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Reference photographs for nasolabial appearance rating in unilateral cleft lip and palate.
J Craniofac Surg. 2009 Sep; 20 Suppl 2:1683-6.JC

Abstract

A popular method for nasolabial rating in unilateral cleft lip and palate (UCLP) is the Asher-McDade system consisting of a 5-point ordinal scale assessing nasal form, nasal symmetry, nasal profile, and vermilion border. The aim of the current study was to identify reference photographs illustrating this scale to facilitate its use.Four observers assessed nasolabial appearance on frontal and profile photographs of the nasolabial area of 42 children of Caucasian origin with a repaired UCLP at age 9 years. Cronbachs alpha, based on the individual scores of the 4 observers, ranged from 0.73 to 0.82 for the 4 nasolabial ratings, indicating a good reliability. The reliability of the overall score (mean of the 4 component scores) was also high (Cronbachs alpha, 0.83). Both for the nasolabial component ratings and for the overall score, duplicate measurement errors were small. The reliability for the mean of the 4 observers' scores was good, Spearman rank correlation coefficients ranging from 0.56 to 0.96.Subsequently, photographs were selected that showed the highest agreement among observers. For each of the 4 components (eg, nasal form, nasal deviation, nasal profile, and shape of the vermilion border), 5 photographs were selected to illustrate the whole range of the scale (score, 1-5), resulting in the selection of 20 pictures.It was concluded that nasolabial appearance rating can be performed reliably using a panel of judges and averaging the scores of all observers. Reference photographs, as developed from this study, may facilitate the rating task.

Authors+Show Affiliations

Department of Orthodontics and Oral Biology, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19816333

Citation

Kuijpers-Jagtman, Anne Marie, et al. "Reference Photographs for Nasolabial Appearance Rating in Unilateral Cleft Lip and Palate." The Journal of Craniofacial Surgery, vol. 20 Suppl 2, 2009, pp. 1683-6.
Kuijpers-Jagtman AM, Nollet PJ, Semb G, et al. Reference photographs for nasolabial appearance rating in unilateral cleft lip and palate. J Craniofac Surg. 2009;20 Suppl 2:1683-6.
Kuijpers-Jagtman, A. M., Nollet, P. J., Semb, G., Bronkhorst, E. M., Shaw, W. C., & Katsaros, C. (2009). Reference photographs for nasolabial appearance rating in unilateral cleft lip and palate. The Journal of Craniofacial Surgery, 20 Suppl 2, 1683-6. https://doi.org/10.1097/SCS.0b013e3181b3ed9c
Kuijpers-Jagtman AM, et al. Reference Photographs for Nasolabial Appearance Rating in Unilateral Cleft Lip and Palate. J Craniofac Surg. 2009;20 Suppl 2:1683-6. PubMed PMID: 19816333.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reference photographs for nasolabial appearance rating in unilateral cleft lip and palate. AU - Kuijpers-Jagtman,Anne Marie, AU - Nollet,Pieter J P M, AU - Semb,Gunvor, AU - Bronkhorst,Ewald M, AU - Shaw,William C, AU - Katsaros,Christos, PY - 2009/10/10/entrez PY - 2009/12/25/pubmed PY - 2010/5/5/medline SP - 1683 EP - 6 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 20 Suppl 2 N2 - A popular method for nasolabial rating in unilateral cleft lip and palate (UCLP) is the Asher-McDade system consisting of a 5-point ordinal scale assessing nasal form, nasal symmetry, nasal profile, and vermilion border. The aim of the current study was to identify reference photographs illustrating this scale to facilitate its use.Four observers assessed nasolabial appearance on frontal and profile photographs of the nasolabial area of 42 children of Caucasian origin with a repaired UCLP at age 9 years. Cronbachs alpha, based on the individual scores of the 4 observers, ranged from 0.73 to 0.82 for the 4 nasolabial ratings, indicating a good reliability. The reliability of the overall score (mean of the 4 component scores) was also high (Cronbachs alpha, 0.83). Both for the nasolabial component ratings and for the overall score, duplicate measurement errors were small. The reliability for the mean of the 4 observers' scores was good, Spearman rank correlation coefficients ranging from 0.56 to 0.96.Subsequently, photographs were selected that showed the highest agreement among observers. For each of the 4 components (eg, nasal form, nasal deviation, nasal profile, and shape of the vermilion border), 5 photographs were selected to illustrate the whole range of the scale (score, 1-5), resulting in the selection of 20 pictures.It was concluded that nasolabial appearance rating can be performed reliably using a panel of judges and averaging the scores of all observers. Reference photographs, as developed from this study, may facilitate the rating task. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/19816333/Reference_photographs_for_nasolabial_appearance_rating_in_unilateral_cleft_lip_and_palate_ L2 - http://dx.doi.org/10.1097/SCS.0b013e3181b3ed9c DB - PRIME DP - Unbound Medicine ER -