (Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University) ;
  • Suteera Pradubwong (The Research Center of Cleft Lip-Palate and Craniofacial Deformities, Khon Kaen University) ;
  • Kamonwan Jenwitheesuk (Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University) ;
  • Poonsak Pisek (Divisions of Orthodontics, Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University) ;
  • Bowornsilp Chowchuen (Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University)
  • 투고 : 2023.08.22
  • 심사 : 2024.09.23
  • 발행 : 2025.03.15
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초록

Background Cleft lip and palate (CLP) impact nasolabial appearance, influencing the physical, psychological, and quality of life (QoL) of affected individuals. Evaluations of the nasolabial aesthetics by patients and medical professionals (both experienced and inexperienced) are critical for enhancing patient care. Methods This cross-sectional study enrolled 32 patients aged 16 to 20 years with CLP who underwent continuous treatment at a university hospital in Thailand. Participants were asked to complete the Thaicleft QoL questionnaire for nasolabial aesthetic self-assessment and had their two-dimensional facial images captured and then evaluated by two groups of medical evaluators: four experienced and four inexperienced professionals. Data are presented as means and percentages, with analysis including standard deviations, Cronbach's α for evaluator consistency, kappa for interrater reliability, and the Wilcoxon signed-rank test to compare aesthetic judgments between the experienced and inexperienced medical evaluators. Results Among the 32 patients, 19 (59.37%) were females, and 22 (68.75%) had unilateral CLP and 10 (31.25%) had bilateral CLP, all reporting high nasolabial aesthetic satisfaction. Inexperienced evaluators assigned higher aesthetic scores than their experienced counterparts (p = 0.01), with statistically significant agreement among inexperienced evaluators in their assessments (p < 0.05). Both group of evaluators demonstrated high reliability in terms of the lip. Conclusion Experienced evaluators assigned lower aesthetic scores than inexperienced evaluators did. The patients themselves expressed high levels of satisfaction with their nasolabial appearance, indicating that the treatment outcomes were favorable from the patients' perspective.

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과제정보

The authors would like to extend their gratitude to the patient cohort, the evaluators' colleagues for their contributions, the support staff at the Tawanchai Center for Cleft Lip, Cleft Palate, and Craniofacial Deformities, and Khon Kaen University for its financial support. We would also like to thank Dr. Radhakrishanan Muthukumar for his assistance with language enhancement.

참고문헌

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