Aesthet Surg J. 2023 Jun 14;43(7):NP560-NP572. doi: 10.1093/asj/sjad041.
There is a scarcity of scales that assess platysmal bands, wrinkles in the décolleté, and horizontal neck lines in the digital and live setting.
The objective of this investigation was to create and validate 5-point photonumeric scales that assess horizontal neck lines, platysmal bands, and wrinkles in the décolleté.
A medical team created 3 different novel 5-point photonumeric scales for the assessment of horizontal neck lines, platysmal bands, and décolleté wrinkling. Eleven international raters were involved in the digital validation, and 4 raters performed a live validation.
The Croma (Leobendorf, Austria) Horizontal Neck Lines Assessment Scale showed substantial interrater agreement and almost perfect intrarater agreement in the digital and live validations, respectively. The Croma Platysmal Bands Assessment Scale showed substantial intrarater agreement in both digital and live validations. For the décolleté, a static scale and a dynamic scale were created and validated. The Croma Static Décolleté Wrinkles Assessment Scale showed substantial and almost perfect interrater agreement in the digital and live validations, respectively, and the intrarater agreement in both was almost perfect. The Croma Dynamic Décolleté Wrinkles Assessment Scale showed almost perfect agreement in both validation settings for both interrater and intrarater measures.
The Croma Horizontal Neck Lines Assessment Scale and the Croma Static and Dynamic Décolleté Wrinkles Assessment Scales have sufficient interrater and intrarater agreement for justifiable use in clinical and research settings.
目前缺乏评估颈阔肌带、颈前皱纹和水平颈部线条的数字和现场评估工具。
本研究旨在创建和验证用于评估水平颈部线条、颈阔肌带和颈前皱纹的 5 分光电数字评分尺。
一个医疗团队创建了 3 种不同的颈前皱纹、颈阔肌带和颈前皱纹评估的 5 分光电数字评分尺。11 名国际评估员参与了数字验证，4 名评估员进行了现场验证。
在数字和现场验证中，Croma（奥地利莱奥本多夫）水平颈部线条评估量表的评估者间信度均为高度一致，评估者内信度均为几乎完美一致。Croma 颈阔肌带评估量表在数字和现场验证中均具有高度的评估者内信度。针对颈前皱纹，创建并验证了一个静态和一个动态评分尺。Croma 静态颈前皱纹评估量表在数字和现场验证中的评估者间信度均为高度一致，评估者内信度均为几乎完美一致。Croma 动态颈前皱纹评估量表在两种验证设置中的评估者间和评估者内信度均为几乎完美一致。
Croma 水平颈部线条评估量表和 Croma 静态和动态颈前皱纹评估量表具有足够的评估者间和评估者内信度，可在临床和研究环境中合理使用。
