Cleft Palate-Craniofacial Journal最新文献

{"title":"Two-Year Progressive Cranial Changes Following the Melbourne Technique for Sagittal Craniosynostosis.","authors":"Lucas M Harrison, Kayla Prezelski, Rami R Hallac, Alex A Kane, Paymon Sanati-Mehrizy","doi":"10.1177/10556656251314966","DOIUrl":"https://doi.org/10.1177/10556656251314966","url":null,"abstract":"<p><strong>Objective: </strong>The Melbourne technique for total cranial vault remodeling aims to address all aspects of scaphocephaly in sagittal craniosynostosis. These features include anterior-posterior excessive length, anteriorly displaced vertex position, frontal bossing, vertex narrowing, and occipital bulleting. This study aimed to determine the progressive cranial changes that occur following the Melbourne technique for sagittal craniosynostosis.</p><p><strong>Design: </strong>Retrospective review of 3-dimensional images collected preoperatively and postoperatively at 3 weeks, 3 months, 1 year, and 2 years.</p><p><strong>Setting: </strong>Tertiary care pediatric institution.</p><p><strong>Participants: </strong>Twenty-five patients with sagittal craniosynostosis.</p><p><strong>Interventions: </strong>The Melbourne technique for total cranial vault remodeling.</p><p><strong>Main outcome measure(s): </strong>Head circumference, cephalic index, frontal bossing index, occipital bulleting index, vertex narrowing index, and vertex-nasion-opisthocranion (VNO) angle were evaluated.</p><p><strong>Results: </strong>The cephalic index significantly increased postoperatively (<i>P</i> = .04) with a subsequent relapse at 3 months followed by progressively increased growth. The frontal bossing index significantly decreased postoperatively (<i>P</i> = .02) with a progressive decrease. The occipital bullet index had a relative decline postoperatively with relapse at 3 months, followed by a progressive decrease. The vertex narrowing index significantly decreased postoperatively (<i>P</i> < .001), with a plateau and slight relapse. The VNO angle showed a relative decline over time with a significant decrease by 1 year of age (<i>P</i> = .002).</p><p><strong>Conclusions: </strong>The Melbourne technique improved the cephalic index, frontal bossing, vertex narrowing, occipital bulleting, and vertex positioning at 2 years of age. Cephalic index and occipital bulleting showed slight relapse at 3 months, followed by progressive improvement over time.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251314966"},"PeriodicalIF":1.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative Outcomes of Spring-Assisted Cranioplasty, Distraction Osteogenesis Versus Conventional Expansion in Craniosynostosis: A Systematic Review and Meta-Analysis.","authors":"Indri Lakhsmi Putri, Rizka Uswatun Hasanah, Imaniar Fitri Aisyah, Rachmaniar Pramanasari, Citrawati Dyah Kencono Wungu","doi":"10.1177/10556656241308034","DOIUrl":"https://doi.org/10.1177/10556656241308034","url":null,"abstract":"<p><strong>Objectives: </strong>This study compares perioperative outcomes between spring-assisted cranioplasty (SAC), distraction osteogenesis (DO) and conventional expansion in craniosynostosis surgery.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Setting: </strong>Retrospective and prospective cohort.</p><p><strong>Patients and participants: </strong>A comprehensive electronic search was conducted using PubMed/Medline, Scopus, Science Direct, EBSCO, Web of Science, and Cochrane Library, alongside Gray literature sources (SSRN, Scopus preprint, and MedRxiv). Publication bias was assessed and study quality was evaluated using the Newcastle Ottawa Scales (NOS).</p><p><strong>Interventions: </strong>SAC or DO.</p><p><strong>Main outcome measures: </strong>Blood loss and blood transfusion.</p><p><strong>Results: </strong>Thirteen studies were included, with 7 studies comparing DO versus conventional and 6 comparing SAC vs conventional. All studies met eligibility criteria for meta-analysis, with study quality ranged from good to very good. Compared to conventional, the SAC or DO significantly reduced blood loss (MD = -190.42 mL), and blood transfusion (MD = -227.22). Additionally, SAC and DO shorten operative time (MD = -94.38 min), anesthesia duration (MD = -114.81 min), hospital stay (MD = -0.68 days), and ICU stay (MD = -1.00 days). Long-term follow-up showed a lower reoperation rate (OR = 0.20), but no significant change in cranial index at 10 years (MD = 0.06, <i>P</i> = .74).