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Parental Perceptions Following Cleft Lip Repair in Their Children.
Michal A Brichacek1, Damir B Matic2
1Section of Plastic Surgery, University of Manitoba, Winnipeg.
The Journal of Craniofacial Surgery
|October 13, 2017
Summary
Parental perceptions of cleft lip (CL) repair at 3 months show satisfaction, with most parents preferring the current timing. Some parents would consider delaying CL repair for better aesthetics, suggesting a need for individualized options.
Area of Science:
- Pediatric surgery
- Craniofacial anomalies
- Parental perception studies
Background:
- Cleft lip (CL) repair timing is traditionally set at 3 months, often without clear functional advantages.
- Delaying CL repair may offer improved cosmetic outcomes.
- Parental views on CL repair timing are crucial for guideline evaluation.
Purpose of the Study:
- To investigate parental perceptions regarding cleft lip repair timing.
- To assess if current 3-month repair guidelines align with parental expectations and priorities.
- To inform future recommendations on optimal cleft lip repair timing.
Main Methods:
- Retrospective cross-sectional survey of parents with children under 6 years who underwent CL repair.
- Qualitative analysis of open-ended survey responses.
- Fisher exact test for statistical significance.
Main Results:
- Most parents (36/37) deemed CL repair essential for feeding, speech, and appearance.
- A majority (28/37) believed surgery would resolve the issue.
- 15/37 parents would consider delaying repair for better aesthetics, while 20/37 would not.
Conclusions:
- Current 3-month CL repair recommendations are largely supported by positive parental perceptions of their child's well-being.
- While most parents are satisfied, offering delayed repair as an option warrants consideration.
- Further research into cultural factors and long-term aesthetic/developmental outcomes is needed to optimize repair timing.
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