Lauris Rita de Cássia Moura Carvalho, Capelozza Leopoldino, Calil Louise Resti, Lauris José Roberto Pereira, Janson Guilherme, Garib Daniela Gamba
Universidade de São Paulo, Hospital de Reabilitação de Anomalias Craniofaciais, Departamento de Ortodontia (Bauru/SP, Brasil).
Universidade do Sagrado Coração, Programa de Pós-graduação em Ortodontia, Departamento de Biologia Oral (Bauru/SP, Brasil).
Dental Press J Orthod. 2017 Jul-Aug;22(4):41-46. doi: 10.1590/2177-6709.22.4.041-046.oar.
: The aim of this study was to evaluate the facial profile esthetics of rehabilitated children with complete bilateral cleft lip and palate (BCLP), comparing the judgment of professionals related and not related to cleft rehabilitation and laypersons.
: Thirty children in the mixed dentition (24 male; 6 female) with a mean age of 7.8 years were evaluated using facial profile photographs by 25 examiners: 5 orthodontists and 5 plastic surgeons with experience in cleft care, 5 orthodontists and 5 plastic surgeons without experience in oral cleft rehabilitation and 5 graduated laymen. Their facial profiles were classified into esthetically unpleasant (grade 1 to 3), esthetically acceptable (grade 4 to 6), and esthetically pleasant (grade 7 to 9). Intraexaminer and interexaminer errors were evaluated using Spearman correlation coefficient and Kendall's test, respectively. Inter-rater differences were analyzed using Friedman test and Student-Newman-Keuls test for multiple comparisons.
: Orthodontists dealing with oral clefts rehabilitation considered the majority of the sample as esthetically pleasant. Plastic surgeons of the cleft team and laypersons classified most of the sample as esthetically acceptable. Most of the orthodontists and plastic surgeons not related to cleft care evaluated the facial profile as esthetically unpleasant. The structures associated to unpleasant profiles were the nose, the midface and the upper lip.
: The facial profile of children with BCLP was classified as esthetically acceptable by laypersons. Professionals related to cleft rehabilitation were more lenient and those not related to cleft care were stricter to facial esthetics than laypersons.
本研究旨在评估双侧完全性唇腭裂（BCLP）康复儿童的面部轮廓美学，比较与唇腭裂康复相关和不相关的专业人员以及外行人的判断。
25名检查者使用面部轮廓照片对30名混合牙列儿童（24名男性；6名女性）进行评估，平均年龄7.8岁。其中5名正畸医生和5名有唇腭裂护理经验的整形外科医生、5名正畸医生和5名无口腔腭裂康复经验的整形外科医生以及5名非专业毕业生。他们的面部轮廓被分为美学上不愉快（1至3级）、美学上可接受（4至6级）和美学上愉悦（7至9级）。分别使用Spearman相关系数和Kendall检验评估检查者内部和检查者之间的误差。使用Friedman检验和Student-Newman-Keuls检验分析评分者间差异以进行多重比较。
处理口腔腭裂康复的正畸医生认为大多数样本在美学上是愉悦的。唇腭裂治疗团队的整形外科医生和外行人将大多数样本分类为美学上可接受。大多数与唇腭裂护理无关的正畸医生和整形外科医生将面部轮廓评估为美学上不愉快。与不愉快轮廓相关的结构是鼻子、中面部和上唇。
外行人将BCLP儿童的面部轮廓分类为美学上可接受。与唇腭裂康复相关的专业人员对面部美学更为宽容，而与唇腭裂护理无关的专业人员则比外行人更为严格。