</p><p><strong>Conclusions: </strong>SAC or DO result in lower perioperative complications, overall shorter durations, and reduced reoperation rates compared to conventional expansion. Standardized postoperative outcome reports are useful to classify the severity of complications and guide the future long-term treatment strategies for craniosynostosis surgery.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241308034"},"PeriodicalIF":1.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiological Patterns and Geospatial Mapping of Cleft Lip/Palate in a Comprehensive Cleft Center in Northwestern Nigeria: Estimating Distribution Using Geographical Information Systems.","authors":"Adetayo Aborisade, Chika O Oguchi, Joshua B Adeoye, Murtala M Badamasi, Abdu N Ibrahim, Rafael Adebola, Azeez Butali","doi":"10.1177/10556656251313954","DOIUrl":"https://doi.org/10.1177/10556656251313954","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to estimate the geospatial distribution of cleft lip/palate (CL/P) cases in northwestern Nigeria and to estimate the prevalence and patterns of CL/P across wards.</p><p><strong>Design: </strong>This retrospective study utilized information from health records for inpatients with CL/P. These data were analyzed via descriptive statistics. Spatial mapping involves geocoding street addresses into map coordinate system before aggregation for subsequent spatial analyses.</p><p><strong>Setting: </strong>The center used was a nongovernmental organization clinic that manages CL/P.</p><p><strong>Participants: </strong>All patients managed during the study period under 15 years were selected for the study, while the spatial analysis included all patients with valid addresses.</p><p><strong>Results: </strong>A total of 1556 cases were selected, while spatial analyses mapped 928 cases. The analysis indicated over half (54.4%, <i>n</i> = 505 patients) lived in Kano Metropolis, whereas 45.6% (<i>n</i> = 423 patients) lived outside the Metropolis. CL/P prevalence correlated with the population density pattern in Kano. The prevalence of clefts was highest in Metropolis in 2008, and the Metropolis had the highest prevalence of clefts for children under 5 years of age. The significant patient and maternal factors were age (<i>P</i> < .001), weight (<i>P</i> < .001), socioeconomic status (<i>P</i> < .003), positive family history of cleft (<i>P</i> < .001), and maternal factors.</p><p><strong>Conclusion: </strong>The GIS analysis revealed that most patients with CL/P who received treatment at the NGO lived nearby, with the greatest prevalence of clefts occurring in the Metropolis. The cost of travel may explain why those further afield do not come in for treatment or lack public awareness about the services provided at the cleft clinic.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251313954"},"PeriodicalIF":1.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Overview of the Currently Used Congenital Auricular Anomalies (CAA) Classifications for Surgical Reconstruction: A Scoping Review.","authors":"Yangyang Lin, Elsa M Ronde, Lieve de Voort, Corstiaan C Breugem","doi":"10.1177/10556656241310101","DOIUrl":"https://doi.org/10.1177/10556656241310101","url":null,"abstract":"<p><p>CAAs are congenital malformations of the auricle ranging from ear underdevelopment to anotia, lacks standardized classification, impacting our outcome of different reconstruction approaches. This scoping review aimed to explore which CAA classifications are most used in current ear reconstruction practices.</p><p><p>We conducted a scoping review following the PRISMA guidelines, searching MEDLINE and Embase databases on November 1st, 2023. Studies on CAA reconstruction that included clear descriptions of the used classification published in the past 5 years were included. Studies were appraised using the Joanna Briggs Institute checklist.</p><p><p>Out of 293 screened studies, 45 met inclusion criteria, encompassing 19 case series and 5 cohort studies. Findings revealed a predominant use of the Nagata classification across rib cartilage and alloplastic material reconstructions, despite noted application inconsistencies. Other systems like Marx's, Weerda's, and Meurman's remain underutilized.