Kumar Narendra, Swift Arthur, Rahman Eqram
Postgraduate Medical Institute, Faculty of Medical Science, Anglia Ruskin University, Chelmsford, United Kingdom; and McGill University, Montréal, Canada.
Plast Reconstr Surg Glob Open. 2018 Mar 6;6(3):e1687. doi: 10.1097/GOX.0000000000001687. eCollection 2018 Mar.
A detailed understanding of facial anatomy, specifically the vascular framework, is crucial for delivering safe nonsurgical aesthetic procedures. To date, there is no core document based on consensus for the teaching of facial anatomy to aesthetic physicians exists. The aim of this study was to ascertain the most critical anatomical structures for avoiding disastrous complications during nonsurgical aesthetic procedures.
After a detailed literature review, Delphi questionnaire was developed listing 154 anatomical structures of the face and neck for consensus review. Thirty-five international experts in surgical and nonsurgical facial aesthetics were invited to complete an online survey designed to rank the relevance of each anatomical element on a Likert scale from 1 (not at all important) to 4 (very important) or 5 (no opinion). Consensus for items included in the core syllabus was predefined as achieving a Cronbach's α ≥ 0.90 and an agreement score of ≥ 80%.
Thirty-four international experts (97.14%) completed the iterative online Delphi survey. The consensus among the specialists polled was achieved after 1 round of the survey (Cronbach's α = 0.94). The expert panel reached an agreement score of ≥ 80% on 137 of the 154 anatomical structures listed.
The outcome of this Delphi study represents an essential first step in systematizing an evidence-based facial anatomy "Core Syllabus" for the teaching of aesthetic physicians and practitioners. This "Core Syllabus" will act as a blueprint for the educators while crafting a program.
对面部解剖结构，特别是血管框架有详细的了解，对于实施安全的非手术美容手术至关重要。迄今为止，尚无基于共识的面向美容医生的面部解剖学教学核心文件。本研究的目的是确定在非手术美容手术中避免灾难性并发症的最关键解剖结构。
在进行详细的文献综述后，制定了德尔菲问卷，列出了面部和颈部的154个解剖结构以供共识审查。邀请了35位国际外科和非手术面部美学专家完成一项在线调查，该调查旨在根据李克特量表将每个解剖元素的相关性从1（完全不重要）到4（非常重要）或5（无意见）进行排名。核心教学大纲中包含项目的共识预先定义为达到克朗巴哈系数α≥0.90且一致率≥80%。
34位国际专家（97.14%）完成了迭代在线德尔菲调查。在一轮调查后（克朗巴哈系数α = 0.94），参与投票的专家达成了共识。专家小组对列出的154个解剖结构中的137个达成了≥80%的一致率。
这项德尔菲研究的结果是朝着为美容医生和从业者系统化基于证据的面部解剖学“核心教学大纲”迈出的重要第一步。这个“核心教学大纲”将在制定课程时为教育工作者提供蓝图。
