Oh Tae Suk, Choi Jong Woo, Koh Kyung S
Department of Plastic and Reconstructive Surgery, Seoul Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
J Craniofac Surg. 2011 Nov;22(6):2080-3. doi: 10.1097/SCS.0b013e3182319971.
Conventional anthropometry using photographs has been widely used, but it does not provide accurate length. For upper lip asymmetry analysis, three-dimensional photographic system (3D VECTRA; Canfield, Fairfield, NJ) was used to calculate the ratio of cleft-side and noncleft-side curvature lengths. Thirty patients with unilateral cleft lip were analyzed. Three-dimensional photographic system was used to calculate the length ratio of upper lip of cleft and noncleft sides. In addition, two-dimensional photographs were analyzed by 10 plastic surgeons, and upper lip asymmetry was scored using a visual analog scale (VAS). Pearson analysis was used to identify relations between the ratios and the VAS scores. Intrarater reliability for the VAS scores ranged from 0.653 to 0.925, and interrater reliability was 0.611. Pearson correlation coefficients for each ratio and the VAS score were 0.412 (P = 0.024) for cleft-side to noncleft-side curvature length ratio of Cupid’s bow, 0.250 (P = 0.182) for cleft-side to noncleft-side curvature length ratio from the commissure to the lowest point of the nasal ala, 0.214 (P = 0.018) for linear length ratio of Cupid’s bow, and 0.356 (P = 0.153) for linear length ratio from the commissure to the lowest point of the nasal ala. Analysis of upper lip asymmetry in unilateral cleft lip patients using the three-dimensional photographic system is more accurate than two-dimensional anthropometry. Horizontal curvature length ratio was the most strongly correlated with VAS score.
使用照片的传统人体测量法已被广泛应用，但它无法提供精确的长度。对于上唇不对称分析，采用三维摄影系统（3D VECTRA；Canfield，费尔菲尔德，新泽西州）来计算患侧和非患侧曲线长度的比值。对30例单侧唇裂患者进行了分析。使用三维摄影系统计算上唇患侧和非患侧的长度比值。此外，10位整形外科医生对二维照片进行了分析，并使用视觉模拟量表（VAS）对上唇不对称进行评分。采用Pearson分析来确定这些比值与VAS评分之间的关系。VAS评分的组内信度范围为0.653至0.925，组间信度为0.611。丘比特弓患侧与非患侧曲线长度比值与VAS评分的Pearson相关系数为0.412（P = 0.024），从口角到鼻翼最低点患侧与非患侧曲线长度比值为0.250（P = 0.182），丘比特弓直线长度比值为0.214（P = 0.018），从口角到鼻翼最低点直线长度比值为0.356（P = 0.153）。使用三维摄影系统分析单侧唇裂患者的上唇不对称比二维人体测量法更准确。水平曲线长度比值与VAS评分的相关性最强。
