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Journal of Korean Cleft Palate-Craniofacial Association 2007;8(2):37-40.
Comparative Analysis in Social Development of Children with Cleft Lip Nasal Deformity According to Timing of Correction: School Age and Preschool Age.
Seok Kwun Kim, Myung Hoon Kim, Yong Seok Kwon, Byung Hoon Cha, Keun Cheol Lee
Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University, Busan, Korea. pokdungi@daunet.donga.ac.kr
Correction of cleft lip nasal deformity has been performed from March, 1995 to June, 2006 at Donga-A University. The goal of this study is to evaluate children's psychosocial development and to determine the optimal timing of repair. METHODS: This is the retrospective study of patients operated at pre-school and school age. The patients could be divided into two groups, corrected at pre-school age(n=30), and school age(n=30). To evaluate the social development, we used 4 parameters, Children individualism-collectivism scale, Pictorial scale perceived competence social acceptance for young children, Matson's children social adaptability scale, Academic performance rating scale.
Operated group at pre-school age had better social adaptation, social acceptance, self-image, self- esteem and academic performance than operated group at school age.
It is better that correction of secondary lip nasal deformity at pre-school age than at school age in social development.
Keywords: Cleft lip nasal deformity; Psychosocial analysis; Social adaptability
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