Mayfield Cory K, Thomas Ian, Shauly Orr, Gould Daniel J, Seruya Mitchel
Department of Plastic and Reconstructive Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Aesthet Surg J Open Forum. 2020 Nov 7;3(1):ojaa046. doi: 10.1093/asjof/ojaa046. eCollection 2021 Jan.
It has recently been attempted in the literature to analyze the aesthetic outcomes of syndactyly web space reconstruction utilizing dorsal pentagonal advancement flaps and dorsal rectangular flaps with skin grafting. The study utilized a categorical grading system for evaluating the aesthetic outcomes of reconstruction to be used in conjunction with a visual analog scale (VAS), which has yet to be validated in the assessment of aesthetic outcomes following web space reconstruction.
To utilize crowdsourced public perceptions to validate the grading of aesthetic outcomes in web space reconstruction for finger syndactyly.
A prospective study was conducted of random volunteers recruited through an internet crowdsourcing service to gain responses for a survey to analyze patient opinions toward the aesthetic outcomes of web space reconstruction. Outcomes were graded based on descriptions of the appearance, color, matte, and distortion of the reconstruction.
The excellent dorsal flap demonstrated a mean VAS score of 6.66 (95% confidence interval [CI] = 6.45-6.87), and the very good, good, and poor dorsal flaps had mean VAS scores of 5.94 (95% CI = 5.73-6.15), 4.98 (95% CI = 4.77-5.19), and 3.55 (95% CI = 3.31-3.79), respectively. The odds ratio for receiving an excellent rating was 4.21 (95% CI = 3.04-5.82) for excellent dorsal flap with < 0.0001.
This study confirms and validates the assessment of aesthetic outcomes of web space reconstruction by the Yuan Grading Scale. This evidence may guide future practice such that recommendations can be made to align with the aesthetic preferences of the patient.
最近文献中尝试分析利用背侧五边形推进皮瓣和带皮肤移植的背侧矩形皮瓣进行并指蹼间隙重建的美学效果。该研究使用了一种分类分级系统来评估重建的美学效果，并结合视觉模拟量表（VAS），但该量表在蹼间隙重建后的美学效果评估中尚未得到验证。
利用众包的公众认知来验证手指并指蹼间隙重建美学效果的分级。
通过互联网众包服务招募随机志愿者进行前瞻性研究，以获取调查回复，分析患者对蹼间隙重建美学效果的看法。根据重建的外观、颜色、质地和畸形情况进行分级。
优秀的背侧皮瓣平均VAS评分为6.66（95%置信区间[CI]=6.45-6.87），非常好、好和差的背侧皮瓣平均VAS评分分别为5.94（95%CI=5.73-6.15）、4.98（95%CI=4.77-5.19）和3.55（95%CI=3.31-3.79）。优秀背侧皮瓣获得优秀评级的优势比为4.21（95%CI=3.04-5.82），P<0.0001。
本研究证实并验证了袁氏分级量表对蹼间隙重建美学效果的评估。这一证据可为未来的实践提供指导，以便能够根据患者的美学偏好提出建议。
