Denadai, Rafael and Chou, Pang-Yun and Seo, Hyung Joon and Lonic, Daniel and Lin, Hsiu-Hsia and Pai, Betty C. J. and Lo, Lun-Jou (2020) Patient- and 3D morphometry-based nose outcomes after skeletofacial reconstruction. SCIENTIFIC REPORTS, 10 (1): 4246. ISSN 2045-2322,
Full text not available from this repository. (Request a copy)Abstract
Patient satisfaction with the shape and appearance of their nose after orthognathic surgery-based skeletofacial reconstruction is an important, but often overlooked, outcome. We assessed the nose-related outcomes through a recently developed patient-reported outcome instrument and a widely adopted 3D computer-based objective outcome instrument, to verify any correlation in the results produced by these tools. We collected FACE-Q nose appearance reports (2 scales) and 3D nasal morphometry (10 parameters) from patients with class III skeletal pattern and congenital cleft lip palate deformity (n=23) or developmental dentofacial deformity (n=23) after (>12 months) skeletofacial reconstruction. The cleft and dentofacial cohorts demonstrated significantly (p<0.001) poorer satisfaction scores with regard to the FACE-Q nostrils scale than the normal age-, gender-, and ethnicity-matched subjects (n=107), without any significant difference in FACE-Q nose scale. The cleft cohort had significantly (p<0.001) smaller nasal length, nasal tip projection, and columellar angle and greater nasal protrusion, alar width, and columellar-labial angle values than the dentofacial and normal cohorts; however, there were no significant differences between the dentofacial versus normal cohorts. The FACE-Q nose and nostrils scales were significantly (p<0.001; r=-0.26-0.27) correlated to the results of the 3D morphometric analysis, with regard to nasal length, alar width, columella angle, and columellar-labial angle parameters. This study revealed differences in satisfaction with the appearance of the nose according to the type of underlying deformity, and demonstrated a significant correlation (low correlation coefficients) between the patient-reports and 3D image-based outcome measure tools, which has implications for multidisciplinary-centered research, auditing, and clinical care.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | DIGITAL 3-DIMENSIONAL PHOTOGRAMMETRY; QUALITY-OF-LIFE; ORTHOGNATHIC SURGERY; REPORTED OUTCOMES; ANTHROPOMETRIC PRECISION; INTEROBSERVER ERROR; CENTERED OUTCOMES; CLINICAL-TRIALS; SATISFACTION; FACE; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 29 Mar 2021 08:46 |
| Last Modified: | 29 Mar 2021 08:46 |
| URI: | https://pred.uni-regensburg.de/id/eprint/44955 |
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