THE INFLUENCE OF CLEFT LIP AND PALATE SEVERITY ON SURGICAL OUTCOMES

Highlights: • The severity of unilateral CLP was assessed by categorizing preoperative photo data based on the severity of the cleft, and this severity was then correlated with the surgical outcomes. • The way wounds heal is influenced by the width of the gap and suture tension, which are crucial...

Full description

Saved in:
Bibliographic Details
Main Authors: Ruby Riana Asparini, Nur Khalida Zia, Bragastio Sidharta, Jeyasree Sakthivel, Bhuvana Sri Naga
Format: Article
Language:English
Published: UNIVERSITAS AIRLANGGA 2023-12-01
Series:Jurnal Rekonstruksi dan Estetik
Subjects:
Online Access:https://e-journal.unair.ac.id/JRE/article/view/47682
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841556969833365504
author Ruby Riana Asparini
Nur Khalida Zia
Bragastio Sidharta
Jeyasree Sakthivel
Bhuvana Sri Naga
author_facet Ruby Riana Asparini
Nur Khalida Zia
Bragastio Sidharta
Jeyasree Sakthivel
Bhuvana Sri Naga
author_sort Ruby Riana Asparini
collection DOAJ
description Highlights: • The severity of unilateral CLP was assessed by categorizing preoperative photo data based on the severity of the cleft, and this severity was then correlated with the surgical outcomes. • The way wounds heal is influenced by the width of the gap and suture tension, which are crucial factors in determining surgical outcomes. Abstract: Introduction: An orofacial cleft is a congenital abnormality in which an abnormal opening or cleft of the lips and/or palate. Data in 2017 showed that the most encountered characters are patients with cleft lip and palate. The distribution of the incidence of cleft lip and palate at Cleft Lip and Palate (CLP) Center Faculty of Medicine University of Muhammadiyah Malang was dominated by the complete unilateral type, which was 45.22%. Generally, the severity of cleft lip and/or palate is influenced by the severity of the preoperative cleft. Methods: This study used a retrospective cohort design taken from 40 medical records at Cleft Lip and Palate (CLP) Center Faculty of Medicine University of Muhammadiyah Malang. The preoperative photo data were categorized according to the severity of the cleft, then postoperative photos were assessed according to the Visual Rating Chart (VRC) indicator. Results: The intraclass correlation coefficient (ICC) reliability test between evaluators has a strength of > 0.8 on the outcome of lip and nose surgery and also > 0.9 on the outcome of the palate, indicating that there was no perception gap between evaluators. The Mann-Whitney non-parametric test had a significance of p < 0.05, indicating that there was a positive correlation between the severity of unilateral cleft lip and palate and the outcome of surgery. Conclusion: There is a correlation between the severity of the unilateral cleft lip and palate and the surgical outcome.
format Article
id doaj-art-c0d430f776be4705812cf493fd8537b0
institution Kabale University
issn 2301-7937
2774-6062
language English
publishDate 2023-12-01
publisher UNIVERSITAS AIRLANGGA
record_format Article
series Jurnal Rekonstruksi dan Estetik
spelling doaj-art-c0d430f776be4705812cf493fd8537b02025-01-07T04:32:11ZengUNIVERSITAS AIRLANGGAJurnal Rekonstruksi dan Estetik2301-79372774-60622023-12-01829510510.20473/jre.v8i2.4768245769THE INFLUENCE OF CLEFT LIP AND PALATE SEVERITY ON SURGICAL OUTCOMESRuby Riana Asparini0https://orcid.org/0000-0002-3984-891XNur Khalida Zia1https://orcid.org/0000-0003-4197-1201Bragastio Sidharta2https://orcid.org/0009-0005-3894-4474Jeyasree Sakthivel3https://orcid.org/0009-0004-8616-2955Bhuvana Sri Naga4https://orcid.org/0009-0009-6874-3170Department of Surgery, Faculty of Medicine, University of Muhammadiyah Malang, MalangMedical Program, Faculty of Medicine, University of Muhammadiyah Malang, MalangDepartment of Ophthalmology