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Facial attractiveness of patients with unilateral cleft lip and palate and of controls assessed by laypersons and professionals

Eichenberger, Martina ; Staudt, Christine B. ; Pandis, Nikolaos ; Gnoinski, Wanda ; Eliades, Theodore

In: European Journal of Orthodontics, 2014, vol. 36, no. 3, p. 284-289

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    Titre
    • Facial attractiveness of patients with unilateral cleft lip and palate and of controls assessed by laypersons and professionals
    Auteur
    • Eichenberger, Martina. * Department for Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Switzerland and
    • Staudt, Christine B.. * Department for Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Switzerland and
    • Pandis, Nikolaos. ** Department of Orthodontics and Dentofacial Orthopedics, Dental School, University of Bern, Switzerland
    • Gnoinski, Wanda. * Department for Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Switzerland and
    • Eliades, Theodore. * Department for Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Switzerland and
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • European Journal of Orthodontics, 2014, vol. 36, no. 3, p. 284-289. Oxford University Press
    Autre version électronique
    Classification
    • Santé
    Identifiant OAI-PMH
    • oai:doc.rero.ch:303139
    Summary
    SUMMARYOBJECTIVES: The aim of the study was to identify differences in the aesthetic evaluation of profile and frontal photographs of (1) patients treated for complete left-sided cleft lip and palate and (2) control patients by laypeople and professionals. MATERIALS, SUBJECTS, AND METHODS: Left-side profile and frontal photographs of 20 adult patients treated for complete left-sided cleft lip and palate (10 men, 10 women, mean age: 20.5 years) and of 10 control patients with a class I occlusion (five men, five women, mean age: 22.1 years) were included in the study. The post-treatment photographs were evaluated by 15 adult laypeople, 14 orthodontists, and 10 maxillofacial surgeons. Each photograph was judged on a modified visual analogue scale (VAS, 0-10; 0 ‘very unattractive' to 10 ‘very attractive'). A four-level mixed model was fitted in which the VAS score was the dependent variable; cases, profession, view, and rater were independent variables. RESULTS: Compared with laypersons, orthodontists gave higher VAS scores (+0.69, 95% confidence interval (CI) [0.53, 0.84]; P < 0.001), followed by surgeons (+0.21, 95% CI [0.03, 0.38], P = 0.02). Controls were given significantly higher scores than patients with clefts for profile and frontal photographs (+1.97, 95% CI [1.60; 2.35], P < 0.001). No significant difference was found between the scores for the frontal and lateral views (P = 0.46). CONCLUSIONS: All the different rater panels were less satisfied with the facial aesthetics of patients with clefts compared with that of control patients. Further research should evaluate whether these findings correlate with patients' self-perception and to what extent it affects the patients' psychosocial well-being