Impact Of Number Of Reconstructive Surgeries On Quality Of Life Of Pediatric Patients With Craniofacial Conditions
Rishi N. Modi, BS1, Jessica D. Blum, MSc1, Burçin Ataseven, PhD2, Karen Leung, BA1, Caitlyn Belza, BS1, Michelle Zaldana-Flynn, MD1, Emily Ewing, MA1, Chelsea S. Rapoport, BA3, Edna Montes, MA1, Garrett Rupp, BA1, Alyssa Choi, BS3, Vanessa L. Malcarne, PhD3, Amanda A. Gosman, MD1.
1University of California San Diego, San Diego, CA, USA, 2Istanbul Kültür University, Istanbul, Turkey, 3San Diego State University, San Diego, CA, USA.
PURPOSE: The Craniofacial Condition Health-Related Quality of Life Scale (CFC-HRQoL) was used to evaluate the impact of the number of reconstructive surgeries on quality of life (QoL) in an English and Spanish-speaking population of pediatric patients with craniofacial conditions. METHODS:
196 patient-parent dyads completed the CFC-HRQoL. A multivariate linear regression was run to isolate factors that predicted QoL. Number of surgeries was calculated from deviation from the average number of surgeries per diagnostic cohort (cleft lip and/or palate, other congenital CFC, traumatic CFC).
RESULTS:
Patient cohort was average 12.5 years old, 61% Hispanic, and 55% female. Diagnosis did not significantly predict QoL. Female sex and more surgeries predicted increased desire to change appearance, while older patient age predicted decreased satisfaction with appearance. Parents reported older age and fewer surgeries predicted more teasing by peers. Parents reported more surgeries predicted worse peer relationships and worse psychological impact on patients. Parents reported female sex, more surgeries, and younger age at first surgery predicted less patient satisfaction with appearance. CONCLUSION:
In our cohort, patient sex, age, number of surgeries, and age at first surgery predicted QoL. 
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