Publicação
Impact of cleft lip and palate treatments on quality of life: CLEFT-Q assessment
| Resumo: | Introduction: The perspective for patients with cleft lip and/or palate (CLP) is important in assessing treatment outcomes and contributing to a better quality of life. Objectives: To evaluate the influence of treatment patients' quality of life with CLP using CLEFT-Q. Methods: Observational cross-sectional study, with 100 individuals attended in a CLP Service. Results: The mean age of the sample was 16±4.9 years. The most frequent cleft type was cleft lip/palate and the most prevalent, transforamen (85%). The treatments performed were: cheiloplasty, palatoplasty, bone grafting, rhinoplasty and orthodontic treatment. The lowest Cleft-q scores were in Appearance and related to appearance of nose and nostrils while the highest were observed in Quality of life Scales as psychological and school. There was a statistically significant correlation between treatments performed and at least one Scale of Appearance, Quality of Life and Facial Function, except for rhinoplasty. Orthodontic treatment showed a negative correlation with the three domains, and the association was statistically significant in Face, Nostrils, Teeth, Lips, Difficulty Speaking, School, Social and Speech Scales, except for Nostrils, Psychological and Eating/Drinking. The speech scale showed statistically significant correlation with palatoplasty, bone grafting and orthodontic treatment and eating/drinking scale showed statistically significant correlation only with bone grafting. Conclusions: The results suggests that the patients studied were dissatisfied with their facial appearance, especially regarding nose, nostrils and teeth. All treatments impacted the patients' perception of their appearance, health-related quality of life and facial function. Cheiloplasty and bone grafting had a positive impact on patients' quality of life. |
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| Autores principais: | Soares, Maria Sueli Marques |
| Outros Autores: | Barros, Mariana Silva; Albuquerque, Ana Carolina Lyra de; Lacerda, Rosa Helena Wanderley; Vieira, Alexandre Rezende |
| Assunto: | Cleft Lip Cleft Palate Quality of Life Quality of life. Fenda Labial Fissura Palatina Qualidade de Vida Qualidade de vida. Labio leporino Paladar hendido paladar hendido Calidad de vida. Calidad de vida |
| Ano: | 2021 |
| País: | Brasil |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | IBICT |
| Idioma: | português |
| Origem: | Oasisbr |
| Resumo: | Introduction: The perspective for patients with cleft lip and/or palate (CLP) is important in assessing treatment outcomes and contributing to a better quality of life. Objectives: To evaluate the influence of treatment patients' quality of life with CLP using CLEFT-Q. Methods: Observational cross-sectional study, with 100 individuals attended in a CLP Service. Results: The mean age of the sample was 16±4.9 years. The most frequent cleft type was cleft lip/palate and the most prevalent, transforamen (85%). The treatments performed were: cheiloplasty, palatoplasty, bone grafting, rhinoplasty and orthodontic treatment. The lowest Cleft-q scores were in Appearance and related to appearance of nose and nostrils while the highest were observed in Quality of life Scales as psychological and school. There was a statistically significant correlation between treatments performed and at least one Scale of Appearance, Quality of Life and Facial Function, except for rhinoplasty. Orthodontic treatment showed a negative correlation with the three domains, and the association was statistically significant in Face, Nostrils, Teeth, Lips, Difficulty Speaking, School, Social and Speech Scales, except for Nostrils, Psychological and Eating/Drinking. The speech scale showed statistically significant correlation with palatoplasty, bone grafting and orthodontic treatment and eating/drinking scale showed statistically significant correlation only with bone grafting. Conclusions: The results suggests that the patients studied were dissatisfied with their facial appearance, especially regarding nose, nostrils and teeth. All treatments impacted the patients' perception of their appearance, health-related quality of life and facial function. Cheiloplasty and bone grafting had a positive impact on patients' quality of life. |
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