Department of Orthodontics, Dental School, University of Athens, Greece.
Eur J Orthod. 2012 Oct;34(5):553-60. doi: 10.1093/ejo/cjr073. Epub 2011 Jul 19.
The aim of the study was to analyse the aesthetic evaluation of head photographs of treated individuals with clefts by laypeople and professionals and to investigate how certain cephalometric variables could be related to their rating. A set of five standardized head photos (frontal, both laterals, three-quater right and left) of 12 Caucasian patients with treated unilateral cleft lip and palate were presented to 12 adult laypeople, 12 orthodontists, and 12 maxillofacial surgeons. For each set of photos the judges had to answer four questions on a visual analogue scale (VAS). The answers were analysed for intra- and inter-panel level of agreement and correlations of assessments with certain cephalometric parameters were determined. There was a high level of agreement for all assessments of each panel of raters. However, laypeople were less satisfied with lip and nose aesthetics compared to professionals. The three groups were similarly satisfied with the aesthetics of the jaws and the face. The anterior position of the maxilla (SNA) influenced positively professionals' ratings of facial aesthetics. Orthodontists were negatively influenced when the vertical dimension of the face or the distance of the lower lip to E-plane were relatively increased. The latter was the only cephalometric parameter correlated with lower aesthetic scores obtained from laypeople. Professionals report greater satisfaction from the treatment outcome and evaluate cleft consequences with less severity than laypeople. According to cephalometric findings, the relative positions of the lips seem to dominate facial aesthetics' appreciation by laypeople, while specialists appear to focus on different features of the face.
本研究旨在分析非专业人士和专业人士对面部照片的美学评价，并探讨某些头影测量变量如何与他们的评价相关。一组 12 名接受单侧唇腭裂治疗的白种人患者的 5 张标准化头照（正面、双侧侧面、右侧和左侧四分之三）被呈现给 12 名成年非专业人士、12 名正畸医生和 12 名颌面外科医生。对于每组照片，评判者必须在视觉模拟量表（VAS）上回答四个问题。分析了答案的组内和组间一致性，并确定了评估与某些头影测量参数的相关性。每个评判小组的所有评估都具有高度的一致性。然而，与专业人士相比，非专业人士对唇鼻美学的满意度较低。三个小组对颌骨和面部的美学满意度相似。上颌骨的前位置（SNA）对专业人士的面部美学评价有积极影响。当面部的垂直维度或下唇到 E 平面的距离相对增加时，正畸医生的评价受到负面影响。这是唯一一个与非专业人士获得的较低美学评分相关的头影测量参数。专业人士报告说，他们对治疗结果更满意，并评估唇腭裂的后果时，严重程度低于非专业人士。根据头影测量的发现，嘴唇的相对位置似乎主导了非专业人士对面部美学的欣赏，而专家似乎更关注面部的不同特征。
