Meng Tian, Ma Lian, Wang Zhi
First Clinical Division, Peking University School and Hospital of Stomatology, 37A Xishiku Street, Xi Cheng District, Beijing, 100034, China.
Aesthetic Plast Surg. 2015 Oct;39(5):757-63. doi: 10.1007/s00266-015-0546-0. Epub 2015 Aug 25.
This cross-sectional study aimed to compare subjective assessments among patients with cleft lip and palate (CLP), cleft surgeons, and lay people regarding the soft tissue lateral profile of CLP patients. We also investigated the correlations between subjective assessments and photogrammetric measurements.
A total of 150 CLP patients who wished to have treatment for their unattractive appearance were randomly selected. A standard lateral profile color photograph was taken. Panels of three cleft surgeons, ten CLP patients, and ten lay people were selected to be assessors. They rated nasal tip projection, nasolabial esthetics, upper and lower lip esthetics, and the profile for each photograph. Three angular measurements (nasal prominence angle, nasolabial angle, and lip angle) were measured for each photograph. Kendall's coefficient of concordance and logistic regression were used for statistical analysis.
Kendall's coefficient of concordance of nasal tip projection, nasolabial esthetics, upper and lower lip esthetics, and the profile were 0.734, 0.683, 0.828, and 0.747, respectively (p < 0.001). Lip angle was associated with the profile scores for cleft surgeons and CLP patients (p < 0.001). The nasal prominence angle and lip angle were associated with the profile scores for lay people (p < 0.001).
CLP patients, cleft surgeons, and lay people have similar attitudes to the appearance of CLP patients. Upper and lower lip esthetics is associated with the assessment of the cleft profile that is provided by CLP patients, cleft surgeons, and lay people. In addition, nasal tip projection is another determining factor for lay people.
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本横断面研究旨在比较唇腭裂（CLP）患者、腭裂外科医生和普通民众对CLP患者软组织侧貌的主观评估。我们还研究了主观评估与摄影测量之间的相关性。
随机选择150名希望治疗其外貌不佳的CLP患者。拍摄标准侧貌彩色照片。挑选了由三名腭裂外科医生、十名CLP患者和十名普通民众组成的小组作为评估者。他们对每张照片的鼻尖突出度、鼻唇美学、上下唇美学和侧貌进行评分。对每张照片测量三个角度（鼻突角、鼻唇角和唇角）。采用肯德尔和谐系数和逻辑回归进行统计分析。
鼻尖突出度、鼻唇美学、上下唇美学和侧貌的肯德尔和谐系数分别为0.734、0.683、0.828和0.747（p<0.001）。唇角与腭裂外科医生和CLP患者的侧貌评分相关（p<0.001）。鼻突角和唇角与普通民众的侧貌评分相关（p<0.001）。
CLP患者、腭裂外科医生和普通民众对CLP患者的外貌态度相似。上下唇美学与CLP患者、腭裂外科医生和普通民众对腭裂侧貌的评估相关。此外，鼻尖突出度是普通民众的另一个决定因素。
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