<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922025000300263</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922025000300007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación de la calidad de vida en niños tratados por labio y paladar hendido en una clínica del noroeste de México]]></article-title>
<article-title xml:lang="en"><![CDATA[Assessment of quality of life in children treated for cleft lip and palate in a specialized clinic in Northwestern Mexico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chávez]]></surname>
<given-names><![CDATA[Victoria Gallardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto]]></surname>
<given-names><![CDATA[Juan M. Meraz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto]]></surname>
<given-names><![CDATA[Alan A. Meraz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alarcón]]></surname>
<given-names><![CDATA[Graciela Manriquez]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno]]></surname>
<given-names><![CDATA[Alicia Sigler]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Regional Nº1, Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Ciudad Obregón Sonora]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Médico Cirujano; Facultad de Medicina Centro Estudiantil Universitario Xochicalco ]]></institution>
<addr-line><![CDATA[Baja California ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Autónoma de Baja California Facultad de Medicina Estudiante de Medicina]]></institution>
<addr-line><![CDATA[Baja California ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,San Diego State University Facultad de Medicina Estudiante de Medicina]]></institution>
<addr-line><![CDATA[San Diego California]]></addr-line>
<country>Estados Unidos</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Médico Adscrito al Servicio de Cirugía Plástica y Reconstructiva; Tijuana Especialista en Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Baja California ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<volume>51</volume>
<numero>3</numero>
<fpage>263</fpage>
<lpage>268</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922025000300263&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922025000300263&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922025000300263&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. El labio y paladar hendido es la malformación craneofacial congénita más frecuente y tiene repercusiones significativas en el desarrollo físico, funcional y psicosocial. Puede afectar negativamente el habla, la audición, la estética facial, la autoestima y la integración social, requiriendo un tratamiento multidisciplinario complejo desde el nacimiento hasta la edad adulta. El objetivo de este estudio fue evaluar la calidad de vida relacionada con la salud en niños con labio y paladar hendido en una clínica especializada del noroeste de México e identificar los factores asociados con mejores resultados.  Material y método. Estudio prospectivo, observacional y descriptivo que incluyó 50 pacientes, todos con al menos una cirugía correctiva previa. Los participantes fueron atendidos en una clínica especializada en labio y paladar hendido. La versión mexicana validada del cuestionario KIDSCREEN-52 se aplicó entre noviembre de 2023 y mayo de 2024. Analizamos las asociaciones entre calidad de vida y dinámica familiar, acceso a apoyo psicológico profesional, participación en actividades deportivas y artísticas, y tenencia de mascotas.  Resultados. La cohorte estuvo compuesta por 35 hombres y 15 mujeres, con edades comprendida entre 8 y 19 años. Observamos asociaciones significativas entre mejores puntajes de calidad de vida y dinámica familiar positiva (p&lt;.001), acceso a apoyo psicológico profesional (p&lt;.001), participación en actividades deportivas o artísticas (p&lt;.001) y tenencia de mascotas (p=0.004). El uso de videojuegos (p=0.722) y el número de procedimientos quirúrgicos (p=0.985) no mostraron asociaciones significativas.  Conclusiones. En los niños con labio y paladar hendido de nuestro grupo de estudio, los factores psicosociales y ambientales influyeron en mayor medida sobre la calidad de vida que el número de intervenciones quirúrgicas realizadas. En nuestra experiencia, el fortalecimiento de las redes de apoyo familiar, el acceso a atención psicológica profesional, el fomento de la actividad deportiva y artística, y la interacción con mascotas, pueden contribuir de manera sustancial a mejorar el bienestar general de esta población. Nivel de evidencia científica 4c Terapéutico]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective. Cleft lip and palate is the most common congenital craniofacial malformation and has profound implications for physical, functional, and psychosocial development. This condition can adversely affect speech, hearing, facial aesthetics, self-esteem, and social integration, requiring complex multidisciplinary treatment from birth through adulthood. The present study aimed to evaluate health-related quality of life in children with cleft lip and palate in a specialized clinic in Northwestern Mexico and to identify factors associated with improved outcomes.  Methods. A prospective, observational, descriptive study was conducted including 50 patients who had undergone at least one corrective surgical procedure. All participants were treated at a specialized cleft lip and palate clinic. The validated Mexican version of the KIDSCREEN-52 questionnaire was administered between November 2023 and May 2024. Associations between quality of life and family dynamics, access to professional psychological support, engagement in sports and artistic activities, and pet ownership were analyzed.  Results. The cohort consisted of 35 males and 15 females, with ages between 8 and 19 years. Higher quality of life scores was significantly associated with positive family dynamics (p&lt;.001), access to professional psychological support (p&lt;.001), participation in sports or artistic activities (p&lt;.001), and pet ownership (p=0.004). Video game use (p=0.722) and the number of surgical interventions (p=0.985) showed no significant associations.  Conclusions. In children with cleft lip and palate of our group, psychosocial and environmental factors exert a greater influence on quality of life than the number of surgical procedures performed. In our experience, strategies aimed at strengthening family support networks, ensuring access to psychological care, promoting sports and artistic activities, and fostering interaction with pets may substantially improve overall well-being in this population. Level of evidence 4c Therapeutic]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Cleft lip palate]]></kwd>
<kwd lng="en"><![CDATA[Craniofacial malformation]]></kwd>
<kwd lng="en"><![CDATA[Quality of life.]]></kwd>
<kwd lng="es"><![CDATA[Labio paladar hendido]]></kwd>
<kwd lng="es"><![CDATA[Malformaciones craneofaciales]]></kwd>
<kwd lng="es"><![CDATA[Calidad de vida.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Palmero Picazo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Gallegos]]></surname>
