用于评估单侧完全性唇裂修复效果的颏下鼻外观量表的开发：一项初步研究
Development of the Submental Nasal Appearance Scale for the Assessment of Repaired Unilateral Complete Cleft Lip: A Pilot Study.
作者信息
Tan Robin A, Isaac Kathryn V, Ganske Ingrid M, Mosmuller David G M, de Vet Henrica C W, Griot J Peter W Don, Mulliken John B
机构信息
1 Department of Plastic and Oral Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
2 Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
出版信息
Cleft Palate Craniofac J. 2019 Jul;56(6):791-798. doi: 10.1177/1055665618811507. Epub 2018 Nov 21.
OBJECTIVE
To develop the "Submental Nasal Appearance Scale" (SNAS), which is an easy-to-use objectified tool to represent a cleft surgeon's standard for assessment of the nasal appearance from the submental perspective.
DESIGN
Eighty-five photographs of patients with unilateral complete cleft lip and palate were selected and cropped, displaying the submental view. Sixty-one photographs were used to develop 5 sets of reference photographs. Three cleft surgeons graded 24 photographs with these sets and subjectively graded the overall nasal appearance as well. Internal agreement for both methods was calculated, as well as correlation between them. The SNAS was created, by only using the combination of sets that showed the highest reliability and correlation.
SETTING
Boston Children's Hospital, Boston, Massachusetts.
PATIENTS
Six- to 9-year-old patients with unilateral complete cleft lip and palate.
RESULTS
The intrarater and interrater reliability was 0.84 and 0.79, respectively, for the SNAS and 0.76 and 0.62, respectively, for the overall appearance assessment. The correlation was 0.74 between the methods.
CONCLUSIONS
The SNAS is a reliable tool that reflects a cleft surgeon's standard and could be used independently or in combination with existing rating scales using the frontal and/or lateral view, for assessment after cleft lip repair.
目的
开发“颏下鼻外观量表”（SNAS），这是一种易于使用的客观工具，用于体现腭裂外科医生从颏下视角评估鼻外观的标准。
设计
选择并裁剪了85张单侧完全性唇腭裂患者的照片，展示颏下视图。61张照片用于制作5套参考照片。三位腭裂外科医生用这些照片组对24张照片进行评分，并对整体鼻外观进行主观评分。计算了两种方法的内部一致性以及它们之间的相关性。通过仅使用显示出最高可靠性和相关性的照片组组合来创建SNAS。
地点
马萨诸塞州波士顿市波士顿儿童医院。
患者
6至9岁的单侧完全性唇腭裂患者。
结果
SNAS的评分者内信度和评分者间信度分别为0.84和0.79，整体外观评估的评分者内信度和评分者间信度分别为0.76和0.62。两种方法之间的相关性为0.74。
结论
SNAS是一种可靠的工具，反映了腭裂外科医生的标准，可独立使用或与现有的使用正面和/或侧面视图的评分量表结合使用，用于唇裂修复后的评估。
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