Faculty of Medicine, University of Muhammadiyah Malang, MalangFaculty of Medicine, Tashkent Medical University, UzbekistanSiddhartha Medical College, Vijayawada, IndiaHighlights: • The severity of unilateral CLP was assessed by categorizing preoperative photo data based on the severity of the cleft, and this severity was then correlated with the surgical outcomes. • The way wounds heal is influenced by the width of the gap and suture tension, which are crucial factors in determining surgical outcomes. Abstract: Introduction: An orofacial cleft is a congenital abnormality in which an abnormal opening or cleft of the lips and/or palate. Data in 2017 showed that the most encountered characters are patients with cleft lip and palate. The distribution of the incidence of cleft lip and palate at Cleft Lip and Palate (CLP) Center Faculty of Medicine University of Muhammadiyah Malang was dominated by the complete unilateral type, which was 45.22%. Generally, the severity of cleft lip and/or palate is influenced by the severity of the preoperative cleft. Methods: This study used a retrospective cohort design taken from 40 medical records at Cleft Lip and Palate (CLP) Center Faculty of Medicine University of Muhammadiyah Malang. The preoperative photo data were categorized according to the severity of the cleft, then postoperative photos were assessed according to the Visual Rating Chart (VRC) indicator. Results: The intraclass correlation coefficient (ICC) reliability test between evaluators has a strength of > 0.8 on the outcome of lip and nose surgery and also > 0.9 on the outcome of the palate, indicating that there was no perception gap between evaluators. The Mann-Whitney non-parametric test had a significance of p < 0.05, indicating that there was a positive correlation between the severity of unilateral cleft lip and palate and the outcome of surgery. Conclusion: There is a correlation between the severity of the unilateral cleft lip and palate and the surgical outcome.https://e-journal.unair.ac.id/JRE/article/view/47682cleft lip and palate labioplastycraniomaxillofacial good health and well-beingmaternal health
spellingShingle Ruby Riana Asparini
Nur Khalida Zia
Bragastio Sidharta
Jeyasree Sakthivel
Bhuvana Sri Naga
THE INFLUENCE OF CLEFT LIP AND PALATE SEVERITY ON SURGICAL OUTCOMES
Jurnal Rekonstruksi dan Estetik
cleft lip and palate
labioplasty
craniomaxillofacial
good health and well-being
maternal health
title THE INFLUENCE OF CLEFT LIP AND PALATE SEVERITY ON SURGICAL OUTCOMES
title_full THE INFLUENCE OF CLEFT LIP AND PALATE SEVERITY ON SURGICAL OUTCOMES
title_fullStr THE INFLUENCE OF CLEFT LIP AND PALATE SEVERITY ON SURGICAL OUTCOMES
title_full_unstemmed THE INFLUENCE OF CLEFT LIP AND PALATE SEVERITY ON SURGICAL OUTCOMES
title_short THE INFLUENCE OF CLEFT LIP AND PALATE SEVERITY ON SURGICAL OUTCOMES
title_sort influence of cleft lip and palate severity on surgical outcomes
topic cleft lip and palate
labioplasty
craniomaxillofacial
good health and well-being
maternal health
url https://e-journal.unair.ac.id/JRE/article/view/47682
work_keys_str_mv AT rubyrianaasparini theinfluenceofcleftlipandpalateseverityonsurgicaloutcomes
AT nurkhalidazia theinfluenceofcleftlipandpalateseverityonsurgicaloutcomes
AT bragastiosidharta theinfluenceofcleftlipandpalateseverityonsurgicaloutcomes
AT jeyasreesakthivel theinfluenceofcleftlipandpalateseverityonsurgicaloutcomes
AT bhuvanasrinaga theinfluenceofcleftlipandpalateseverityonsurgicaloutcomes
AT rubyrianaasparini influenceofcleftlipandpalateseverityonsurgicaloutcomes
AT nurkhalidazia influenceofcleftlipandpalateseverityonsurgicaloutcomes
AT bragastiosidharta influenceofcleftlipandpalateseverityonsurgicaloutcomes
AT jeyasreesakthivel influenceofcleftlipandpalateseverityonsurgicaloutcomes
AT bhuvanasrinaga influenceofcleftlipandpalateseverityonsurgicaloutcomes