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Changes in the Oral Health-Related Quality of Life in Infants With Cleft Lip and/or Palate Before and After Surgical Treatment
Changes in the Oral Health-Related Quality of Life in Infants With Cleft Lip and/or Palate Before and After Surgical Treatment
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Fecha
2021
Autores
Lopez Ramos, Roxana Patricia
Blanco Victorio, Daniel Jose
Torres Ramos, Gilmer
Pajuelo, Monica J.
Abanto, Jenny
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Sage Publications INC
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Abstracto
Objective: To assess oral health-related quality of life (OHRQoL) changes before and after the primary surgical treatment in infants with cleft lip and/or palate (CL/P). Design: Quasi-experimental study. Methods: A total of 106 infants with CL/P younger than 2 years undergoing primary surgical treatment in the Plastic Surgery Service of the Instituto Nacional de Salud del Nino in Peru. The parent/caregiver answered a questionnaire about OHRQoL named the Peruvian version of the Early Childhood Oral Health Impact Scale (P-ECOHIS) in the pretreatment (baseline) and follow-up post-treatment. The total score of P-ECOHIS and their 2 sections (child impact and family impact) in the baseline and each follow-up period post-treatment scores were assessed. As well as, the type of the CL/P on OHRQoL, standardized effect sizes (ES) based on mean total change scores (difference between baseline and 12th month) were analyzed. Results: Improvements in infant's OHRQoL after treatment were reflected in each follow-up period P-ECOHIS score compared to the baseline score. The total P-ECOHIS scores decreased significantly from 28.07 (baseline) to 7.7 (12th month; P < .0001), as did the individual domain scores (P < .0001). There were significant differences in the baseline and follow-up post-treatment scores of infants who reported improvement of the OHRQoL (P < .0001). The ES was large (3.79). The cleft lip had an improvement in the OHRQoL at 12th month post-treatment (P < .0001). Conclusions: Primary surgical post-treatment resulted in significant improvement of the infant's OHRQoL with CL/P.
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The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The principal author Lopez Ramos, Roxana Patricia is a doctoral student studying an Epidemiological Research Doctorate at Universidad Peruana Cayetano Heredia under FONDECYT/CIENCIAACTIVA scholarship EF033-235-2015 and supported by training Grant D43 TW007393 awarded by the Fogarty International Center of the US National Institutes of Health.
Palabras clave
surgery,
quality of life,
cleft lip,
cleft palate,
infant,
oral health