Influence of Repaired Cleft Lip and Palate on Layperson Perception following Orthognathic Surgery

Lin, Lawrence; Zhang, Rosaline S.; Mazzaferro, Daniel M.; Hoppe, Ian C.; Pearl, Raymond; Swanson, Jordan W.; Bartlett, Scott P.; Taylor, Jesse A.

doi:10.1097/prs.0000000000004778

Cited by 22 publications

(30 citation statements)

References 34 publications

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“…26–28 Mechanical Turk has also been used in other healthcare-related research such as using laypersons to assess surgical technical skills, outcomes of treatment for cosmetic procedures, and patient preferences when seeking esthetic surgery. 9,10,26–33…”

Section: Discussionmentioning

confidence: 99%

“…Lastly, although the Likert scale responses to questions were generated from validated studies, the transference of the perception of these traits to real-world scenarios remains unknown. 9,10…”

Section: Discussionmentioning

confidence: 99%

“…The methodology used to rate each subject for each personality trait and emotional facial expression in this study was drawn from prior research of the effects of facial appearance on character impressions. 9,10,20–23…”

Section: Outcome Variablesmentioning

confidence: 99%

“…Mazzaferro and colleagues used crowdsourcing to demonstrate the potential for favorable impressions of an individual’s personality traits and perceived emotions based on viewed facial photographs after orthognathic surgery. 9,10 Our group has previously reported on positive changes in social perceptions achieved through bimaxillary and chin orthognathic surgery for individuals with long face DFD. 11 However, the esthetic outcomes for the other common patterns of developmental jaw deformities after orthognathic surgery has been insufficiently documented.…”

Section: Introductionmentioning

confidence: 99%

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Orthognathic Surgery Has a Significant Positive Effect on Perceived Personality Traits and Perceived Emotional Facial Expressions in Subjects with Primary Maxillary Deficiency

Posnick

Kinard

2019

Plastic and Reconstructive Surgery - Global Open

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Background: Crowdsourcing is increasingly being used in medical research to obtain the opinion of laypeople. The investigators hypothesized that a layperson’s perception of a primary maxillary deficiency (PMD) dentofacial deformity (DFD) patient is more favorable after orthognathic surgery with regard to perceived personality traits and emotional facial expressions. Methods: The investigators implemented a survey, distributed through Amazon.com’s Mechanical Turk crowdsourcing platform, to compare 6 perceived personality traits and 6 perceived emotional traits before and >6 months after orthognathic surgery in subjects through standardized facial photographs. The sample was composed of 20 subjects randomly selected from a PMD DFD database, treated by 1 surgeon all having undergone bimaxillary and chin orthognathic surgery. The outcome variable was change in each of 6 perceived personality and 6 emotional expression traits studied. Descriptive and bivariate statistics were computed. P -value of <0.05 was considered significant. Results: Five hundred respondents (raters) completed the survey. A majority of respondent raters were male (59%) and White (71%), ranging in age between 25 and 34 years (52%). After bimaxillary and chin orthognathic surgery, PMD subjects as a group were perceived to be significantly more dominant, more trustworthy, more friendly, more intelligent, more attractive, and less threatening. They were also perceived as happier and less angry, less surprised, less sad, less afraid, and less disgusted than before surgery ( P < 0.05). Conclusions: We confirmed that laypeople consistently report positive changes in a PMD DFD subject’s perceived personality traits and perceived emotional expressions after bimaxillary and chin orthognathic surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Outcome Variablesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Orthognathic Surgery Has a Significant Positive Effect on Perceived Personality Traits and Perceived Emotional Facial Expressions in Subjects with Primary Maxillary Deficiency

Posnick

Kinard

2019

Plastic and Reconstructive Surgery - Global Open

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“…However, only a few OGS studies have adopted the FACE-Q tool [10,11]. In this setting, the impact of different surgical interventions, including OGS procedures, on facial aesthetic and social perceptions, has been demonstrated using the panel assessment tool, a metric that is centered on clinician-reported outcome (ClinRO, professionals using medical or dental judgments) and observer-reported outcome (ObsRO, judgments from laypersons with no formal training) principles [12,13,14,15,16,17,18,19,20,21,22,23].…”

Section: Introductionmentioning

confidence: 99%

Facial Appearance and Psychosocial Features in Orthognathic Surgery: A FACE-Q- and 3D Facial Image-Based Comparative Study of Patient-, Clinician-, and Lay-Observer-Reported Outcomes

Denadai

Chou

et al. 2019

JCM

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Outcome measures reported by patients, clinicians, and lay-observers can help to tailor treatment plans to meet patients’ needs. This study evaluated orthognathic surgery (OGS) outcomes using pre- and post-OGS patients’ (n = 84) FACE-Q reports, and a three-dimensional facial photograph-based panel assessment of facial appearance and psychosocial parameters, with 96 blinded layperson and orthodontic and surgical professional raters, and verified whether there were correlations between these outcome measurement tools. Post-OGS FACE-Q and panel assessment measurements showed significant (p < 0.001) differences from pre-OGS measurements. Pre-OGS patients’ FACE-Q scores were significantly (p < 0.01) lower than normal, age-, gender-, and ethnicity-matched individuals’ (n = 54) FACE-Q scores, with no differences in post-OGS comparisons. The FACE-Q overall facial appearance scale had a low, statistically significant (p < 0.001) correlation to the facial-aesthetic-based panel assessment, but no correlation to the FACE-Q lower face and lips scales. No significant correlation was observed between the FACE-Q and panel assessment psychosocial-related scales. This study demonstrates that OGS treatment positively influences the facial appearance and psychosocial-related perceptions of patients, clinicians and lay observers, but that there is only a low, or no, correlation between the FACE-Q and panel assessment tools. Future investigations may consider the inclusion of both tools as OGS treatment endpoints for the improvement of patient-centered care, and guiding the health-system-related decision-making processes of multidisciplinary teams, policymakers, and other stakeholders.

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Healthcare use and direct medical costs in a cleft lip and palate population: an analysis of observed and protocolized care and costs

Apon,

van Leeuwen,

Polinder

et al. 2024

International Journal of Oral and Maxillofacial Surgery

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Influence of Repaired Cleft Lip and Palate on Layperson Perception following Orthognathic Surgery

Abstract: Despite significant improvements in social perception following orthognathic surgery, cleft patients benefit less than noncleft patients. These findings may be useful to counsel postsurgical expectations for cleft patients undergoing orthognathic surgery.

Cited by 22 publications

References 34 publications

Orthognathic Surgery Has a Significant Positive Effect on Perceived Personality Traits and Perceived Emotional Facial Expressions in Subjects with Primary Maxillary Deficiency

Orthognathic Surgery Has a Significant Positive Effect on Perceived Personality Traits and Perceived Emotional Facial Expressions in Subjects with Primary Maxillary Deficiency

Facial Appearance and Psychosocial Features in Orthognathic Surgery: A FACE-Q- and 3D Facial Image-Based Comparative Study of Patient-, Clinician-, and Lay-Observer-Reported Outcomes

Healthcare use and direct medical costs in a cleft lip and palate population: an analysis of observed and protocolized care and costs

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