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Judgment of Nasolabial Esthetics in Cleft Lip and Palate Is Not Influenced by Overall Facial Attractiveness.
Cleft Palate Craniofac J. 2016 05; 53(3):e45-52.CP

Abstract

OBJECTIVE

To determine whether judgment of nasolabial esthetics in cleft lip and palate (CLP) is influenced by overall facial attractiveness.

DESIGN

Experimental study.

SETTING

University of Bern, Switzerland.

SUBJECTS AND METHODS

Seventy-two fused images (36 of boys, 36 of girls) were constructed. Each image comprised (1) the nasolabial region of a treated child with complete unilateral CLP (UCLP) and (2) the external facial features, i.e., the face with masked nasolabial region, of a noncleft child. Photographs of the nasolabial region of six boys and six girls with UCLP representing a wide range of esthetic outcomes, i.e., from very good to very poor appearance, were randomly chosen from a sample of 60 consecutively treated patients in whom nasolabial esthetics had been rated in a previous study. Photographs of external facial features of six boys and six girls without UCLP with various esthetics were randomly selected from patients' files. Eight lay raters evaluated the fused images using a 100-mm visual analogue scale. Method reliability was assessed by reevaluation of fused images after >1 month. A regression model was used to analyze which elements of facial esthetics influenced the perception of nasolabial appearance.

RESULTS

Method reliability was good. A regression analysis demonstrated that only the appearance of the nasolabial area affected the esthetic scores of fused images (coefficient = -11.44; P < .001; R(2) = 0.464). The appearance of the external facial features did not influence perceptions of fused images.

CONCLUSION

Cropping facial images for assessment of nasolabial appearance in CLP seems unnecessary. Instead, esthetic evaluation can be performed on images of full faces.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25932752

Citation

Kocher, Katharina, et al. "Judgment of Nasolabial Esthetics in Cleft Lip and Palate Is Not Influenced By Overall Facial Attractiveness." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 53, no. 3, 2016, pp. e45-52.
Kocher K, Kowalski P, Kolokitha OE, et al. Judgment of Nasolabial Esthetics in Cleft Lip and Palate Is Not Influenced by Overall Facial Attractiveness. Cleft Palate Craniofac J. 2016;53(3):e45-52.
Kocher, K., Kowalski, P., Kolokitha, O. E., Katsaros, C., & Fudalej, P. S. (2016). Judgment of Nasolabial Esthetics in Cleft Lip and Palate Is Not Influenced by Overall Facial Attractiveness. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 53(3), e45-52. https://doi.org/10.1597/14-019
Kocher K, et al. Judgment of Nasolabial Esthetics in Cleft Lip and Palate Is Not Influenced By Overall Facial Attractiveness. Cleft Palate Craniofac J. 2016;53(3):e45-52. PubMed PMID: 25932752.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Judgment of Nasolabial Esthetics in Cleft Lip and Palate Is Not Influenced by Overall Facial Attractiveness. AU - Kocher,Katharina, AU - Kowalski,Piotr, AU - Kolokitha,Olga-Elpis, AU - Katsaros,Christos, AU - Fudalej,Piotr S, Y1 - 2015/05/01/ PY - 2015/5/2/entrez PY - 2015/5/2/pubmed PY - 2018/4/25/medline KW - cleft lip KW - cleft palate KW - esthetics SP - e45 EP - 52 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac. J. VL - 53 IS - 3 N2 - OBJECTIVE: To determine whether judgment of nasolabial esthetics in cleft lip and palate (CLP) is influenced by overall facial attractiveness. DESIGN: Experimental study. SETTING: University of Bern, Switzerland. SUBJECTS AND METHODS: Seventy-two fused images (36 of boys, 36 of girls) were constructed. Each image comprised (1) the nasolabial region of a treated child with complete unilateral CLP (UCLP) and (2) the external facial features, i.e., the face with masked nasolabial region, of a noncleft child. Photographs of the nasolabial region of six boys and six girls with UCLP representing a wide range of esthetic outcomes, i.e., from very good to very poor appearance, were randomly chosen from a sample of 60 consecutively treated patients in whom nasolabial esthetics had been rated in a previous study. Photographs of external facial features of six boys and six girls without UCLP with various esthetics were randomly selected from patients' files. Eight lay raters evaluated the fused images using a 100-mm visual analogue scale. Method reliability was assessed by reevaluation of fused images after >1 month. A regression model was used to analyze which elements of facial esthetics influenced the perception of nasolabial appearance. RESULTS: Method reliability was good. A regression analysis demonstrated that only the appearance of the nasolabial area affected the esthetic scores of fused images (coefficient = -11.44; P < .001; R(2) = 0.464). The appearance of the external facial features did not influence perceptions of fused images. CONCLUSION: Cropping facial images for assessment of nasolabial appearance in CLP seems unnecessary. Instead, esthetic evaluation can be performed on images of full faces. SN - 1545-1569 UR - https://www.unboundmedicine.com/medline/citation/25932752/Judgment_of_Nasolabial_Esthetics_in_Cleft_Lip_and_Palate_Is_Not_Influenced_by_Overall_Facial_Attractiveness_ L2 - http://journals.sagepub.com/doi/full/10.1597/14-019?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -