Simos Psomiadis, Nikolaos Gkantidis, Ioannis Iatrou, Iosif Sifakakis
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引用次数: 0
Abstract
Objectives
Facial attractiveness significantly influences social and personal outcomes, and therefore, interventions in orthodontics and maxillofacial surgery often aim at enhancing facial appearance. This study investigated the relationship between facial profile attractiveness and overall (frontal and profile) facial attractiveness to determine whether assessments relying solely on profile views sufficiently capture comprehensive facial evaluation.
Materials and Methods
The sample consisted of 36 Class II Division 1 individuals with convex profiles, balanced in sex distribution. Ratings were provided by orthodontists, surgeons, patients, and laypersons. Facial attractiveness was evaluated using a validated visual analogue scale, comparing profile-only images with images showing the frontal and profile facial views simultaneously.
Results
A moderate to strong positive correlation between profile and overall facial attractiveness was demonstrated across all rater groups (Pearson's r = 0.62–0.84). Surgeons tended to rate profiles less favourably than the overall face, while laypeople rated profiles higher. Median absolute differences between profile and overall attractiveness ratings reached 8.3/100, with deviations occasionally reaching clinically significant levels in individual cases. The variation in ratings suggests that factors beyond profile attractiveness influence overall facial attractiveness. Scatter plot analyses revealed stronger correlations among specialists compared to non-specialists.
Conclusions
These findings highlight the limitations of relying solely on profile assessments for treatment planning and outcome evaluation in patients with convex profiles. Comprehensive evaluation of multiple facial aspects, ideally including 3D analysis, is recommended to better address patients' aesthetic concerns and social functionality.
目的:面部吸引力显著影响社会和个人结果,因此,正畸和颌面外科的干预措施往往旨在改善面部外观。本研究调查了面部轮廓吸引力与整体(正面和侧面)面部吸引力之间的关系,以确定仅依赖侧面视图的评估是否足以获得全面的面部评估。材料和方法:样本由36个II类1类个体组成,外形凸,性别分布均衡。评分由正畸医生、外科医生、患者和外行提供。面部吸引力的评估使用一种经过验证的视觉模拟量表,将只显示侧面的图像与同时显示正面和侧面面部视图的图像进行比较。结果:在所有评分组中,侧面和整体面部吸引力之间存在中等到强烈的正相关(Pearson’s r = 0.62-0.84)。外科医生倾向于对面部轮廓的评价低于对整体面部的评价,而外行人对面部轮廓的评价更高。侧面和整体吸引力评分之间的绝对中位数差异达到8.3/100,个别病例的偏差偶尔达到临床显著水平。评分的差异表明,除了侧面吸引力之外,其他因素也会影响整体的面部吸引力。散点图分析显示,与非专家相比,专家之间的相关性更强。结论:这些发现强调了仅依靠侧位评估来评估凸侧位患者的治疗计划和结果的局限性。建议对面部多个方面进行综合评估,最好包括3D分析,以更好地解决患者的审美问题和社交功能。
期刊介绍:
Orthodontics & Craniofacial Research - Genes, Growth and Development is published to serve its readers as an international forum for the presentation and critical discussion of issues pertinent to the advancement of the specialty of orthodontics and the evidence-based knowledge of craniofacial growth and development. This forum is based on scientifically supported information, but also includes minority and conflicting opinions.
The objective of the journal is to facilitate effective communication between the research community and practicing clinicians. Original papers of high scientific quality that report the findings of clinical trials, clinical epidemiology, and novel therapeutic or diagnostic approaches are appropriate submissions. Similarly, we welcome papers in genetics, developmental biology, syndromology, surgery, speech and hearing, and other biomedical disciplines related to clinical orthodontics and normal and abnormal craniofacial growth and development. In addition to original and basic research, the journal publishes concise reviews, case reports of substantial value, invited essays, letters, and announcements.
The journal is published quarterly. The review of submitted papers will be coordinated by the editor and members of the editorial board. It is policy to review manuscripts within 3 to 4 weeks of receipt and to publish within 3 to 6 months of acceptance.