Wamalwa Peter, Amisi Stella Kabarika, Wang Yunji, Chen Song
Section of Orthodontics, Department of Dentistry, Kenyatta National Hospital, Nairobi, Kenya.
J Craniofac Surg. 2011 May;22(3):1064-72. doi: 10.1097/SCS.0b013e31821075d8.
The purpose of this study was to determine the average angular dimensions that define the normal soft-tissue facial profiles of black Kenyans and Chinese and compare them with each other and with values proposed for whites. Standardized facial profile photographs, taken in natural head position, of 177 black Kenyans and 156 Chinese with normal occlusion and well-balanced faces were analyzed for 12 angular parameters. Two-sample t-tests were used to determine sex and racial differences. Kenyan and Chinese averages were compared with proposed white values using 1-sample t-tests. Eight parameters in Kenyans and 7 in Chinese showed sex differences. All angles, except for facial convexity, nasal dorsum, and inferior facial height, were different between Kenyans and Chinese. Kenyan and Chinese averages for all parameters were different from proposed white average, except for facial convexity. Nasolabial and mentolabial angles showed large individual variability and racial differences. The study demonstrated many differences in average angular measurements of the facial profiles of black Kenyans, Chinese, and white standards. Orthodontists, maxillofacial and plastic surgeons, and other clinicians working in the craniofacial region should bear these in mind when setting aesthetic treatment goals for patients of different races. Mean values from this study can be used for comparison with similar records of subjects with same ethnicity.
本研究的目的是确定界定肯尼亚黑人与中国人正常面部软组织轮廓的平均角度尺寸,并将它们相互比较,同时与针对白人提出的值进行比较。对177名肯尼亚黑人和156名中国人在自然头位下拍摄的标准化面部轮廓照片进行分析,这些人具有正常咬合且面部比例协调,分析内容为12个角度参数。采用双样本t检验来确定性别和种族差异。使用单样本t检验将肯尼亚人和中国人的平均值与提出的白人值进行比较。肯尼亚人中有8个参数、中国人中有7个参数存在性别差异。除面部凸度、鼻背和面部下高度外,肯尼亚人和中国人的所有角度均存在差异。除面部凸度外,肯尼亚人和中国人所有参数的平均值均与提出的白人平均值不同。鼻唇角和颏唇角显示出较大的个体变异性和种族差异。该研究表明,肯尼亚黑人、中国人和白人标准在面部轮廓平均角度测量方面存在许多差异。在为不同种族的患者设定美学治疗目标时,正畸医生、颌面外科医生、整形外科医生以及其他在颅面区域工作的临床医生应牢记这些差异。本研究的平均值可用于与同种族受试者的类似记录进行比较。