{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T04:44:08Z","timestamp":1741754648026,"version":"3.38.0"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T00:00:00Z","timestamp":1734998400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004071","name":"Khon Kaen University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004071","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Cleft 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.<\/jats:p><jats:p>\n          Methods\u2003This 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 \u03b1 for evaluator consistency, kappa for interrater reliability, and the Wilcoxon signed-rank test to compare aesthetic judgments between the experienced and inexperienced medical evaluators.<\/jats:p><jats:p>\n          Results\u2003Among 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\u2009=\u20090.01), with statistically significant agreement among inexperienced evaluators in their assessments (p\u2009&lt;\u20090.05). Both group of evaluators demonstrated high reliability in terms of the lip.<\/jats:p><jats:p>\n          Conclusion\u2003Experienced 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.<\/jats:p>","DOI":"10.1055\/s-0044-1792018","type":"journal-article","created":{"date-parts":[[2024,12,25]],"date-time":"2024-12-25T00:04:38Z","timestamp":1735085078000},"page":"082-089","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of Nasolabial Aesthetics and Self-Image Satisfaction among 16- to 20-Year-Old Patients with Cleft Lip and Palate in Northeast Thailand"],"prefix":"10.1055","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5732-6720","authenticated-orcid":false,"given":"Palakorn","family":"Surakunprapha","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8574-8127","authenticated-orcid":false,"given":"Suteera","family":"Pradubwong","sequence":"additional","affiliation":[{"name":"The Research Center of Cleft Lip-Palate and Craniofacial Deformities, Khon Kaen University, Khon Kaen, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2651-5753","authenticated-orcid":false,"given":"Kamonwan","family":"Jenwitheesuk","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5413-9321","authenticated-orcid":false,"given":"Poonsak","family":"Pisek","sequence":"additional","affiliation":[{"name":"Divisions of Orthodontics, Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5529-2889","authenticated-orcid":false,"given":"Bowornsilp","family":"Chowchuen","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,12,24]]},"reference":[{"volume-title":"Epidemiology of cleft lip and palate","year":"2017","author":"M K Ahmed","key":"ref1"},{"issue":"11","key":"ref2","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1177\/1055665620987677","article-title":"Registry-based study of prevalence of cleft lip\/palate in Thailand from 2012 to 2015","volume":"58","author":"P Fuangtharnthip","year":"2021","journal-title":"Cleft Palate Craniofac J"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1597\/03-142.1","article-title":"Evaluation of esthetic, functional, and quality-of-life outcome in adult cleft lip and palate patients","volume":"42","author":"K Sinko","year":"2005","journal-title":"Cleft Palate Craniofac J"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"e357","DOI":"10.7717\/peerj.357","article-title":"The spectacular human nose: an amplifier of individual quality?","volume":"2","author":"S K Mikalsen","year":"2014","journal-title":"PeerJ"},{"issue":"02","key":"ref5","first-page":"108","article-title":"Self-reported social, speech, and facial concerns and personality adjustment of adolescents with cleft lip and palate","volume":"20","author":"L C Richman","year":"1983","journal-title":"Cleft Palate J"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1597\/1545-1569_2001_038_0068_dccfaa_2.0.co_2","article-title":"Different cleft conditions, facial appearance, and speech: relationship to psychological variables","volume":"38","author":"T Millard","year":"2001","journal-title":"Cleft Palate Craniofac J"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"510395","DOI":"10.1155\/2015\/510395","article-title":"Esthetic, functional, and everyday life assessment of individuals with cleft lip and\/or palate","volume":"2015","author":"N Gkantidis","year":"2015","journal-title":"BioMed Res Int"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"1263","DOI":"10.18203\/2349-3291.ijcp20172520","article-title":"Self-perceived health related quality of life in adolescents with repaired cleft lip and palate","volume":"4","author":"A Ravikumar","year":"2017","journal-title":"Int J Contemp Pediatrics"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1597\/15-167","article-title":"Body image and quality of life in adolescents with craniofacial conditions","volume":"54","author":"C E Crerand","year":"2017","journal-title":"Cleft Palate Craniofac J"},{"issue":"S 07","key":"ref10","first-page":"S68","article-title":"Evaluation of facial appearance among patients with repaired unilateral cleft lip and palate: comparison of patient- and clinician-ratings of satisfaction","volume":"98","author":"R Thittiwong","year":"2015","journal-title":"J Med Assoc Thai"},{"issue":"05","key":"ref11","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/j.bjps.2011.11.004","article-title":"Quality of life of children treated for cleft lip and\/or palate: a systematic review","volume":"65","author":"A F Klassen","year":"2012","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1177\/1055665619860038","article-title":"Evaluation of postorthodontic changes in the treatment of cleft lip and palate patients using the PAR index","volume":"57","author":"K Trimetsuntorn","year":"2020","journal-title":"Cleft Palate Craniofac J"},{"issue":"S 04","key":"ref13","first-page":"S16","article-title":"Development and reliability of the THAICLEFT quality of life questionnaire for children with cleft lip\/palate and families","volume":"93","author":"N Patjanasoontorn","year":"2010","journal-title":"J Med Assoc Thai"},{"issue":"03","key":"ref14","first-page":"340","article-title":"Treatment outcomes of quality of life and nasolabial appearance in patients with cleft lip and palate of 10-year-old group","volume":"36","author":"P Surakunprapha","year":"2021","journal-title":"Srinagarind Med J"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"460106","DOI":"10.1155\/2014\/460106","article-title":"Aesthetic evaluation of the nasolabial region in children with unilateral cleft lip and palate comparing expert versus nonexperience health professionals","volume":"2014","author":"T S Paiva","year":"2014","journal-title":"BioMed Res Int"},{"issue":"04","key":"ref16","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1597\/1545-1569_1991_028_0385_doamfr_2.3.co_2","article-title":"Development of a method for rating nasolabial appearance in patients with clefts of the lip and palate","volume":"28","author":"C Asher-McDade","year":"1991","journal-title":"Cleft Palate Craniofac J"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1792018.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:23:14Z","timestamp":1741738994000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1792018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,24]]},"references-count":16,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2025,3,11]]},"published-print":{"date-parts":[[2025,3]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1792018","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"type":"print","value":"2234-6163"},{"type":"electronic","value":"2234-6171"}],"subject":[],"published":{"date-parts":[[2024,12,24]]}}}