Quality of life of individuals with cleft lip and palate pre- and post-surgical correction of dentofacial deformity

Beluci, Marli Luiz; Genaro, Katia Flores

doi:10.1590/S0080-623420160000200006

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ORIGINAL ARTICLE • REEUSPRev. esc. enferm. USP 50 (02) • Mar-Apr 2016 • https://doi.org/10.1590/S0080-623420160000200006 copy

Quality of life of individuals with cleft lip and palate pre- and post-surgical correction of dentofacial deformity^* * Extracted from the thesis "Qualidade de vida de indivíduos com fissura labiopalatina: avaliação pré e pós-correção cirúrgica da deformidade dentofacial", Programa de Pós-Graduação em Ciências da Reabilitação, Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo, 2014.

Calidad de vida de individuos con fisura labiopalatina pre y post corrección quirúrgica de la deformidad dentofacial

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

OBJECTIVE

To assesses the quality of life and the impact of oral health conditions in the pre- and post-surgical correction of dentofacial deformity of individuals with cleft lip and palate.

METHOD

Quantitative and prospective study in a referral hospital in the period from June 2011 to May 2013. A total of 50 participants responded the questionnaires World Health Organization Quality of Life - Bref (WHOQOL-Bref) and Oral Health Impact Profile - 14 (OHIP-14), approximately 3 days before and 3 to 12 months after surgery. The "t" test for paired samples and Wilcoxon test were used for statistical analysis with a significance level of 5%.

RESULTS

After surgery, differences were found in the domains: Physical, Psychological, Environmental and General Questions of the WHOQOL-Bref and domains: Psychological Discomfort, Psychological Disability, Social Disability, Handicap and Overall Score of OHIP-14.

CONCLUSION

Surgical correction of dentofacial deformity improved quality of life and had positive impact of oral health condition.

Descriptors
Quality of Life; Orthognathic Surgery; Cleft Lip; Cleft Palate; Maxillofacial Abnormalities; Nursing

Domains		Mean	Standard deviation	Minimum	Maximum	P value
Physical	Pre	79.64	8.96	53.57	100.00	p=0.034^* * Higher score after surgery.
Physical	Post	82.50	7.47	64.29	96.43	p=0.034^* * Higher score after surgery.
Psycological	Pre Post	74.58 80.92	11.43 9.42	50.00 58.33	95.83 100.00	p<0.001^* * Higher score after surgery.
Social Relationship	Pre Post	81.00 83.50	16.67 15.01	33.33 33.33	100.00 100.00	p=0.164
Environment	Pre Post	72.69 75.50	10.49 11.56	50.00 50.00	93.75 96.88	p=0.034^* * Higher score after surgery.
General Questions	Pre Post	82.75 87.75	12.34 10.86	62.50 62.50	100.00 100.00	p=0.014^* * Higher score after surgery.

Domains		Mean	Standard deviation	Minimum	Maximum	P value
Functional Limitation	Pre	0.88	0.69	0.00	2.53	p=0.359
Functional Limitation	Post	0.75	0.74	0.00	2.04	p=0.359
Physical Pain	Pre Post	0.42 0.33	0.83 0.55	0.00 0.00	4.00 1.98	p=0.633
Psychological Disconfort	Pre Post	1.16 0.45	1.19 0.87	0.00 0.00	4.00 4.00	p<0.001^* * Lower score after surgery.
Physical Disability	Pre Post	0.28 0.16	0.57 0.46	0.00 0.00	2.08 2.52	p=0.241
Psychological Disability	Pre Post	0.96 0.29	0.77 0.48	0.00 0.00	2.80 2.40	p<0.001^* * Lower score after surgery.
Social Disability	Pre Post	0.70 0.40	0.83 0.66	0.00 0.00	3.62 2.00	p=0.027^* * Lower score after surgery.
Handicap	Pre Post	0.39 0.09	0.75 0.30	0.00 0.00	4.00 1.18	p=0.001^* * Lower score after surgery.
Overall Score	Pre Post	4.79 2.48	3.79 2.66	0.00 0.00	13.7 9.99	p<0.001^* * Lower score after surgery.

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Marli Luiz Beluci. Rua Silvio Marchione, 3-20. CEP 17012-900 - Bauru, SP, Brazil. mlbeluci@hotmail.com