{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T09:07:43Z","timestamp":1784106463157,"version":"3.55.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the self-perception of adults with cleft lip and palate during the treatment process, analyzing correlations among sociodemographic variables, cleft types, surgical history, and satisfaction reported through the CLEFT-Q.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Observational, cross-sectional, and prospective study based on primary and secondary data. Correlation tests identified associations between clinical and psychosocial factors and self-perception scores obtained through the instrument.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>National tertiary referral hospital for craniofacial anomaly treatment, in an outpatient setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Fifty adults aged 18-29 years, of both sexes, with cleft lip and palate, without associated syndromes. Palate clefts and cognitive impairments that hindered assessment were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Administration of the CLEFT-Q, composed of 13 scales covering appearance, facial function, and health-related quality of life, complemented by clinical and sociodemographic data from medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>CLEFT-Q.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The lowest mean scores were observed for nose (42.8\u2009\u00b1\u200924.9) and nostrils (44.3\u2009\u00b1\u200930.2), and the highest for jaw (71.0\u2009\u00b1\u200927.1) and lip scar (65.0\u2009\u00b1\u200925.3). Rhinoplasty was associated with higher esthetic satisfaction (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.004;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.022). The number of palate repair correlated negatively with speech and eating domains.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Self-perception was related to clinical variables, particularly cleft type and surgical history. The CLEFT-Q proved essential for patient-centered care, broadening the understanding of subjective outcomes in craniofacial treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261459839","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T12:47:50Z","timestamp":1782218870000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient-Reported Outcomes and Surgical Correlates of Self-Perception in Adults with Cleft Lip and Palate: A CLEFT-Q Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3413-9952","authenticated-orcid":false,"given":"Caroline De Souza","family":"Cruz","sequence":"first","affiliation":[{"name":"University of S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariani Da","family":"Costa Ribas","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nivaldo","family":"Alonso","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0881-416X","authenticated-orcid":false,"given":"Cristiano","family":"Tonello","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"e_1_3_2_2_2","volume-title":"Treatise on Cleft Lip and Palate: Advances in Diagnosis and Interdisciplinary Treatment","author":"Trindade IEK","year":"2025","unstructured":"Trindade IEK, Trindade-Suedam IK, Trindade SHK, Sampaio-Teixeira ACM. 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