</p><p><p>Most studies used the Nagata's classification. Its widespread use underscores the necessity for an easy to use, but standardized classification to improve surgical outcome reporting and assessment accuracy. Further investigation and standardization efforts regarding the Nagata system are recommended.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241310101"},"PeriodicalIF":1.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alveolar Bone Quality in Individuals With Cleft Lip and Palate With Missing Lateral Incisors: Orthodontic Space Closure Versus Space Opening.","authors":"Malak Aldosari, Jay Shah, Jaemin Ko, Snehlata Oberoi","doi":"10.1177/10556656241312499","DOIUrl":"https://doi.org/10.1177/10556656241312499","url":null,"abstract":"<p><p>The purpose of this study was to quantitatively assess the alveolar bone support of teeth adjacent to the cleft site in individuals with nonsyndromic cleft lip and palate (CLP) who have undergone either orthodontic space closure or space opening for missing lateral incisors.</p><p><p>A cross-sectional retrospective study.</p><p><p>University orthodontic clinic serving individuals with CLP.</p><p><p>Twenty-eight individuals with nonsyndromic CLP who were missing lateral incisors divided into 2 groups: space closure (21 subjects) and space opening (7 subjects).</p><p><p>Orthodontic space closure or space opening for replacement of missing lateral incisors in individuals with nonsyndromic CLP.</p><p><p>Buccal and palatal alveolar bone thickness were measured at 5 mm and 10 mm above the cementoenamel junction (CEJ) for cleft-adjacent central incisors and canines. Additionally, buccal, lingual, and proximal alveolar bony coverage ratio on cleft-side central incisors and canines were recorded.</p><p><p>No significant differences were observed in alveolar bone thickness and bony coverage between the space closure group and the space opening group, except for the buccal thickness 5 mm above the CEJ, which was thinner in the space closure group.</p><p><p>The overall alveolar bone support in the grafted alveolus in both the space closure and space opening groups were comparable.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241312499"},"PeriodicalIF":1.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying New Susceptibility Genes of Non-Syndromic Orofacial Cleft Based on Syndromes Accompanied With Craniosynostosis.","authors":"Si-Di Zhang, Yan-Song Lin, Bing Shi, Zhong-Lin Jia","doi":"10.1177/10556656251313842","DOIUrl":"https://doi.org/10.1177/10556656251313842","url":null,"abstract":"<p><strong>Objectives: </strong>Orofacial cleft (OC) can be classified into syndromic orofacial cleft (SOC) and non-syndromic orofacial cleft (NSOC), depending on whether there are other congenital deformities. Craniosynostosis, the premature closure of cranial sutures, is a common phenotype of SOC resulting in abnormal ossification of skull and brain development disorders. Its correlation with OC offers a promising approach to identify susceptibility genes for NSOC by examining causative genes of SOCs with craniosynostosis.</p><p><strong>Materials and methods: </strong>This study included 2556 patients with NSOC and 2255 normal controls from western Han Chinese with their genomic DNA samples. We selected 31 causative genes of 34 syndromes with both craniosynostosis and OC as candidate genes and performed quality control. Allelic and genotypic association analyses and haplotype analysis were performed to identify statistically significant single nucleotide polymorphisms (SNPs).</p><p><strong>Results: </strong>In allelic association analysis performed with 1265 qualified SNPs in 20 genes, only rs2239936, located in <i>MYH3</i> gene, was statistically associated with non-syndromic cleft lip only (NSCLO) (<i>P </i>= 1.70×10^-07, OR<i> </i>=<i> </i>1.33, 95%CI: 1.17-1.52) and non-syndromic cleft palate only (NSCPO) (<i>P </i>= 6.43×10^-05, OR<i> </i>=<i> </i>1.33, 95%CI: 1.16-1.52). The higher frequency of allele G in NSCPO suggesting that minor allele G at rs2239936 will result in an elevated risk of NSCPO. However, rs2239936 only exhibited a statistical association with NSCPO in genotypic association analysis (<i>P </i>= 8.06×10^-06) and haplotype analysis (<i>P </i>= 1.43×10^-05).