Unilateral Cleft Lip Repair
| Autor: | Elie P. Ramly, Roberto L. Flores, Rami S. Kantar, Maxime Wang, David A. Staffenberg, Jesus Rodrigo Diaz-Siso, Bradley S. Eisemann, Allyson R Alfonso |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Intraclass correlation Scar assessment Cleft Lip Qualitative evidence Scars Nose 030230 surgery Severity of Illness Index Cohort Studies Cleft lip repair Cicatrix 03 medical and health sciences 0302 clinical medicine Photography Humans Medicine Retrospective Studies Observer Variation Postoperative Care business.industry Significant difference Infant Reproducibility of Results Plastic Surgery Procedures Treatment Outcome medicine.anatomical_structure Evaluation Studies as Topic 030220 oncology & carcinogenesis Female Surgery medicine.symptom business Nuclear medicine |
| Zdroj: | Annals of Plastic Surgery. 83:660-663 |
| ISSN: | 1536-3708 0148-7043 |
| DOI: | 10.1097/sap.0000000000001991 |
| Popis: | BACKGROUND There is no quantitative evidence supporting one unilateral cleft lip (UCL) repair technique over the other with regard to scarring. We sought to evaluate the difference between the extended Mohler and Millard techniques, using 3 scar assessment scales. METHODS Postoperative frontal and basal photographs of patients undergoing UCL repair were reviewed. Three validated scar assessment scales were used: the Manchester Scar Scale (MSS), modified scar-rating scale (MSRS), and Stony Brook Scar Evaluation Scale. Lip and nose scars were rated by 5 independent raters using each of the scales. Interrater reliability was assessed using the intraclass correlation coefficient (ICC). RESULTS Assessment of 116 images for 58 consecutive patients undergoing UCL repair (36 extended Mohler, 22 Millard) was performed. Interrater reliability was excellent for lip scars (ICCs, 0.903 [0.857-0.938] for MSS, 0.913 [0.872-0.944] for MSRS, and 0.850 [0.775-0.902] for SBES) and moderate for nose scar assessment (ICCs, 0.714 [0.579-0.816] for MSS, 0.693 [0.548-0.802] for MSRS, and 0.565 [0.359-0.720] for SBES). No statistically significant difference was found between the extended Mohler and Millard repairs in mean lip scar scores (MSS, 6.983 ± 1.469 vs 6.772 ± 1.175, P = 0.571; MSRS, 5.433 ± 1.530 vs 5.481 ± 1.290, P = 0.902; SBES, 3.633 ± 0.977 vs 3.446 ± 0.995, P = 0.483) or nose scar scores (MSS, 5.644 ± 1.131 vs 5.491 ± 0.689, P = 0.523; MSRS, 4.233 ± 0.987 vs 3.991 ± 0.705, P = 0.320; SBES, 3.933 ± 0.750 vs 4.018 ± 0.486, P = 0.603). CONCLUSIONS Using 3 validated scar assessment scales, no significant difference was found between the extended Mohler and Millard techniques in terms of lip or nose scars. |
| Databáze: | OpenAIRE |
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