Abstract：
OBJECTIVE: While previous literature has investigated the psychosocial impact and aesthetic satisfaction associated with post-operative scarring for certain pediatric craniofacial conditions, the impact of the scar burden resulting from craniosynostosis surgery has not been adequately studied.
METHODS: SCAR-Q was shared with patients ages 8 and older. Thirty-two complete patient responses were recorded.
METHODS: SCAR-Q is a PROM that consists of three independent scales - appearance, symptoms, and psychosocial impact - associated with a scar.
METHODS: Mann-Whitney U, linear regression, and Pearson correlation tests were used to evaluate associations between the scales, in addition to patient characteristics such as sex and suture involvement.
RESULTS: Mean ages at time of surgery and survey completion were 9.65 ± 10.10 months and 12.10 ± 3.92 years, respectively. Mean scale scores were 81.5 ± 17.9 for appearance, 86.8 ± 12.4 for symptoms, and 79.3 ± 25.7 for psychosocial impact. Higher patient dissatisfaction with scar appearance correlated with more scar-related symptoms (r = 0.389; p = 0.028) and a greater psychosocial impact (r = 0.725; p < 0.001). SCAR-Q scales did not significantly correlate with age at surgery, age at survey completion, type of synostosis, or type of surgery; however, female patients reported lower mean appearance (65.4 vs. 86.0; p = 0.012) and psychosocial impact (57.3 vs. 85.5; p = 0.010) scores when compared to their male counterparts.
CONCLUSIONS: It is vital that surgeons discuss patients\' aesthetic satisfaction following craniosynostosis surgery in order to appropriately address and limit deleterious, long-term physical and psychosocial outcomes.
METHODS: SCAR-Q was shared with patients ages 8 and older. Thirty-two complete patient responses were recorded.
METHODS: SCAR-Q is a PROM that consists of three independent scales - appearance, symptoms, and psychosocial impact - associated with a scar.
METHODS: Mann-Whitney U, linear regression, and Pearson correlation tests were used to evaluate associations between the scales, in addition to patient characteristics such as sex and suture involvement.
RESULTS: Mean ages at time of surgery and survey completion were 9.65 ± 10.10 months and 12.10 ± 3.92 years, respectively. Mean scale scores were 81.5 ± 17.9 for appearance, 86.8 ± 12.4 for symptoms, and 79.3 ± 25.7 for psychosocial impact. Higher patient dissatisfaction with scar appearance correlated with more scar-related symptoms (r = 0.389; p = 0.028) and a greater psychosocial impact (r = 0.725; p < 0.001). SCAR-Q scales did not significantly correlate with age at surgery, age at survey completion, type of synostosis, or type of surgery; however, female patients reported lower mean appearance (65.4 vs. 86.0; p = 0.012) and psychosocial impact (57.3 vs. 85.5; p = 0.010) scores when compared to their male counterparts.
CONCLUSIONS: It is vital that surgeons discuss patients\' aesthetic satisfaction following craniosynostosis surgery in order to appropriately address and limit deleterious, long-term physical and psychosocial outcomes.
摘要：
目的：虽然以前的文献调查了某些儿童颅面疾病与术后疤痕相关的心理社会影响和审美满意度，颅骨融合手术对瘢痕负担的影响尚未得到充分研究.
方法：SCAR-Q与8岁及以上的患者共享。记录了32例完整的患者反应。
方法：SCAR-Q是一个PROM，由三个独立的尺度组成-外观，症状,和心理社会影响-与疤痕有关。
方法：Mann-WhitneyU，线性回归，和Pearson相关性检验用于评估量表之间的关联，除了患者的性别和缝合参与等特征。
结果：手术和调查完成时的平均年龄分别为9.65±10.10个月和12.10±3.92岁，分别。外观的平均量表评分为81.5±17.9，症状为86.8±12.4，心理社会影响为79.3±25.7。患者对瘢痕外观的不满意程度越高，与瘢痕相关的症状越多（r=0.389；p=0.028）和社会心理影响越大（r=0.725；p<0.001）。SCAR-Q量表与手术年龄无显著相关性，调查完成时的年龄，滑膜类型,或手术类型；然而，女性患者报告平均外观较低(65.4vs.86.0；p=0.012）和社会心理影响（57.3vs.85.5；p=0.010）与男性相比时得分。
结论：至关重要的是，外科医生在颅骨融合手术后讨论患者的美学满意度，以便适当地解决和限制有害的，长期的身体和社会心理结果。
方法：SCAR-Q与8岁及以上的患者共享。记录了32例完整的患者反应。
方法：SCAR-Q是一个PROM，由三个独立的尺度组成-外观，症状,和心理社会影响-与疤痕有关。
方法：Mann-WhitneyU，线性回归，和Pearson相关性检验用于评估量表之间的关联，除了患者的性别和缝合参与等特征。
结果：手术和调查完成时的平均年龄分别为9.65±10.10个月和12.10±3.92岁，分别。外观的平均量表评分为81.5±17.9，症状为86.8±12.4，心理社会影响为79.3±25.7。患者对瘢痕外观的不满意程度越高，与瘢痕相关的症状越多（r=0.389；p=0.028）和社会心理影响越大（r=0.725；p<0.001）。SCAR-Q量表与手术年龄无显著相关性，调查完成时的年龄，滑膜类型,或手术类型；然而，女性患者报告平均外观较低(65.4vs.86.0；p=0.012）和社会心理影响（57.3vs.85.5；p=0.010）与男性相比时得分。
结论：至关重要的是，外科医生在颅骨融合手术后讨论患者的美学满意度，以便适当地解决和限制有害的，长期的身体和社会心理结果。