</p><p><strong>Conclusion: </strong>This study identified that allele G at rs2239936 in <i>MYH3</i> gene was significantly associated with NSCPO as a risk factor and <i>MYH3</i> was a new susceptibility gene for NSCPO in western Han Chinese population.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251313842"},"PeriodicalIF":1.1,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Sphenoid Sinus Morphology in Bilateral Cleft Lip and Palate and Control Groups: A CBCT Study.","authors":"Caroline de Paula Oliveira Gringo, Luciano Reis de Araújo Carvalho, Mariela Peralta Mamani, Marina de Almeida Barbosa Mello, Renato Yassutaka Faria Yaedú","doi":"10.1177/10556656251314261","DOIUrl":"https://doi.org/10.1177/10556656251314261","url":null,"abstract":"<p><strong>Objective: </strong>To investigate and compare the morphology of the sphenoid sinus (SS) in patients with bilateral cleft lip and palate (BCLP) and the control group.</p><p><strong>Design: </strong>A retrospective comparative study.</p><p><strong>Setting: </strong>Craniofacial rehabilitation institution.</p><p><strong>Patients and participants: </strong>The study included 100 patients with BCLP (50 men and 50 women) in the preorthognathic period, and 100 control patients who did not have BCLP, were not syndromic and had not undergone orthognathic surgery (50 men and 50 women).</p><p><strong>Main outcome measure(s): </strong>The morphological type of the SS was classified as conchal, presellar, sellar, and postsellar. It was further categorized into subtypes: lateral, body, anterior, lesser wing, and clival. Finally, the septations of the SS were classified as intersphenoidal, multiple, or absent. The χ² test was used to compare the groups and evaluate categorical variables.</p><p><strong>Results: </strong>The most common main types in both groups were the sellar type (BCLP group: 44%, control group: 59%) and the postsellar type (BCLP group: 33%, control group: 31%). No statistically significant differences were found between the groups (<i>P</i> > .05). Regarding subtypes, the most common were the lateral subtype (BCLP group: 57%, control group: 59%) and the sphenoid body subtype (BCLP group: 33%, control group: 31%).</p><p><strong>Conclusion: </strong>The most common SS morphologies in BCLP were the sellar and postsellar types. The importance of this morphology is therefore understood in the context of surgeries in the SS region, such as orthognathic and transsphenoidal surgeries, thus helping to avoid complications during surgery.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251314261"},"PeriodicalIF":1.1,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Craniosynostosis: Quantifying Differences in Skull Architecture.","authors":"Jesse E Menville, Nidhi Shinde, Scott Collins, Zhicheng Jiao, Elijah M Persad-Paisley, Navya Baranwal, Albert S Woo","doi":"10.1177/10556656241297526","DOIUrl":"https://doi.org/10.1177/10556656241297526","url":null,"abstract":"<p><p>Craniosynostosis, a condition marked by the premature fusion of one or more cranial sutures, exhibits diverse phenotypes. This study aims to advance the understanding of these phenotypes beyond the conventional 2-dimensional analysis by focusing on identifying indicators of increased intracranial pressure (ICP) such as bony thinning or irregularities in skull morphology.</p><p><p>A retrospective review was conducted for all pediatric patients with midline craniosynostosis who presented to our tertiary academic center for evaluation. Control patients were carefully selected to match for age, sex, and weight. All computed tomography data were segmented in 3-dimensional Slicer and then delineated along with suture lines into occipital, parietal, and frontal segments. Main outcome measures included general skull shape (assessed via measures of flatness and surface area to volume ratio) and skull topography (analyzed via measures of bone thickness, surface variance, and surface standard deviation).