Neha Bhutiani, Assistant Professor, Orthodontics & Dentofacial Orthopedics, Department of Dentistry, University College of Medical Sciences, Delhi, India.
Tulika Tripathi , BDS, MDS, Senior Professor and Head, Department of Orthodontics and Dentofacial Orthopedics, Maulana Azad Institute of Dental Sciences, New Delhi.
J Clin Pediatr Dent. 2022 Jul 1;46(4):299-306. doi: 10.22514/1053-4625-46.4.7.
The setback of having a child with cleft lip and palate deeply affects the parents psychology. The Pre Surgical Infant Orthopaedics(PSIO) is a promising procedure for improvement in facial morphology prior to primary lip repair.
The current study examines the perception of effects of PSIO procedures on the facial appearance of newborns with cleft lip/palate by their mothers and finds its correlation if any, with the change in psychosocial status of the mothers.
The mothers of 50 infants(0-6 months) born with cleft lip/palate rated the nasal morphology, extent of cleft defect and overall facial morphology on a Likert's scale before and after PSIO procedure. This was correlated with changes in mother's depression, anxiety and stress levels by using the validated Hindi-version of Depression Anxiety and Stress scale(DASS-42) index before and after PSIO.
The mothers reported a significant improvement in all the morphological parameters for their infants with PSIO which correlated well with significant reduction in the DASS scores from 22.54(severe) to 7.10(normal) for depression, 20.64(extremely severe) to 6.46(normal) for anxiety and 24.7(severe) to 8.4(normal) for stress.
The changes in facial morphology by PSIO procedures are well perceived by mothers and significantly improves their depression, anxiety and stress levels.
生育唇腭裂患儿会对父母的心理造成严重影响。术前婴儿正畸（PSIO）是一种有前途的方法，可以在初次唇裂修复前改善面部形态。
本研究通过母亲评估 PSIO 手术对唇裂/腭裂新生儿面部外观的影响，并探讨其与母亲社会心理状态变化的相关性。
50 名唇裂/腭裂婴儿（0-6 个月）的母亲在 PSIO 术前和术后使用李克特量表对婴儿的鼻形态、裂隙缺损程度和整体面部形态进行评分。使用经过验证的印地语版抑郁、焦虑和压力量表（DASS-42）指数，在 PSIO 术前和术后评估母亲的抑郁、焦虑和压力水平的变化。
母亲报告 PSIO 后婴儿的所有形态参数均有显著改善，与 DASS 评分从 22.54（重度）降至 7.10（正常）（抑郁）、20.64（极度严重）降至 6.46（正常）（焦虑）和 24.7（重度）降至 8.4（正常）（压力）显著降低相关。
PSIO 手术对面部形态的改变被母亲很好地感知，并显著改善了她们的抑郁、焦虑和压力水平。