<given-names><![CDATA[MF.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Labio y paladar hendido. Conceptos actuales]]></article-title>
<source><![CDATA[Acta Méd. Grupo Ángeles]]></source>
<year>2019</year>
<volume>17</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>372-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dash]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Mohapatra]]></surname>
<given-names><![CDATA[DP]]></given-names>
</name>
<name>
<surname><![CDATA[Dash]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Feeding interventions among cleft lip/palate infants: A systematic review and meta-synthesis]]></article-title>
<source><![CDATA[J. Cleft Lip Palate Craniofac. Anomalies]]></source>
<year>2023</year>
<volume>10</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>14-25</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mai]]></surname>
<given-names><![CDATA[CT]]></given-names>
</name>
<name>
<surname><![CDATA[Cassell]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
<name>
<surname><![CDATA[Meyer]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Birth defects data from population-based birth defects surveillance programs in the United States, 2007 to 2011: Highlighting orofacial clefts]]></article-title>
<source><![CDATA[Birth Defects Res. A Clin. Mol. Teratol]]></source>
<year>2014</year>
<volume>100</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>895-904</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wong]]></surname>
<given-names><![CDATA[FK]]></given-names>
</name>
<name>
<surname><![CDATA[Hagg]]></surname>
<given-names><![CDATA[U.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An update on the aetiology of orofacial clefts]]></article-title>
<source><![CDATA[Hong Kong Med. J]]></source>
<year>2004</year>
<volume>10</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>331-6</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Burg]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Chai]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Yao]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiology, etiology, and treatment of isolated cleft palate]]></article-title>
<source><![CDATA[Front. Physiol]]></source>
<year>2016</year>
<volume>7</volume>
<numero>67</numero>
<issue>67</issue>
<page-range>1-11</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<collab>World Health Organization</collab>
<article-title xml:lang=""><![CDATA[What quality of life? The WHOQOL Group. World Health Organization Quality of Life Assessment]]></article-title>
<source><![CDATA[World Health Forum]]></source>
<year>1996</year>
<volume>17</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>354-6</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Crockett]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Goudy]]></surname>
<given-names><![CDATA[SL.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cleft lip and palate]]></article-title>
<source><![CDATA[Facial Plast. Surg. Clin. North Am]]></source>
<year>2014</year>
<volume>22</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>573-86</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Anne]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Klassen]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Tsangaris]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quality of life of children treated for cleft lip and/or palate: A systematic review]]></article-title>
<source><![CDATA[Br. J. Plast. Surg]]></source>
<year>2012</year>
<volume>65</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>547-57</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pasini]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cagidiaco]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Fambrini]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Life quality of children affected by cleft lip palate and alveolus (CLPA)]]></article-title>
<source><![CDATA[Children]]></source>
<year>2022</year>
<volume>9</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1-8</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yusof]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Mohd Ibrahim]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The impact of cleft lip and palate on the quality of life of young children: A scoping review]]></article-title>
<source><![CDATA[Med. J. Malaysia]]></source>
<year>2023</year>
<volume>78</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>250-8</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aljohani]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Yates]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ashley]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluation of quality of life in adult individuals with cleft lip and/or palate]]></article-title>
<source><![CDATA[J. Craniofac. Surg]]></source>
<year>2021</year>
<volume>32</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>505-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sigler]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Protocolo para la planificación quirúrgica en las clínicas de labio y paladar hendidos en la zona noroeste de la República Mexicana]]></article-title>
<source><![CDATA[Cir. plást. iberolatinoam]]></source>
<year>2017</year>
<volume>43</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>313-25</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Otto]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Do 8- to 18-year-old children/adolescents with chronic physical health conditions have worse health-related quality of life than their healthy peers? A meta-analysis of studies using the KIDSCREEN questionnaires]]></article-title>
<source><![CDATA[Qual. Life Res]]></source>
<year>2019</year>
<volume>28</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1725-50</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ravens-Sieberer]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Gosch]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rajmil]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<collab>KIDSCREEN Group</collab>
<article-title xml:lang=""><![CDATA[The KIDSCREEN-52 quality of life measure for children and adolescents: Psychometric results from a cross-cultural survey in 13 European countries]]></article-title>
<source><![CDATA[Value Health]]></source>
<year>2008</year>
<volume>11</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>645-58</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hidalgo-Rasmussen]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Rajmil]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Espinoza]]></surname>
<given-names><![CDATA[RM.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adaptación transcultural del cuestionario KIDSCREEN para medir calidad de vida relacionada con la salud en población mexicana de 8 a 18 años]]></article-title>
<source><![CDATA[Ciênc. Saúde Coletiva]]></source>
<year>2014</year>
<volume>19</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>2215-24</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
