{"title":"Long term impact of corrective surgeries for oro-facial clefts on oral health related quality of life - a cross sectional study.","authors":"Deepanjali Megarasu, Manodh Pedamally, Shivani Ramu, Manikandhan Ramanathan, Srinivasa Prasad Tangutur, Ponnazhagan Karunakaran","doi":"10.1007/s10006-025-01370-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Cleft lip and/or cleft palate (CLP) is among the most prevalent congenital anomalies, with significant long-term impacts on oral health and psychosocial well-being. Despite multiple surgeries aimed at enhancing both functionality and aesthetics, individuals' perceptions of quality of life (QoL) can vary widely. This study sought to examine the long-term effects of corrective surgeries for orofacial clefts (OFC) on oral health-related quality of life (OHRQoL) in South India, comparing outcomes between treated CLP patients and apparently healthy individuals.</p><p><strong>Materials and methods: </strong>The study included 200 treated CLP patients and 200 healthy controls. Oral Health Impact Profile (OHIP) -14 scale was utilized to assess OHRQoL.</p><p><strong>Results: </strong>Data analysis compared OHRQoL between the study group and controls. Treated CLP patients exhibited significantly poorer OHRQoL compared to healthy controls across various parameters. While surgical intervention improved certain aspects, challenges in pronunciation, taste sensation, discomfort, and psychological strain persisted. Internal consistency of the OHIP-14 questionnaire was excellent.</p><p><strong>Conclusions: </strong>The findings emphasize the need for comprehensive care beyond surgery, including psychological support, to address the enduring effects on OHRQoL among CLP patients. Further research is warranted to explore long-term effects and cultural considerations for better supporting this patient population.</p>","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"68"},"PeriodicalIF":1.7000,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oral and Maxillofacial Surgery-Heidelberg","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s10006-025-01370-2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Cleft lip and/or cleft palate (CLP) is among the most prevalent congenital anomalies, with significant long-term impacts on oral health and psychosocial well-being. Despite multiple surgeries aimed at enhancing both functionality and aesthetics, individuals' perceptions of quality of life (QoL) can vary widely. This study sought to examine the long-term effects of corrective surgeries for orofacial clefts (OFC) on oral health-related quality of life (OHRQoL) in South India, comparing outcomes between treated CLP patients and apparently healthy individuals.
Materials and methods: The study included 200 treated CLP patients and 200 healthy controls. Oral Health Impact Profile (OHIP) -14 scale was utilized to assess OHRQoL.
Results: Data analysis compared OHRQoL between the study group and controls. Treated CLP patients exhibited significantly poorer OHRQoL compared to healthy controls across various parameters. While surgical intervention improved certain aspects, challenges in pronunciation, taste sensation, discomfort, and psychological strain persisted. Internal consistency of the OHIP-14 questionnaire was excellent.
Conclusions: The findings emphasize the need for comprehensive care beyond surgery, including psychological support, to address the enduring effects on OHRQoL among CLP patients. Further research is warranted to explore long-term effects and cultural considerations for better supporting this patient population.
期刊介绍：
Oral & Maxillofacial Surgery founded as Mund-, Kiefer- und Gesichtschirurgie is a peer-reviewed online journal. It is designed for clinicians as well as researchers.The quarterly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery and interdisciplinary aspects of cranial, facial and oral diseases and their management. The journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery as well as supporting specialties. Practice-oriented articles help improve the methods used in oral and maxillofacial surgery.Every aspect of oral and maxillofacial surgery is fully covered through a range of invited review articles, clinical and research articles, technical notes, abstracts, and case reports. Specific topics are: aesthetic facial surgery, clinical pathology, computer-assisted surgery, congenital and craniofacial deformities, dentoalveolar surgery, head and neck oncology, implant dentistry, oral medicine, orthognathic surgery, reconstructive surgery, skull base surgery, TMJ and trauma.Time-limited reviewing and electronic processing allow to publish articles as fast as possible. Accepted articles are rapidly accessible online.Clinical studies submitted for publication have to include a declaration that they have been approved by an ethical committee according to the World Medical Association Declaration of Helsinki 1964 (last amendment during the 52nd World Medical Association General Assembly, Edinburgh, Scotland, October 2000). Experimental animal studies have to be carried out according to the principles of laboratory animal care (NIH publication No 86-23, revised 1985).
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