Cussons P D, Murison M S, Fernandez A E, Pigott R W
Department of Plastic and Reconstructive Surgery, Frenchay Hospital, Bristol.
Br J Plast Surg. 1993 Jan;46(1):7-12. doi: 10.1016/0007-1226(93)90057-i.
There is a need to be able to assess the overall result in a significant series of cases of a method of management of the cleft lip and nose deformity in order to avoid "best case" reporting often used to introduce new techniques. The present study was performed by a panel placing standardised base view photographs in rank order. The photographs were of 10-year-old subjects of whom 15 were normal controls, 22 were from the Rikshospitalet, Oslo, all of whom had no primary nasal correction and 25 from Frenchay Hospital, Bristol, who all had radical primary nasal correction. Ranking was performed for upper nasal perimeter symmetry, nostril outline symmetry and for overall aesthetic appearance. Analysis of the results showed a significant difference between the three groups, with the corrected noses showing better symmetry. Inter and intraobserver correlations were very close. The limitations of a ranking and marking method of panel assessment are discussed, and a computerised method is presented in subsequent papers.
为避免常被用于介绍新技术的“最佳案例”报告，有必要对一系列唇鼻畸形治疗方法的总体结果进行评估。本研究由一个小组通过对标准化的正面照片进行排序来完成。照片中的对象均为10岁，其中15名是正常对照，22名来自奥斯陆的里克斯霍斯皮特尔医院，他们均未接受过初次鼻矫正，25名来自布里斯托尔的弗伦奇医院，他们都接受过根治性初次鼻矫正。对鼻上周长对称性、鼻孔轮廓对称性和整体美观度进行了排序。结果分析显示三组之间存在显著差异，矫正后的鼻子对称性更好。观察者间和观察者内的相关性非常紧密。讨论了小组评估的排序和评分方法的局限性，并在后续论文中介绍了一种计算机化方法。
