Objective assessment of surgical outcome in congenital craniofacial malformations
is necessary to evaluate treatment efficiency since the results of early surgery are
influenced by surgical technique and timing. Available outcome measurements all have
their limitations, especially for application in congenital craniofacial malformations
and many only suggest to evaluate objective results but actually measure subjective
outcomes such as facial attractiveness. Therefore a new outcome measurement was developed,
in which each facial unit is scored in a standardised way. For each facial unit, deformities
of shape or contour, malposition and soft tissue involvement were evaluated, besides
scoring for specific congenital malformations of that area. The final result was tested
on pre- and postoperative photographs of patients with rare facial clefts and reliability
and validity were demonstrated. The new developed instrument showed the ability to
provide quantification of outcome. Because of its properties it can serve as an instrument
to compare outcome between techniques, surgeons and centres in a more objective and
standardised way.
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© 2007 Published by Elsevier Inc.
