AGRADECIMENTOSÀ minha orientadora Prof. Dra. Beatriz Silva Câmara Mattos, pela confiança, pelas valiosas orientações e por me permitir ingressar nesta pós-graduação.À minha mentora e grande entusiasta deste trabalho Prof. Dra. Marcia André, por todo apoio, incentivo e confiança que depositou em mim desde quando ingressei nesta Universidade. Obrigada pelas orientações, pela paciência e sobretudo por sua amizade verdadeira.Ao Prof. Dr. Reinaldo Brito e Dias e demais professores da Disciplina de Prótese Bucomaxilofacial pela enriquecedora convivência.Ao Cirurgião Plástico Dr. Diógenes Laércio Rocha por sua valiosa contribuição na elaboração deste estudo.Ao amigo, Dr. Jairo Lessa Crepaldi pelo apoio e colaboração direta na elaboração deste trabalho.Às amigas, Dra. Margareth T. Lopez e a Dra. Agda M. Moura pelo carinho e pela ajuda desde quando ingressei nesta Universidade.Aos Drs. Paulo E. Damiani, Denise Nakamura, Marcus Kobein, Simone Kawabata, Luciane Amorim, Ivan Gialain, Vera Pozzani pela disponibilidade em participar na avaliação do grupo amostral desta pesquisa.Ao Prof. Dr. Antônio Carlos L. Saboya pelas orientações no uso do Software aplicado neste estudo.Aos funcionários do Departamento de CPTMF, particularmente à Belira de Carvalho e Silva, pelo valioso apoio ao longo de todo o curso de pós-graduação.Aos pacientes e seus familiares, sem os quais esse estudo não seria possível."Conheça todas as teorias, domine todas as técnicas, mas ao tocar uma alma humana seja apenas outra alma humana". Cronbach's alpha was applied. By using the Wilcoxon Signed Rank Test, both the experienced professionals and without experience did not observe any statistically significant difference in the aesthetic attractiveness of the lip and nose; however a statistically significant difference was observed in the nasolabial region (p = 0.002) when the professional group revealed a higher degree of satisfaction as compared to the group of professionals without experience. The Mann-Whitney's Test revealed a statistically significant association between the aesthetics of the lip, nose, and nasolabial region only with regard to one variable i.e., the source hospital (p = 0.002, 0.034, and 0.026, respectively). The results of this study suggest that there was no difference in evaluation of the aesthetic results when full-face photographs or cropped images of the nasolabial region were used. Compared to the professionals without experience assessors, the experienced professionals evaluators showed higher satisfaction with the aesthetic appearance of the nasolabial region; however, no difference in results was observed in the analysis of the lip or nose alone. No correlation was observed between the aesthetic outcomes and the laterality of the cleft and sex of the patient. However, the source hospital was associated with the aesthetic outcome, thereby producing lower levels of outcome satisfaction. Carl Gustav Jung RESUMO

The Youth Quality of Life—Facial Differences (YQOL-FD), validated in the United States in 2005, was developed at the University of Washington by the Seattle Quality of Life Group (SeaQol), to evaluate quality of life of adolescents with facial deformities. Because no Portuguese version exists, the measure was not viable in Brazil. This study aimed to obtain linguistic and psychometric validation of a version of the YQOL-FD in Portuguese. Twenty-five patients with cleft lip and palate and five without facial deformity participated in Traumatology and Maxillofacial Prosthesis Surgery Clinic, School of Dentistry, University of São Paulo. The linguistic validation of the YQOL-FD was carried out by a team consisting of the researcher, as project manager, two native Portuguese-speaking consultants fluent in English, and one native English-speaking consultant fluent in Portuguese. After translation and back-translation, a Portuguese version was obtained, which was applied in a pilot test (n = 10); after the final adjustments the Seattle Quality of Life Group approved the official version of the YQOL-FD in Portuguese. To obtain the psychometric validation, we requested the participation of 20 patients with cleft lip and palate who answered the questionnaire twice in a range of 7 to 15 days. The Cronbach’s alpha test was applied in the 48-item block, showing a high degree of internal consistency (0.949). The Wilcoxon Signal Post Test was applied to verify if the test and retest values were similar; the general agreement was 4/5 = 80%, indicating high reproducibility. It was concluded that the Portuguese version of the YQOL-FD is adequate for evaluating Quality of Life of Brazilian adolescents with craniofacial deformities.

Paiva TBS. Morphofunctional and aesthetic evaluation of patients with cleft lip and palate submitted to surgical repair by the modified Malek-Psaume protocol [thesis].