{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:25:42Z","timestamp":1777523142723,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2019,2,26]],"date-time":"2019-02-26T00:00:00Z","timestamp":1551139200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine if there is a correlation between objective nasolabial aesthetics assessment using the Cleft Aesthetic Rating Scale (CARS) and patient satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective analysis of a generic satisfaction questionnaire and independent assessment by three cleft surgeons of the nasolabial area of these patients on 2D frontal photographs, using the CARS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>The Vrije Universiteit Medical Center and The Academic Center for Dentistry Amsterdam.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>Thirty-nine 18-year old patients with a repaired complete or incomplete unilateral cleft lip, with or without a cleft palate, and a completed satisfaction questionnaire. Exclusion criteria were an incomplete questionnaire; a history of facial trauma; and congenital syndromes affecting facial appearance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures:<\/jats:title>\n                    <jats:p>The correlation between surgeon evaluation (on a 5-point Likert scale) and patient satisfaction (not, moderately or very satisfied) on nasolabial appearance was assessed using Spearman rho (\u03c1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There was a negligible correlation between surgeon evaluation and patient satisfaction on nose assessment (\u03c1 = 0.20) and a moderate correlation on lip assessment (\u03c1 = 0.32).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Most literature supports this discrepancy between different objective aesthetics evaluation methods and subjective patient-reported outcome measures, suggesting there are factors playing a role in patient satisfaction that are impossible to objectify with assessment methods. Therefore, a strong emphasis should remain on clear communication between the physician and patient regarding their expectations, perception, and satisfaction of surgery results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665619832439","type":"journal-article","created":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T00:18:05Z","timestamp":1551226685000},"page":"1058-1064","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Aesthetics Assessment and Patient Reported Outcome of Nasolabial Aesthetics in 18-Year-Old Patients With Unilateral Cleft Lip"],"prefix":"10.1177","volume":"56","author":[{"given":"Frans J.","family":"Mulder","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive, and Hand Surgery, VU University Medical Center, Amsterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David G. M.","family":"Mosmuller","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, and Hand Surgery, VU University Medical Center, Amsterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riekie H. C. W.","family":"de Vet","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics and the Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. P. W.","family":"Don Griot","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, and Hand Surgery, VU University Medical Center, Amsterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,2,26]]},"reference":[{"key":"bibr1-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1597\/02-149.1"},{"key":"bibr2-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.3.3.198"},{"key":"bibr3-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1991_028_0385_doamfr_2.3.co_2"},{"key":"bibr4-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2014.01.031"},{"key":"bibr5-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002601"},{"key":"bibr6-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31822b6a67"},{"key":"bibr7-1055665619832439","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"bibr8-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2015.08.012"},{"key":"bibr9-1055665619832439","volume-title":"Applied Statistics for the Behavioral Sciences","author":"Hinkle DE","year":"2003","edition":"5"},{"key":"bibr10-1055665619832439","doi-asserted-by":"publisher","DOI":"10.2174\/1874924001104010015"},{"key":"bibr11-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000000728"},{"key":"bibr12-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.170289"},{"key":"bibr13-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1211775"},{"key":"bibr14-1055665619832439","doi-asserted-by":"publisher","DOI":"10.3109\/02844311.2010.499671"},{"key":"bibr15-1055665619832439","first-page":"246","volume":"12","author":"Millard DR","year":"1964","journal-title":"Cleft Palate J"},{"key":"bibr16-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.09.018"},{"key":"bibr17-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1597\/11-207"},{"key":"bibr18-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1597\/16-123"},{"key":"bibr19-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001061"},{"key":"bibr20-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1007\/s10006-016-0555-4"},{"key":"bibr21-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000825"},{"key":"bibr22-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000727"},{"key":"bibr23-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1597\/02-119.4.1"},{"key":"bibr24-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2012.04.001"},{"key":"bibr25-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001305"},{"key":"bibr26-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-017-0805-7"},{"key":"bibr27-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-015467"},{"key":"bibr28-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617732854"},{"key":"bibr29-1055665619832439","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2010.0660"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665619832439","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1055665619832439","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665619832439","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:19:52Z","timestamp":1777393192000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1055665619832439"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,26]]},"references-count":29,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1177\/1055665619832439"],"URL":"https:\/\/doi.org\/10.1177\/1055665619832439","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,26]]}}}