Abbas Ozan Luay, Kurkcuoglu Ayla, Aytop Cigdem Derya, Uysal Cengiz, Pelin Can
Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Ahi Evran University, Kırşehir, Turkey.
Faculty of Medicine, Department of Anatomy, Başkent University, Ankara, Turkey.
Perception. 2017 Oct;46(10):1151-1170. doi: 10.1177/0301006617714214. Epub 2017 Jun 14.
Visual perception of symmetry is a major determinant of satisfaction after aesthetic rhinoplasty. In this study, we sought to investigate the existence of any relationship between anthropometric characteristics of the face and visual perceptions of asymmetry among rhinoplasty patients and to evaluate tools that can shed light on patients who appear at high risk for exaggerating potential asymmetries. In the first part, 168 rhinoplasty patients were asked to fill out the demographic questionnaire, nasal shape evaluation scale, and the somatosensory amplification scale. In the second part, we examined the relationship between anthropometric characteristics of the face and visual perceptions of asymmetry using standardized photographs of 100 medical students. In the third part, patients answered the rhinoplasty outcome evaluation questionnaire 6 months after the surgery. Objectively, no symmetrical face was observed in the anthropometric evaluation. Subjectively, only 73% and 54% of the faces were considered asymmetrical by the rhinoplasty and the control groups, respectively. The rate of asymmetry perception was significantly greater in revision patients when compared with primary rhinoplasty patients. The relationship between the rate of subjective perception of asymmetry and the somatosensory amplification scale scores was statistically significant. We found a significant inverse relationship between the rate of asymmetry perception and the rhinoplasty outcome evaluation scores. Plastic surgeons should be aware of this high selectivity in asymmetry perception, which is associated with poor postoperative satisfaction. Somatosensory amplification scale may help identify rhinoplasty patients at a high risk for exaggerating potential asymmetries.
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对称性的视觉感知是鼻整形术后满意度的主要决定因素。在本研究中，我们试图调查鼻整形患者面部人体测量特征与不对称视觉感知之间是否存在任何关系，并评估能够揭示那些可能夸大潜在不对称风险较高患者的工具。在第一部分，168名鼻整形患者被要求填写人口统计学调查问卷、鼻形评估量表和体感放大量表。在第二部分，我们使用100名医学生的标准化照片研究面部人体测量特征与不对称视觉感知之间的关系。在第三部分，患者在手术后6个月回答鼻整形结果评估问卷。客观上，在人体测量评估中未观察到对称的面部。主观上，鼻整形组和对照组分别仅有73%和54%的面部被认为不对称。与初次鼻整形患者相比，修复患者的不对称感知率显著更高。不对称主观感知率与体感放大量表得分之间的关系具有统计学意义。我们发现不对称感知率与鼻整形结果评估得分之间存在显著的负相关。整形外科医生应意识到这种在不对称感知方面的高选择性，这与术后满意度低有关。体感放大量表可能有助于识别那些有夸大潜在不对称高风险的鼻整形患者。
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