Frans Franceline A, van Zuijlen Paul P M, Griot J P W Don, van der Horst Chantal M A M
Department of Plastic, Reconstructive, and Hand Surgery, Academic Medical Center, Amsterdam, The Netherlands.
Cleft Palate Craniofac J. 2012 Mar;49(2):171-6. doi: 10.1597/10-254. Epub 2011 Aug 18.
To assess scar quality after cleft lip repair.
The linear scars of patients with cleft lip with or without cleft palate were evaluated in a prospective study using the Patient and Observer Scar Assessment Scale. Linear regression was performed to identify which scar characteristics were important according to patients and observer.
Regular outpatient follow-up visit with the cleft palate teams of two tertiary centers.
All consecutive patients were asked to participate in this study after informed consent, minimally 1 year postsurgery.
Scar characteristics influencing patient and observer opinion after cleft lip repair.
A total of 86 patients with cleft lip with or without cleft palate were included, resulting in evaluation of 99 scars. Two scar characteristics, itching and pain, were seldom a concern for the patients. Linear regression showed that scars assessed longer after surgery had a better outcome.
Scar itching and pain did not seem to have an effect on patient opinion of the quality of the scar, and the majority of the patients were more satisfied with the outcome of their scar than the observer was.
评估唇裂修复术后的瘢痕质量。
采用患者和观察者瘢痕评估量表，对有或无腭裂的唇裂患者的线性瘢痕进行前瞻性研究。进行线性回归分析，以确定根据患者和观察者的意见，哪些瘢痕特征是重要的。
两个三级中心的腭裂治疗团队进行定期门诊随访。
所有连续的患者在获得知情同意后被要求参与本研究，术后至少1年。
唇裂修复术后影响患者和观察者意见的瘢痕特征。
共纳入86例有或无腭裂的唇裂患者，评估了99条瘢痕。瘙痒和疼痛这两个瘢痕特征很少引起患者关注。线性回归分析显示，术后评估瘢痕较长者预后较好。
瘢痕瘙痒和疼痛似乎对患者对瘢痕质量的看法没有影响，而且大多数患者对其瘢痕的结果比观察者更满意。
