Orthod Craniofac Res. 2022 Apr 1. doi: 10.1111/ocr.12576. Online ahead of print.
ABSTRACT
OBJECTIVE: To assess nasolabial esthetics in patients with complete unilateral cleft lip, with or without cleft palate (UCL±P) using two scoring systems.
DESIGN: A cross-sectional study conducted in a tertiary care government hospital.
PATIENTS: Photographic records of 91 patients with complete UCL±P from the age group of 5-18 years (mean age = 13.2±3.14 years) were included.
METHOD: A panel of three orthodontists with varying experience in cleft management rated nasolabial esthetics using two scoring systems i.e. Asher Mc-Dade index (AMAI) and Cleft Aesthetic Rating Scale (CARS). Intraclass correlation coefficient, Fleiss’ kappa and Cronbach’s alpha were used to measure the internal consistency among three raters and Spearman Brown formula was used for measuring overall reliability. Time required for assessment of each photograph was compared with ANOVA.
RESULTS: Overall, both AMAI and CARS showed high reliability and outcome assessment with good inter-rater reliability and internal consistency, when used independently by orthodontists having varied experience. Statistically significant difference was present in time taken for assessment of nasolabial esthetics with CARS index (8.75±1.65 seconds) as compared to AMAI (18.62±3.49 seconds).
CONCLUSION: AMAI and CARS are equally reliable and consistent for the assessment of nasolabial esthetics in patients with UCL±P. However, considerably less time was taken for assessment using CARS index as compared to AMAI. The use of CARS index is recommended for initial assessment and screening of patients by orthodontists using two dimensional photographs.
PMID:35362657 | DOI:10.1111/ocr.12576
