title: Esthetic, Functional, and Everyday Life Assessment of Individuals with Cleft Lip and/or Palate.
abstract: OBJECTIVE
  To evaluate the level of satisfaction of individuals with cleft lip and/or palate (CLP) and their parents concerning the esthetic and functional treatment outcomes, the impact of the cleft on everyday life, and potential associations with treatment outcome satisfaction.
  
  
  METHODS
  The sample consisted of 33 patients (7 CP, 20 unilateral CLP, and 6 bilateral CLP; median age: 17.1, range: 9.0-33.1 years) and 30 parents, who responded to a questionnaire in an interview-guided session. All participants received their orthodontic treatment at the Department of Orthodontics in the University of Athens.
  
  
  RESULTS
  Patients and their parents were quite satisfied with esthetics and function. Patients with UCLP primarily were concerned about nose esthetics (BCLP about lip esthetics and CP about speech). Increased satisfaction was associated with decreased influence of the cleft in everyday life (0.35 < rho < 0.64, P < 0.05). Parents reported significant influence of the cleft on family life, while patients did not.
  
  
  CONCLUSIONS
  Despite the limited sample size of subgroups, the main concerns of patients with different cleft types and the importance of satisfying lip, nose, and speech outcomes for an undisturbed everyday life were quite evident. Thus, the need for targeted treatment strategies is highlighted for individuals with cleft lip and/or palate.
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, University of Bern, Freiburgstrasse 7, 3010 Bern, Switzerland.
authors.forename: Nikolaos
authors.identifier: 0000-0002-3180-6272
authors.initials: N
authors.lastname: Gkantidis
authors.affiliation: Department of Orthodontics, School of Dentistry, University of Athens, 2 Thivon Street, Goudi, 115 27 Athens, Greece.
authors.forename: Despina A
authors.initials: DA
authors.lastname: Papamanou
authors.affiliation: Department of Orthodontics, School of Dentistry, University of Athens, 2 Thivon Street, Goudi, 115 27 Athens, Greece.
authors.forename: Marina
authors.initials: M
authors.lastname: Karamolegkou
authors.affiliation: Department of Orthodontics, School of Dentistry, University of Athens, 2 Thivon Street, Goudi, 115 27 Athens, Greece ; Department of Orthodontics, University of Geneva, Rue Barthélemy-Menn 19, 1205 Geneva, Switzerland.
authors.forename: Domna
authors.initials: D
authors.lastname: Dorotheou
mesh_terms: D000293:Adolescent; D000328:Adult; D001921:Brain / Q000002:abnormalities* / Q000503:physiopathology; D002648:Child; D002971:Cleft Lip / Q000453:epidemiology* / Q000503:physiopathology; D002972:Cleft Palate / Q000453:epidemiology* / Q000503:physiopathology; D004954:Esthetics; D005145:Face; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D013060:Speech / Q000502:physiology; D011795:Surveys and Questionnaires