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Open Access
CC BY 4.0 · Arch Plast Surg 2025; 52(02): 082-089
DOI: 10.1055/s-0044-1792018
Pediatric/Craniomaxillofacial/Head and Neck
Original Article

Evaluation of Nasolabial Aesthetics and Self-Image Satisfaction among 16- to 20-Year-Old Patients with Cleft Lip and Palate in Northeast Thailand

Autor*innen

  • Palakorn Surakunprapha 

    1   Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand

  • Suteera Pradubwong 

    2   The Research Center of Cleft Lip-Palate and Craniofacial Deformities, Khon Kaen University, Khon Kaen, Thailand

  • Kamonwan Jenwitheesuk 

    1   Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand

  • Poonsak Pisek 

    3   Divisions of Orthodontics, Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand

  • Bowornsilp Chowchuen 

    1   Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand

Funding This study received financial support from Khon Kaen University.
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Abstract

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.

Keywords

evaluation - nasolabial appearance - cleft lip and palate - Thailand

Data Availability Statement

The data supporting the findings of this study are available upon request from the corresponding author. These data are not publicly accessible due to privacy and ethical restrictions.


Ethical Approval

This study was approved by the Center for Ethics in Human Research Committee, Khon Kaen University (ID no. HE651370). Written informed consent was obtained from all participants.


Informed Consent

Verbal and written informed consent was obtained from all individuals included in this study.


Authors' Contributions

P.S. was involved in conceptualization, supervision, and writing the original draft. S.P. was involved in collecting data and data curation, investigation, formal analysis, and writing the original draft. K.J. and P.P. were involved in data checking and writing, review, and editing the manuscript. B.C. was involved with data validation.




Publikationsverlauf

Eingereicht: 22. August 2023

Angenommen: 23. September 2024

Artikel online veröffentlicht:
24. Dezember 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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