{"title":"印度：单侧完全性唇腭裂修复患者鼻唇美学结果的中心间研究。","authors":"Puneet Batra, Garima Arora, Abhinav Raj Gupta, Abhishek Bhamre, Amit Agarwal, Asif Masood, Hemwati Nandan, Himanshu Trivedi, Isha Jain, Jaideep Singh Chauhan, Kamlesh Singh, Krishnamurthy Bonanthaya, Nitin Bhola, Pallavi Daigwane, Pritham N Shetty, Ravi Kumar Mahajan, Samiksha Chopra, Shibani Das, Shruti Bijapur, Srinivas Gosla Reddy, Subodh Kumar Singh, Sukhdeep Singh Kahlon, S C Sood, Suryakant Das, Tarun Chaudhary, Virag Bhatia","doi":"10.1177/10556656251352604","DOIUrl":null,"url":null,"abstract":"<p><p>ObjectiveTo evaluate the nasolabial aesthetic outcomes in patients aged 8 to 14 with nonsyndromic, repaired complete unilateral cleft lip and palate.DesignRetrospective study.SettingTen Comprehensive Cleft Care Centers (Smile Train) across India.SubjectsA sample of 400 patients treated at the 10 centers (40 each) with repaired complete unilateral cleft lip and palate were included.MethodsAfter obtaining ethical approval, frontal and profile photographs of patients before any orthodontic treatment were scanned, cropped, and coded to show the nose and upper lip. Using the coded photographs, 4 nasolabial features for aesthetics (ie, nasal symmetry, nasal form, vermilion border, and nasolabial profile) were rated by 3 examiners using Asher McDade's rating system. Interrater and intrarater reliabilities were determined using Cronbach's alpha values. Mean ratings of all centers were compared using a one-way analysis of variance.ResultsThe total nasolabial scores of various centers were significantly varied, ranging from 2.89 to 3.47. The best nasolabial esthetics score for Center A. Cronbach's alpha values for interrater reliability are as follows: nasal form: 0.876, nasal symmetry: 0.742, vermillion border: 0.799, and nasolabial profile: 0.844, demonstrating good to excellent reliability.ConclusionAlthough these centers used different protocols, the nasolabial esthetics outcomes were good to fair for all 10 cleft care centers. The total score of nasolabial esthetics amongst centers is significantly different.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251352604"},"PeriodicalIF":1.1000,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Indiacran: An Inter-Center Study of Nasolabial Esthetics Outcomes in Patients With Repaired Complete Unilateral Cleft Lip and Palate.\",\"authors\":\"Puneet Batra, Garima Arora, Abhinav Raj Gupta, Abhishek Bhamre, Amit Agarwal, Asif Masood, Hemwati Nandan, Himanshu Trivedi, Isha Jain, Jaideep Singh Chauhan, Kamlesh Singh, Krishnamurthy Bonanthaya, Nitin Bhola, Pallavi Daigwane, Pritham N Shetty, Ravi Kumar Mahajan, Samiksha Chopra, Shibani Das, Shruti Bijapur, Srinivas Gosla Reddy, Subodh Kumar Singh, Sukhdeep Singh Kahlon, S C Sood, Suryakant Das, Tarun Chaudhary, Virag Bhatia\",\"doi\":\"10.1177/10556656251352604\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>ObjectiveTo evaluate the nasolabial aesthetic outcomes in patients aged 8 to 14 with nonsyndromic, repaired complete unilateral cleft lip and palate.DesignRetrospective study.SettingTen Comprehensive Cleft Care Centers (Smile Train) across India.SubjectsA sample of 400 patients treated at the 10 centers (40 each) with repaired complete unilateral cleft lip and palate were included.MethodsAfter obtaining ethical approval, frontal and profile photographs of patients before any orthodontic treatment were scanned, cropped, and coded to show the nose and upper lip. Using the coded photographs, 4 nasolabial features for aesthetics (ie, nasal symmetry, nasal form, vermilion border, and nasolabial profile) were rated by 3 examiners using Asher