</p><p><p>Forty-one patients with midline craniosynostoses were identified (22 metopic and 19 sagittal). Patients with sagittal craniosynostosis had significantly angulated frontal and occipital bones, reflective of the frontal bossing and occipital bulleting commonly seen in this population, and significantly flatter parietal bones, reflective of limited growth along with the transverse axis. Interestingly, evaluation of bone topography revealed that patients with sagittal craniosynostosis had significantly higher parietal bone surface variance, reflective of gyral impressions secondary to increased ICP. In contrast, patients with metopic craniosynostosis had statistically flatter frontal bones-reflective of limited anterior brain growth caused by the fused metopic suture-with minimal impacts to parietal or occipital bones.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241297526"},"PeriodicalIF":1.1,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Witteveen-Kolk Syndrome With Cleft Palate: A Case Report and Review of the Literature.","authors":"Etkin Boynuyogun, Yusuf Irmak, Murat Kara, Figen Ozgur","doi":"10.1177/10556656251314260","DOIUrl":"https://doi.org/10.1177/10556656251314260","url":null,"abstract":"<p><p>Witteveen-Kolk syndrome (WITKOS) is an exceptionally uncommon genetic and neurodevelopmental disorder, characterized by developmental delay, mild intellectual disability, and craniofacial dysmorphic features. Although cleft palate (CP) has rarely been reported in WITKOS, CP in this condition has not been assessed in detail. Here, we present a case of WITKOS with a CP. The patient was a 2-year-old male and he was referred to our clinic with CP and dysmorphic clinical findings. Screening for CP should be considered when a diagnosis of WITKOS is made. CP repair can be performed successfully after neurodevelopmental maturation is complete.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251314260"},"PeriodicalIF":1.1,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cleft-Related Revision Procedures: Surgeon Perspectives on Shared Decision-Making and a Decision Aid Prototype.","authors":"Katelyn G Makar, Khoa D Tran, Whitney Brown, Christian J Vercler","doi":"10.1177/10556656241310205","DOIUrl":"https://doi.org/10.1177/10556656241310205","url":null,"abstract":"<p><strong>Objective: </strong>Decision-making for elective cleft lip and nose revisions varies widely, from patient-led decisions to more paternalistic approaches. As these procedures incur additional scarring that may impact future interventions, patients should be equipped to participate in these surgical decisions. We thus developed a decision aid based on international standards, and to ensure methodologic rigor, we sought feedback from other surgeons regarding shared decision-making and potential barriers to adopting the decision aid.</p><p><strong>Design: </strong>The decision aid was developed based on qualitative patient data, expert opinion, and International Patient Decision Aid Standards (IPDAS). It was first piloted using a \"think aloud\" approach and subsequently revised. In the present study, this version was presented to a diverse focus group of surgeons. The conversation was audio-recorded and transcribed. The transcription was coded independently by 2 authors, and codes were categorized for theme development.</p><p><strong>Setting: </strong>American Cleft Palate-Craniofacial Association meeting, April 2024.</p><p><strong>Participants: </strong>Focus group of 8 board-certified craniofacial surgeons.</p><p><strong>Main outcome measures: </strong>Surgeon feedback regarding appeal, usefulness, and generalizability of the decision aid.</p><p><strong>Result(s): </strong>Eight surgeons participated. Mean age was 43 years (SD 5.7), and mean number of years in practice was 9.3 (SD 6.0). Four were female, and 4 were male. Three themes emerged: (1) Appeal to the consumer, (2) Acknowledge the parents, and (3) Consider logistics of decision aid delivery.</p><p><strong>Conclusions: </strong>Based on surgeon feedback, the decision aid will be web-based, explicitly recognize the importance of parents, and maximize the likelihood that patients viewing the decision aid are surgical candidates.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241310205"},"PeriodicalIF":1.1,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}