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The Submental Nasal Appearance Scale for the Assessment of Repaired Unilateral Complete Cleft Lip: A Validation Study
- Source :
- The Cleft Palate-Craniofacial Journal, Tan, R A, Schipper, I E, de Vet, H C W & Don Griot, J P W 2021, ' The Submental Nasal Appearance Scale for the Assessment of Repaired Unilateral Complete Cleft Lip: A Validation Study ', Cleft Palate-Craniofacial Journal, vol. 58, no. 5, pp. 637-643 . https://doi.org/10.1177/1055665620961968, Cleft Palate-Craniofacial Journal, 58(5), 637-643
- Publication Year :
- 2021
-
Abstract
- Objective: To reassess reliability and validity of the Submental Nasal Appearance Scale (SNAS) compared to the preliminary pilot study, for assessment of patient photographs with repaired unilateral cleft lip and palate (UCLP). When utilizing the SNAS, 3 nasal features (1. nasal outline; 2. alar base position; 3. nostril axis) must be graded according to symmetry between the cleft and noncleft side using a 5-point scale with reference photographs for each feature. The mean score calculated from the graded features reflects the overall degree of nasal symmetry, which is considered an important goal when repairing UCLP. Design: Fifty patient photographs were selected and cropped, displaying the submental view. Six raters assessed these photographs using the SNAS and a separate 5-point scale to assess the overall submental appearance. Interrater reliability was determined for both methods and correlation was calculated between these as an indication of construct validity. Setting: Amsterdam UMC, location VUmc, Amsterdam, The Netherlands. Patients: Six- to 9-year-old patients with repaired UCLP. Results: Interrater reliability of 0.73 and 0.48 was found for the SNAS and overall appearance assessment, respectively, while in the pilot study values of 0.79 and 0.69 were found. Correlation of 0.59 and 0.74 was found in the current and pilot study, respectively, between the SNAS and overall appearance assessment. Conclusions: The SNAS is a reliable tool to assess nasal symmetry from the submental perspective. Reliability of the SNAS is higher compared to grading overall appearance, but validity of the SNAS was less well supported.
- Subjects :
- Validation study
Scale (ratio)
Cleft Lip
Pilot Projects
Nose
03 medical and health sciences
0302 clinical medicine
Medicine
Humans
030223 otorhinolaryngology
Child
Reliability (statistics)
Netherlands
basal view
Orthodontics
business.industry
Reproducibility of Results
030206 dentistry
Original Articles
Unilateral complete cleft lip
nasal appearance
Cleft Palate
assessment method
Otorhinolaryngology
Assessment methods
Oral Surgery
business
cleft lip and palate
Subjects
Details
- Language :
- English
- ISSN :
- 10556656
- Volume :
- 58
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Cleft Palate-Craniofacial Journal
- Accession number :
- edsair.doi.dedup.....68d7b6f47f61bacd0fdaddd815b5928e