McDade's rating system. Interrater and intrarater reliabilities were determined using Cronbach's alpha values. Mean ratings of all centers were compared using a one-way analysis of variance.ResultsThe total nasolabial scores of various centers were significantly varied, ranging from 2.89 to 3.47. The best nasolabial esthetics score for Center A. Cronbach's alpha values for interrater reliability are as follows: nasal form: 0.876, nasal symmetry: 0.742, vermillion border: 0.799, and nasolabial profile: 0.844, demonstrating good to excellent reliability.ConclusionAlthough these centers used different protocols, the nasolabial esthetics outcomes were good to fair for all 10 cleft care centers. The total score of nasolabial esthetics amongst centers is significantly different.</p>\",\"PeriodicalId\":49220,\"journal\":{\"name\":\"Cleft Palate-Craniofacial Journal\",\"volume\":\" \",\"pages\":\"10556656251352604\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-06-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cleft Palate-Craniofacial Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/10556656251352604\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Dentistry\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cleft Palate-Craniofacial Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10556656251352604","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Dentistry","Score":null,"Total":0}
引用次数: 0
摘要
目的评价8 ~ 14岁完全性单侧唇腭裂修复后的鼻唇美学效果。DesignRetrospective研究。在印度设立10个综合性唇腭裂护理中心（微笑列车）。在10个中心（每个中心40例）接受单侧完全性唇腭裂修复的患者400例。方法在获得伦理批准后，对患者进行正畸治疗前的正面和侧面照片进行扫描、裁剪和编码，以显示鼻和上唇。使用编码照片，4个鼻唇的美学特征（即鼻对称，鼻形状，朱红色边界和鼻唇轮廓）由3名审查员使用Asher McDade的评分系统进行评分。使用Cronbach's alpha值确定内部信度和内部信度。采用单向方差分析比较各中心的平均评分。结果各中心的鼻唇总分差异显著，在2.89 ~ 3.47之间。Center A. Cronbach的最佳鼻唇美学评分为鼻形：0.876，鼻对称：0.742，朱红色边：0.799，鼻唇轮廓：0.844，信度为良至优。结论虽然各中心采用不同的治疗方案，但10家唇裂护理中心的鼻唇美容效果均较好。各中心间鼻唇美学总分差异有统计学意义。
Indiacran: An Inter-Center Study of Nasolabial Esthetics Outcomes in Patients With Repaired Complete Unilateral Cleft Lip and Palate.
ObjectiveTo evaluate the nasolabial aesthetic outcomes in patients aged 8 to 14 with nonsyndromic, repaired complete unilateral cleft lip and palate.DesignRetrospective study.SettingTen Comprehensive Cleft Care Centers (Smile Train) across India.SubjectsA sample of 400 patients treated at the 10 centers (40 each) with repaired complete unilateral cleft lip and palate were included.MethodsAfter obtaining ethical approval, frontal and profile photographs of patients before any orthodontic treatment were scanned, cropped, and coded to show the nose and upper lip. Using the coded photographs, 4 nasolabial features for aesthetics (ie, nasal symmetry, nasal form, vermilion border, and nasolabial profile) were rated by 3 examiners using Asher McDade's rating system. Interrater and intrarater reliabilities were determined using Cronbach's alpha values. Mean ratings of all centers were compared using a one-way analysis of variance.ResultsThe total nasolabial scores of various centers were significantly varied, ranging from 2.89 to 3.47. The best nasolabial esthetics score for Center A. Cronbach's alpha values for interrater reliability are as follows: nasal form: 0.876, nasal symmetry: 0.742, vermillion border: 0.799, and nasolabial profile: 0.844, demonstrating good to excellent reliability.ConclusionAlthough these centers used different protocols, the nasolabial esthetics outcomes were good to fair for all 10 cleft care centers. The total score of nasolabial esthetics amongst centers is significantly different.
期刊介绍：
The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.
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