Eye Tracking to Determine Noticeability of Pediatric Facial Scar Characteristics to Adult Observers.

IF 2.6 3区医学 Q1 OTORHINOLARYNGOLOGY

Otolaryngology- Head and Neck Surgery Pub Date : 2025-01-22 DOI:10.1002/ohn.1134

Lydia Weykamp, Scott Lunos, Bridget Ebert, Brianne Barnett Roby, Sivakumar Chinnadurai

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引用次数: 0

Abstract

Objective: Determine objectively noticeable features of pediatric facial scars using eye-tracking software and explore how skin tone impacts scar perception.

Study design: Cross-sectional analysis.

Setting: Tertiary care pediatric hospital.

Methods: Ninety-seven naïve adult participants viewed 12 randomized photos using an eye-tracking device. Photos of 4 children with different Fitzpatrick (FP) tones were used to digitally create 3 images each: a scarless control, a hypertrophic scar, and a dyspigmented scar. Scar size and location were consistent. Gaze metrics were compared between skin tones and scar types.

Results: Hypertrophic and dyspigmented scars had greater total fixation duration and fixation count than controls across all skin tones (P < .01). The dyspigmented scar of the FP2 child had greater total fixation duration (P = .01) and fixation count (P = .04) than the hypertrophic scar. The dyspigmented scar of the FP2 child had greater total fixation duration and fixation count than the dyspigmented scars of the FP6 and FP4 children (P < .01). The hypertrophic scar of the FP1 child had a longer total fixation duration than the hypertrophic scar of the FP6 child (P = .04). There were lower times to first fixation for both hypertrophic and dyspigmented scars in the FP1, FP4, and FP6 children (P < .04), and the dyspigmented scar in the FP2 child (P = .049).

Conclusion: Dyspigmented and hyperpigmented scars were viewed differently on children's faces with various skin tones. This highlights the importance of evaluating and accounting for both scar type and skin tone when counseling patients and families who experience facial scarring.

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眼动追踪确定儿童面部疤痕特征对成人观察者的可注意性。

目的：利用眼动追踪软件确定小儿面部疤痕的客观显著特征，探讨肤色对疤痕感知的影响。研究设计：横断面分析。单位：三级儿科医院。方法：97名naïve成年参与者使用眼球追踪设备观看了12张随机照片。4名不同菲茨帕特里克（FP）色调的儿童的照片被用于数字创建3幅图像：无疤痕对照，增生性疤痕和色素沉着疤痕。疤痕大小和位置一致。注视指标在肤色和疤痕类型之间进行了比较。结果：在所有肤色下，增厚性和色素沉着疤痕的总固定时间和固定次数均大于对照组(P)。结论：不同肤色儿童面部色素沉着和色素沉着疤痕的观察结果不同。这突出了在咨询经历面部疤痕的患者和家属时评估和考虑疤痕类型和肤色的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学

CiteScore

6.70

自引率

2.90%

发文量

250

审稿时长

2-4 weeks

期刊介绍： Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.