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Lay People Esthetic Evaluation of Primary Surgical Repair on Three-Dimensional Images of Cleft Lip and Palate Patients.Medicina (Kaunas). 2019 Sep 08; 55(9)M
Abstract
Background and Objectives:
Previous literature has disclosed that facial attractiveness affects the esthetic evaluation of nose and lip deformity on frontal and lateral photographs. However, it has never been debated if the removal of the external facial features on three-dimensional (3D) models ("cropped assessment bias") could provide a considerable usefulness in the interpretation and comparison of the results. Additionally, it has been assumed on two-dimensional (2D) studies that esthetic assessment biases with respect to observer gender, and it is not acknowledged if and to the extent that "gender assessment bias" may be influenced by a three-dimensional layout. The aim of this study is to investigate if facial traits and observers' gender may affect the esthetic ratings of unilateral cleft lip and palate (UCLP) patients after soft tissue reconstruction. Materials andMethods:
Three-dimensional images of ten UCLP patients' images were acquired before the intervention (T0), one-month (T1) and six-months (T2) postoperative. Geomagic® software (version 2014; 3D Systems, Rock Hill, SC, USA) was used to remove the external facial features of 3D surface models. Five-point scale developed by Asher-McDade et al. was used to rate both nasolabial attractiveness and impairment for full-face (FF) and cropped-face (CF) 3D images. Forty-three judges (21 males, 22 females) were enrolled for the esthetic evaluation. Intraclass correlation coefficient (ICC) was used to test intra- and inter-examiner reliability; a value of 0.7 was set as the minimum acceptable level of reliability.Results:
When comparing the 2 sets of observations (FF and CF), the ICC ranged from 0.654 to 0.823. Concerning gender assessment bias, the ICC ranged from 0.438 to 0.686 and from 0.722 to 0.788 for males and females, respectively. Concerning inter-examiner reliability, ICC for questions 2-7 ranged from 0.448 to 0.644 and from 0.659 to 0.817 at T0 and T2, respectively.Conclusions:
The removal of external facial features provides subtle differences on the esthetic assessment of UCLP patients. Moreover, based on our data, examiners' gender differences may affect esthetic assessment of UCLP patients. Despite the subjectivity of esthetic judgments, a reliable, validated and reproducible scoring protocol should consider the influence of gender differences on 3D esthetic assessment of UCLP patients.Links
MeSH
Pub Type(s)
Journal Article
Language
eng
PubMed ID
31500380
Citation
Staderini, Edoardo, et al. "Lay People Esthetic Evaluation of Primary Surgical Repair On Three-Dimensional Images of Cleft Lip and Palate Patients." Medicina (Kaunas, Lithuania), vol. 55, no. 9, 2019.
Staderini E, De Luca M, Candida E, et al. Lay People Esthetic Evaluation of Primary Surgical Repair on Three-Dimensional Images of Cleft Lip and Palate Patients. Medicina (Kaunas). 2019;55(9).
Staderini, E., De Luca, M., Candida, E., Rizzo, M. I., Rajabtork Zadeh, O., Bucci, D., Zama, M., Lajolo, C., Cordaro, M., & Gallenzi, P. (2019). Lay People Esthetic Evaluation of Primary Surgical Repair on Three-Dimensional Images of Cleft Lip and Palate Patients. Medicina (Kaunas, Lithuania), 55(9). https://doi.org/10.3390/medicina55090576
Staderini E, et al. Lay People Esthetic Evaluation of Primary Surgical Repair On Three-Dimensional Images of Cleft Lip and Palate Patients. Medicina (Kaunas). 2019 Sep 8;55(9) PubMed PMID: 31500380.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR
T1 - Lay People Esthetic Evaluation of Primary Surgical Repair on Three-Dimensional Images of Cleft Lip and Palate Patients.
AU - Staderini,Edoardo,
AU - De Luca,Marilisa,
AU - Candida,Ettore,
AU - Rizzo,Maria Ida,
AU - Rajabtork Zadeh,Oriana,
AU - Bucci,Daria,
AU - Zama,Mario,
AU - Lajolo,Carlo,
AU - Cordaro,Massimo,
AU - Gallenzi,Patrizia,
Y1 - 2019/09/08/
PY - 2019/06/24/received
PY - 2019/09/04/revised
PY - 2019/09/04/accepted
PY - 2019/9/11/entrez
PY - 2019/9/11/pubmed
PY - 2020/3/24/medline
KW - cleft lip and palate
KW - growth and development
KW - outcome assessment
KW - photogrammetry
KW - reconstructive surgical procedures
KW - soft tissue
KW - therapy
KW - treatment outcome
JF - Medicina (Kaunas, Lithuania)
JO - Medicina (Kaunas)
VL - 55
IS - 9
N2 - Background and Objectives: Previous literature has disclosed that facial attractiveness affects the esthetic evaluation of nose and lip deformity on frontal and lateral photographs. However, it has never been debated if the removal of the external facial features on three-dimensional (3D) models ("cropped assessment bias") could provide a considerable usefulness in the interpretation and comparison of the results. Additionally, it has been assumed on two-dimensional (2D) studies that esthetic assessment biases with respect to observer gender, and it is not acknowledged if and to the extent that "gender assessment bias" may be influenced by a three-dimensional layout. The aim of this study is to investigate if facial traits and observers' gender may affect the esthetic ratings of unilateral cleft lip and palate (UCLP) patients after soft tissue reconstruction. Materials and Methods: Three-dimensional images of ten UCLP patients' images were acquired before the intervention (T0), one-month (T1) and six-months (T2) postoperative. Geomagic® software (version 2014; 3D Systems, Rock Hill, SC, USA) was used to remove the external facial features of 3D surface models. Five-point scale developed by Asher-McDade et al. was used to rate both nasolabial attractiveness and impairment for full-face (FF) and cropped-face (CF) 3D images. Forty-three judges (21 males, 22 females) were enrolled for the esthetic evaluation. Intraclass correlation coefficient (ICC) was used to test intra- and inter-examiner reliability; a value of 0.7 was set as the minimum acceptable level of reliability. Results: When comparing the 2 sets of observations (FF and CF), the ICC ranged from 0.654 to 0.823. Concerning gender assessment bias, the ICC ranged from 0.438 to 0.686 and from 0.722 to 0.788 for males and females, respectively. Concerning inter-examiner reliability, ICC for questions 2-7 ranged from 0.448 to 0.644 and from 0.659 to 0.817 at T0 and T2, respectively. Conclusions: The removal of external facial features provides subtle differences on the esthetic assessment of UCLP patients. Moreover, based on our data, examiners' gender differences may affect esthetic assessment of UCLP patients. Despite the subjectivity of esthetic judgments, a reliable, validated and reproducible scoring protocol should consider the influence of gender differences on 3D esthetic assessment of UCLP patients.
SN - 1648-9144
UR - https://www.unboundmedicine.com/medline/citation/31500380/Lay_People_Esthetic_Evaluation_of_Primary_Surgical_Repair_on_Three_Dimensional_Images_of_Cleft_Lip_and_Palate_Patients_
L2 - https://www.mdpi.com/resolver?pii=medicina55090576
DB - PRIME
DP - Unbound Medicine
ER -