Development of the submental nasal appearance scale for the assessment of repaired unilateral complete cleft lip: A pilot study

Robin A. Tan, Kathryn V. Isaac, Ingrid M. Ganske, David G. M. Mosmuller, Henrica C. W. de Vet, J. Peter. W. Don Griot, John B. Mulliken

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: To develop the “Submental Nasal Appearance Scale” (SNAS), which is an easy-to-use objectified tool to represent a cleft surgeon’s standard for assessment of the nasal appearance from the submental perspective. Design: Eighty-five photographs of patients with unilateral complete cleft lip and palate were selected and cropped, displaying the submental view. Sixty-one photographs were used to develop 5 sets of reference photographs. Three cleft surgeons graded 24 photographs with these sets and subjectively graded the overall nasal appearance as well. Internal agreement for both methods was calculated, as well as correlation between them. The SNAS was created, by only using the combination of sets that showed the highest reliability and correlation. Setting: Boston Children’s Hospital, Boston, Massachusetts. Patients: Six-to 9-year-old patients with unilateral complete cleft lip and palate. Results: The intrarater and interrater reliability was 0.84 and 0.79, respectively, for the SNAS and 0.76 and 0.62, respectively, for the overall appearance assessment. The correlation was 0.74 between the methods. Conclusions: The SNAS is a reliable tool that reflects a cleft surgeon’s standard and could be used independently or in combination with existing rating scales using the frontal and/or lateral view, for assessment after cleft lip repair.
Original languageEnglish
Pages (from-to)791-798
JournalCleft Palate-Craniofacial Journal
Volume56
Issue number6
DOIs
Publication statusPublished - 2019

Cite this

Tan, Robin A. ; Isaac, Kathryn V. ; Ganske, Ingrid M. ; Mosmuller, David G. M. ; de Vet, Henrica C. W. ; Don Griot, J. Peter. W. ; Mulliken, John B. / Development of the submental nasal appearance scale for the assessment of repaired unilateral complete cleft lip: A pilot study. In: Cleft Palate-Craniofacial Journal. 2019 ; Vol. 56, No. 6. pp. 791-798.
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abstract = "Objective: To develop the “Submental Nasal Appearance Scale” (SNAS), which is an easy-to-use objectified tool to represent a cleft surgeon’s standard for assessment of the nasal appearance from the submental perspective. Design: Eighty-five photographs of patients with unilateral complete cleft lip and palate were selected and cropped, displaying the submental view. Sixty-one photographs were used to develop 5 sets of reference photographs. Three cleft surgeons graded 24 photographs with these sets and subjectively graded the overall nasal appearance as well. Internal agreement for both methods was calculated, as well as correlation between them. The SNAS was created, by only using the combination of sets that showed the highest reliability and correlation. Setting: Boston Children’s Hospital, Boston, Massachusetts. Patients: Six-to 9-year-old patients with unilateral complete cleft lip and palate. Results: The intrarater and interrater reliability was 0.84 and 0.79, respectively, for the SNAS and 0.76 and 0.62, respectively, for the overall appearance assessment. The correlation was 0.74 between the methods. Conclusions: The SNAS is a reliable tool that reflects a cleft surgeon’s standard and could be used independently or in combination with existing rating scales using the frontal and/or lateral view, for assessment after cleft lip repair.",
author = "Tan, {Robin A.} and Isaac, {Kathryn V.} and Ganske, {Ingrid M.} and Mosmuller, {David G. M.} and {de Vet}, {Henrica C. W.} and {Don Griot}, {J. Peter. W.} and Mulliken, {John B.}",
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Development of the submental nasal appearance scale for the assessment of repaired unilateral complete cleft lip: A pilot study. / Tan, Robin A.; Isaac, Kathryn V.; Ganske, Ingrid M.; Mosmuller, David G. M.; de Vet, Henrica C. W.; Don Griot, J. Peter. W.; Mulliken, John B.

In: Cleft Palate-Craniofacial Journal, Vol. 56, No. 6, 2019, p. 791-798.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Development of the submental nasal appearance scale for the assessment of repaired unilateral complete cleft lip: A pilot study

AU - Tan, Robin A.

AU - Isaac, Kathryn V.

AU - Ganske, Ingrid M.

AU - Mosmuller, David G. M.

AU - de Vet, Henrica C. W.

AU - Don Griot, J. Peter. W.

AU - Mulliken, John B.

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