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Developing a visual rating chart for the esthetic outcome of unilateral cleft lip and palate repair
INTRODUCTION: Aesthetic impairment is a major concern for the cleft lip/palate patient. Thus, auditing of postsurgical esthetic outcome needs to be further explored as till date no universally accepted protocol exists. The study objective was to propose a new visual rating chart (VRC) for the aesthe...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555950/ https://www.ncbi.nlm.nih.gov/pubmed/26389035 http://dx.doi.org/10.4103/2231-0746.161060 |
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author | Adeola, A. Olusanya Oladimeji, A. Akadiri |
author_facet | Adeola, A. Olusanya Oladimeji, A. Akadiri |
author_sort | Adeola, A. Olusanya |
collection | PubMed |
description | INTRODUCTION: Aesthetic impairment is a major concern for the cleft lip/palate patient. Thus, auditing of postsurgical esthetic outcome needs to be further explored as till date no universally accepted protocol exists. The study objective was to propose a new visual rating chart (VRC) for the aesthetic outcome of cleft lip and palate (CLP) surgery. MATERIALS AND METHODS: In a retrospective review of 200 repaired clefts, the common esthetic deficiencies were identified, categorized and ranked in the order of severity. A chart of the illustrative diagram with textual description of the defects was produced and used as a basis for rating outcome by two groups of raters (familiar raters and recruited raters). Intra- and inter-raters reliability was estimated using Cohen's kappa statistics and intra-class correlation coefficient (ICC). Comparison between mean group coefficient was achieved with Kendall's correlation coefficient of concordance. RESULTS: The intra- and inter-rater reliability for familiar raters was found to be strong with kappa values range of 0.80–0.87 (P < 0.001). Similarly, inter-raters’ reliability by recruited judges was very strong using ICC at both single (0.768) and average measures (0.982). CONCLUSION: The VRC is a reliable tool for assessing the esthetic outcome of CLP repairs. |
format | Online Article Text |
id | pubmed-4555950 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-45559502015-09-18 Developing a visual rating chart for the esthetic outcome of unilateral cleft lip and palate repair Adeola, A. Olusanya Oladimeji, A. Akadiri Ann Maxillofac Surg Original Article - Evaluative Study INTRODUCTION: Aesthetic impairment is a major concern for the cleft lip/palate patient. Thus, auditing of postsurgical esthetic outcome needs to be further explored as till date no universally accepted protocol exists. The study objective was to propose a new visual rating chart (VRC) for the aesthetic outcome of cleft lip and palate (CLP) surgery. MATERIALS AND METHODS: In a retrospective review of 200 repaired clefts, the common esthetic deficiencies were identified, categorized and ranked in the order of severity. A chart of the illustrative diagram with textual description of the defects was produced and used as a basis for rating outcome by two groups of raters (familiar raters and recruited raters). Intra- and inter-raters reliability was estimated using Cohen's kappa statistics and intra-class correlation coefficient (ICC). Comparison between mean group coefficient was achieved with Kendall's correlation coefficient of concordance. RESULTS: The intra- and inter-rater reliability for familiar raters was found to be strong with kappa values range of 0.80–0.87 (P < 0.001). Similarly, inter-raters’ reliability by recruited judges was very strong using ICC at both single (0.768) and average measures (0.982). CONCLUSION: The VRC is a reliable tool for assessing the esthetic outcome of CLP repairs. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4555950/ /pubmed/26389035 http://dx.doi.org/10.4103/2231-0746.161060 Text en Copyright: © 2015 Annals of Maxillofacial Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article - Evaluative Study Adeola, A. Olusanya Oladimeji, A. Akadiri Developing a visual rating chart for the esthetic outcome of unilateral cleft lip and palate repair |
title | Developing a visual rating chart for the esthetic outcome of unilateral cleft lip and palate repair |
title_full | Developing a visual rating chart for the esthetic outcome of unilateral cleft lip and palate repair |
title_fullStr | Developing a visual rating chart for the esthetic outcome of unilateral cleft lip and palate repair |
title_full_unstemmed | Developing a visual rating chart for the esthetic outcome of unilateral cleft lip and palate repair |
title_short | Developing a visual rating chart for the esthetic outcome of unilateral cleft lip and palate repair |
title_sort | developing a visual rating chart for the esthetic outcome of unilateral cleft lip and palate repair |
topic | Original Article - Evaluative Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4555950/ https://www.ncbi.nlm.nih.gov/pubmed/26389035 http://dx.doi.org/10.4103/2231-0746.161060 |
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