Letters to the Editor

LETTERS TO THE EDITOR

Comments related to the article entitled "Simetria nasal após a realização de rinoplastia associada à queiloplastia em crianças com fissura labial e labiopalatal" ("Nose symmetry after rhinoplasty associated with cheiloplasty in children with lip and labiopalatal cleft")

Dear editors,

I would like to congratulate the authors of the article "Nose symmetry after rhinoplasty associated with cheiloplasty in children with lip and labiopalatal cleft" ¹, which was published in issue 26.1 of the Revista Brasileira de Cirurgia Plástica (Brazilian Journal of Plastic Surgery), for their interesting results. Rhinoplasty is an important step in the reconstruction of cleft palate.

However, I would like to highlight a few aspects of this procedure. The evaluation could have also been performed by another professional other than the surgeon to be more accurate and less personal. Ideally, 2 evaluators could have made measurements of the photos provided that the obtained Kappa index values had an agreement exceeding 75%^2,3.

Normally, the Kappa index is classified as low (0-0.5), moderate (0.51-0.75), or excellent (0.76-1.00). In addition, it is interesting to adopt a stratification of the horizontal and vertical measurements, which enables the analysis and discussion of the forces acting on each vector/direction.

Sincerely,

Ciro Paz Portinho

M.D., M.Sc.

Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil

Submitted to SGP (Sistema de Gestão de Publicações/Manager Publications System) of RBCP (Revista Brasileira de Cirurgia Plástica/Brazilian Journal of Plastic Surgery)

Received: July 4, 2011

Accepted: July 29, 2011

• ¹
  Arantes HL, Silva RFP, Mélega JM. Simetria nasal após a realização de rinoplastia associada à queiloplastia em crianças com fissura labial e labiopalatal. Rev Bras Cir Plást. 2011;26(1):48-53.
• ²
  Schwartsmann CR, Boschin LC, Moschen GM, Gonçalves RZ, Ramos ASN, Gusmão PDF, et al. Classificação das fraturas trocantéricas: avaliação da reprodutibilidade da classificação AO. Rev Bras Ortop. 2006;41(7):264-7.
• ³
  Villardi AM, Mandarino M, Veiga LT. Avaliação da reprodutibilidade da classificação de Ahlback modificada para osteoartrose do joelho. Rev Bras Ortop. 2006;41(5):157-61.

Publication Dates

• Publication in this collection
  09 Dec 2011
• Date of issue
  Sept 2011