Judgment of Nasolabial Esthetics in Cleft Lip and Palate Is Not Influenced by Overall Facial Attractiveness.

Kocher, Katharina Eva; Kowalski, Piotr; Kolokitha, Olga-Elpis; Katsaros, Christos; Fudalej, Piotr (2016). Judgment of Nasolabial Esthetics in Cleft Lip and Palate Is Not Influenced by Overall Facial Attractiveness. Cleft palate-craniofacial journal, 53(3), e45-e52. American Cleft Palate-Craniofacial Association 10.1597/14-019

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OBJECTIVE To determine whether judgment of nasolabial esthetics in cleft lip and palate (CLP) is influenced by overall facial attractiveness. DESIGN Experimental study. SETTING University of Bern, Switzerland. SUBJECTS AND METHODS Seventy-two fused images (36 of boys, 36 of girls) were constructed. Each image comprised (1) the nasolabial region of a treated child with complete unilateral CLP (UCLP) and (2) the external facial features, i.e., the face with masked nasolabial region, of a noncleft child. Photographs of the nasolabial region of six boys and six girls with UCLP representing a wide range of esthetic outcomes, i.e., from very good to very poor appearance, were randomly chosen from a sample of 60 consecutively treated patients in whom nasolabial esthetics had been rated in a previous study. Photographs of external facial features of six boys and six girls without UCLP with various esthetics were randomly selected from patients' files. Eight lay raters evaluated the fused images using a 100-mm visual analogue scale. Method reliability was assessed by reevaluation of fused images after >1 month. A regression model was used to analyze which elements of facial esthetics influenced the perception of nasolabial appearance. RESULTS Method reliability was good. A regression analysis demonstrated that only the appearance of the nasolabial area affected the esthetic scores of fused images (coefficient = -11.44; P < .001; R(2) = 0.464). The appearance of the external facial features did not influence perceptions of fused images. CONCLUSION Cropping facial images for assessment of nasolabial appearance in CLP seems unnecessary. Instead, esthetic evaluation can be performed on images of full faces.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Orthodontics

UniBE Contributor:

Kocher, Katharina Eva; Katsaros, Christos and Fudalej, Piotr

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1055-6656

Publisher:

American Cleft Palate-Craniofacial Association

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

19 Apr 2017 09:33

Last Modified:

19 Apr 2017 09:33

Publisher DOI:

10.1597/14-019

PubMed ID:

25932752

Uncontrolled Keywords:

cleft; lip; cleft palate; esthetics

BORIS DOI:

10.7892/boris.93998

URI:

https://boris.unibe.ch/id/eprint/93998

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