Montes Ana Bheatriz Marangoni, Oliveira Thais Marchini, Gavião Maria Beatriz Duarte, Barbosa Taís de Souza
Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School , Department of Pediatric Dentistry , Piracicaba , SP , Brazil .
Universidade de São Paulo - USP, Bauru School of Odontology , Department of Pediatric Dentistry , Bauru , SP , Brasil .
Braz Oral Res. 2019 Sep 9;33:e0061. doi: 10.1590/1807-3107bor-2019.vol33.0061.
This study aimed to evaluate the orofacial functions and oral health-related quality of life (OHRQoL) of children with unilateral cleft lip and palate (UCLP). This case-control study included patients with UCLP matched by sex and age with controls (children without UCLP), resulting in the inclusion of a total of 108 eight- to ten-year-old children. Orofacial functions and OHRQoL were evaluated using the Nordic Orofacial Test-Screening (NOT-S) and the Child Perceptions Questionnaire (CPQ 8-1 0 ), respectively. Data normality was assessed by the Kolmogorov-Smirnov test. Differences and correlations in NOT-S and CPQ 8-1 0 scores between and within the groups were evaluated using Mann-Whitney and Spearman´s correlation tests, respectively. The distribution of NOT-S and global ratings of CPQ 8-1 0 for each group were assessed by Chi-squared/Fisher's Exact tests. The UCLP group had a higher NOT-S total and examination scores than the controls. Dysfunctions related to breathing, facial symmetry/expression, and speech were more frequent in the UCLP patients than in the controls. The UCLP group had higher scores on the social well-being domain than the controls. There was a significant difference between the groups in their ratings in regards to the extent to which their oral condition affected their life overall, with controls perceiving it as somewhat better than patients. In both groups, NOT-S total and interview scores were positively correlated with CPQ 8-1 0 total and domain scores. The NOT-S examination score was only significantly correlated with social domain scores in the control group. The presence of UCLP was associated with clinical signs of orofacial dysfunctions related to breathing, facial symmetry/expression, and speech. Children with UCLP reported more orofacial dysfunctions and negative impacts on social well-being than controls.
本研究旨在评估单侧唇腭裂（UCLP）患儿的口面部功能及与口腔健康相关的生活质量（OHRQoL）。这项病例对照研究纳入了按性别和年龄与对照组（非UCLP患儿）匹配的UCLP患者，最终共纳入108名8至10岁的儿童。分别使用北欧口面部测试筛查（NOT-S）和儿童感知问卷（CPQ 8-10）对口面部功能和OHRQoL进行评估。通过Kolmogorov-Smirnov检验评估数据正态性。分别使用Mann-Whitney检验和Spearman相关检验评估组间及组内NOT-S和CPQ 8-10评分的差异及相关性。通过卡方检验/费舍尔精确检验评估每组NOT-S和CPQ 8-10总体评分的分布情况。UCLP组的NOT-S总分及检查评分高于对照组。与呼吸、面部对称性/表情及言语相关的功能障碍在UCLP患者中比对照组更常见。UCLP组在社会幸福感领域的得分高于对照组。两组在口腔状况对其整体生活影响程度的评分上存在显著差异，对照组认为其口腔状况比患者稍好。在两组中，NOT-S总分及访谈评分与CPQ 8-10总分及各领域评分均呈正相关。NOT-S检查评分仅在对照组中与社会领域评分显著相关。UCLP的存在与呼吸、面部对称性/表情及言语相关的口面部功能障碍的临床体征有关。与对照组相比，UCLP患儿报告了更多的口面部功能障碍及对社会幸福感的负面影响。
