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Campbell A, Restrepo C, Deshpande G, et al. Validation of a Unilateral Cleft Lip Surgical Outcomes Evaluation Scale for Surgeons and Laypersons. Plast Reconstr Surg Glob Open. 2017;5(9):e1472doi: 10.1097/GOX.0000000000001472.
Campbell, A., Restrepo, C., Deshpande, G., Tredway, C., Bernstein, S. M., Patzer, R., Wendby, L., & Schonmeyr, B. (2017). Validation of a Unilateral Cleft Lip Surgical Outcomes Evaluation Scale for Surgeons and Laypersons. Plastic and reconstructive surgery. Global open, 5(9), e1472. https://doi.org/10.1097/GOX.0000000000001472
Campbell, Alex, et al. "Validation of a Unilateral Cleft Lip Surgical Outcomes Evaluation Scale for Surgeons and Laypersons." Plastic and reconstructive surgery. Global open vol. 5,9 (2017): e1472. doi: https://doi.org/10.1097/GOX.0000000000001472
Campbell A, Restrepo C, Deshpande G, Tredway C, Bernstein SM, Patzer R, Wendby L, Schonmeyr B. Validation of a Unilateral Cleft Lip Surgical Outcomes Evaluation Scale for Surgeons and Laypersons. Plast Reconstr Surg Glob Open. 2017 Sep 13;5(9):e1472. doi: 10.1097/GOX.0000000000001472. eCollection 2017 Sep. PMID: 29062644; PMCID: PMC5640349.
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Plast Reconstr Surg Glob Open. 2017 Sep 13;5(9):e1472. doi: 10.1097/GOX.0000000000001472. eCollection 2017 Sep.

Validation of a Unilateral Cleft Lip Surgical Outcomes Evaluation Scale for Surgeons and Laypersons.

Plastic and reconstructive surgery. Global open

Alex Campbell, Carolina Restrepo, Gaurav Deshpande, Caroline Tredway, Sarah M Bernstein, Rachel Patzer, Lisa Wendby, Bjorn Schonmeyr

Affiliations

  1. Operation Smile, Virginia Beach, Va.; Plastic Surgery, Penn State Hershey, Hershey, Pa.; MGM Dental College and Hospital, Navi Mumbai, India; School of Medicine, Emory University, Atlanta, Ga.; Department of Epidemiology, Emory University School of Medicine, Atlanta, Ga.; Department of Surgery, Emory University School of Medicine, Atlanta, Ga.; and Plastic Surgery, Skane University Hospital, Malmo, Sweden.

PMID: 29062644 PMCID: PMC5640349 DOI: 10.1097/GOX.0000000000001472

Abstract

BACKGROUND: A standardized evaluation tool is needed for the assessment of surgical outcomes in cleft lip surgery. Current scales for evaluating unilateral cleft lip/nose (UCL/N) aesthetic outcomes are limited in their reliability, ease of use, and application. The Unilateral Cleft Lip Surgical Outcomes Evaluation (UCL SOE) scale measures symmetry of 4 components and sums these for a total score. The purpose of this study was to validate the SOE as a reliable tool for use by both surgeons and laypersons.

METHODS: Twenty participants (9 surgeons and 12 laypeople) used the SOE to evaluate 25 sets of randomly selected presurgical and postsurgical standardized photographs of UCL/N patients. Interrater reliability for surgeon and laypeople was determined using an intraclass correlation coefficient (ICC).

RESULTS: Individual surgeons and laypeople both reached an ICC in the "fair to good" range (ICC = 0.42 and 0.59, respectively). Averaging 2 evaluators in the surgeon group improved the ICC to 0.58 and in the laypeople group to 0.74, respectively. Averaging 3 evaluators increased the ICC for surgeons to the "good" range (ICC = 0.71) and the ICC for laypeople to the "very good" range (ICC = 0.82).

CONCLUSIONS: Surgeon and layperson raters can reliably use the SOE to assess the aesthetics results after surgical repair of UCL/N, and improved reliability and reproducibility is achieved by averaging the scores of multiple reviewers.

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