Clinicians and laypeople assessment of facial attractiveness in patients with cleft lip and palate treated with LeFort I surgery or late maxillary protraction.

Clinicians and laypeople assessment of facial attractiveness in patients with cleft lip and palate treated with LeFort I surgery or late maxillary protraction.
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DOI:
10.1016/j.ijporl.2013.05.042
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发表时间:
2013-09
影响因子:
1.5
通讯作者:
Yen, Stephen L. -K.
Yen, Stephen L. -K.
中科院分区:
医学4区
文献类型:
--
作者:
Chung, Eun Hee;Borzabadi-Farahani, Ali;Yen, Stephen L. -K.

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比较两组唇腭裂合并安氏Ⅲ类错畸形患者在LeFort I手术和晚期上颌前牵引治疗后面部吸引力的变化。对32名患者(17名通过正颌手术矫正,17名通过晚期上颌前牵引矫正)拍摄了标准化的治疗前和治疗后照片。这些照片是随机的,42名临床医生和121名非专业人员通过基于网络的调查在10分FA量表上对其进行评级。在手术病例中,临床医生的平均FA值从4.45增加到5.16 [平均差异(MD)的95% CI,0.59-0.82,p<0.001],在延长病例中,从4.84增加到5.30(MD的95% CI,0.35-0.56,p<0.001)。手术病例中外行平均FA值从5.07增加到5.54(MD的95% CI,0.40-0.53,p<0.001),而在前伸病例中从5.51增加到5.68(MD的95% CI,0.11-0.23,p<0.001)。当患者合并时,外行人对FA的评分在治疗前比临床医生高0.64分(95%CI,0.54-0.74,p<0.001),在治疗后比临床医生高0.38分(95%CI,0.27-0.48,p<0.05)。两种治疗后,临床医生和外行都认为FA有所改善。非专业人员对FA的评分高于临床医生。
To assess the changes in the Facial Attractiveness (FA) in two groups of cleft lip and palate patients with Class III malocclusions treated using LeFort I surgery or late maxillary protraction. Standardized pre- and post-treatment photographs were taken of 32 patients (17 corrected by orthognathic surgery and 17 by late maxillary protraction). The photographs were randomized and 42 clinicians and 121 laypeople rated them on a 10-point FA scale via a web-based survey. Clinicians’ mean FA values increased from 4.45 to 5.16 [95% CI of Mean Difference (MD), 0.59–0.82, p<0.001] in surgical cases and 4.84 to 5.30 (95% CI of MD, 0.35–0.56, p<0.001) in protraction cases. The laypeople mean FA values increased from 5.07 to 5.54 (95% CI of MD, 0.40–0.53, p<0.001) in surgical cases and 5.51 to 5.68 (95% CI of MD, 0.11–0.23, p<0.001) in protraction cases. When patients combined, laypeople rated FA 0.64 points higher (95% CI, 0.54–0.74, p<0.001) in pre-treatment and 0.38 points higher (95% CI, 0.27–0.48, p<0.05) in post-treatment relative to clinicians. Both clinicians and laypeople perceived an improvement of FA after both treatments. Laypeople rated FA higher compared to clinicians.
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