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The use and reliability of SymNose for quantitative measurement of the nose and lip in unilateral cleft lip and palate patients.
J Craniomaxillofac Surg. 2016 Oct; 44(10):1515-1521.JC

Abstract

INTRODUCTION

It is essential to have a reliable assessment method in order to compare the results of cleft lip and palate surgery. In this study the computer-based program SymNose, a method for quantitative assessment of the nose and lip, will be assessed on usability and reliability.

METHODS

The symmetry of the nose and lip was measured twice in 50 six-year-old complete and incomplete unilateral cleft lip and palate patients by four observers. For the frontal view the asymmetry level of the nose and upper lip were evaluated and for the basal view the asymmetry level of the nose and nostrils were evaluated.

RESULTS

A mean inter-observer reliability when tracing each image once or twice was 0.70 and 0.75, respectively. Tracing the photographs with 2 observers and 4 observers gave a mean inter-observer score of 0.86 and 0.92, respectively. The mean intra-observer reliability varied between 0.80 and 0.84.

CONCLUSIONS

SymNose is a practical and reliable tool for the retrospective assessment of large caseloads of 2D photographs of cleft patients for research purposes. Moderate to high single inter-observer reliability was found. For future research with SymNose reliable outcomes can be achieved by using the average outcomes of single tracings of two observers.

Authors+Show Affiliations

Department of Plastic, Reconstructive and Hand Surgery (Head: Prof. Marco Ritt), VU University Medical Center Amsterdam, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands. Electronic address: davidmosmuller@hotmail.com.Department of Plastic, Reconstructive and Hand Surgery (Head: Prof. Marco Ritt), VU University Medical Center Amsterdam, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands. Electronic address: robintan100@gmail.com.Department of Plastic, Reconstructive and Hand Surgery (Head: Prof. Marco Ritt), VU University Medical Center Amsterdam, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands. Electronic address: f.j.mulder@student.vu.nl.Department of Plastic, Reconstructive and Hand Surgery (Head: Prof. Marco Ritt), VU University Medical Center Amsterdam, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands. Electronic address: y.bachour@vumc.nl.Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam, The Netherlands. Electronic address: hcw.devet@vumc.nl.Department of Plastic, Reconstructive and Hand Surgery (Head: Prof. Marco Ritt), VU University Medical Center Amsterdam, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands. Electronic address: dongriot@vumc.nl.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27562104

Citation

Mosmuller, David, et al. "The Use and Reliability of SymNose for Quantitative Measurement of the Nose and Lip in Unilateral Cleft Lip and Palate Patients." Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, vol. 44, no. 10, 2016, pp. 1515-1521.
Mosmuller D, Tan R, Mulder F, et al. The use and reliability of SymNose for quantitative measurement of the nose and lip in unilateral cleft lip and palate patients. J Craniomaxillofac Surg. 2016;44(10):1515-1521.
Mosmuller, D., Tan, R., Mulder, F., Bachour, Y., de Vet, H., & Don Griot, P. (2016). The use and reliability of SymNose for quantitative measurement of the nose and lip in unilateral cleft lip and palate patients. Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, 44(10), 1515-1521. https://doi.org/10.1016/j.jcms.2016.07.022
Mosmuller D, et al. The Use and Reliability of SymNose for Quantitative Measurement of the Nose and Lip in Unilateral Cleft Lip and Palate Patients. J Craniomaxillofac Surg. 2016;44(10):1515-1521. PubMed PMID: 27562104.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The use and reliability of SymNose for quantitative measurement of the nose and lip in unilateral cleft lip and palate patients. AU - Mosmuller,David, AU - Tan,Robin, AU - Mulder,Frans, AU - Bachour,Yara, AU - de Vet,Henrica, AU - Don Griot,Peter, Y1 - 2016/07/28/ PY - 2016/04/10/received PY - 2016/06/07/revised PY - 2016/07/18/accepted PY - 2016/8/27/pubmed PY - 2017/11/1/medline PY - 2016/8/27/entrez KW - Assessment KW - Cleft lip and palate KW - Nasolabial appearance KW - SymNose KW - Symmetry SP - 1515 EP - 1521 JF - Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery JO - J Craniomaxillofac Surg VL - 44 IS - 10 N2 - INTRODUCTION: It is essential to have a reliable assessment method in order to compare the results of cleft lip and palate surgery. In this study the computer-based program SymNose, a method for quantitative assessment of the nose and lip, will be assessed on usability and reliability. METHODS: The symmetry of the nose and lip was measured twice in 50 six-year-old complete and incomplete unilateral cleft lip and palate patients by four observers. For the frontal view the asymmetry level of the nose and upper lip were evaluated and for the basal view the asymmetry level of the nose and nostrils were evaluated. RESULTS: A mean inter-observer reliability when tracing each image once or twice was 0.70 and 0.75, respectively. Tracing the photographs with 2 observers and 4 observers gave a mean inter-observer score of 0.86 and 0.92, respectively. The mean intra-observer reliability varied between 0.80 and 0.84. CONCLUSIONS: SymNose is a practical and reliable tool for the retrospective assessment of large caseloads of 2D photographs of cleft patients for research purposes. Moderate to high single inter-observer reliability was found. For future research with SymNose reliable outcomes can be achieved by using the average outcomes of single tracings of two observers. SN - 1878-4119 UR - https://www.unboundmedicine.com/medline/citation/27562104/The_use_and_reliability_of_SymNose_for_quantitative_measurement_of_the_nose_and_lip_in_unilateral_cleft_lip_and_palate_patients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1010-5182(16)30156-1 DB - PRIME DP - Unbound Medicine ER -