A Validated Grading Scale for Marionette Lines
BACKGROUND Melomental folds, or marionette lines, are one of the consequences of facial aging. The curvilinear wrinkles formed because of facial movements and the aging process extend downward from the oral commissures. OBJECTIVES To develop the Marionette Lines Grading Scale for objective quantific...
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| Veröffentlicht in: | Dermatologic surgery 2008-11, Vol.34, p.S167-S172 |
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| container_title | Dermatologic surgery |
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| creator | CARRUTHERS, ALASTAIR CARRUTHERS, JEAN HARDAS, BHUSHAN KAUR, MANDEEP GOERTELMEYER, ROMAN JONES, DEREK RZANY, BERTHOLD COHEN, JOEL KERSCHER, MARTINA FLYNN, TIMOTHY CORCORAN MAAS, COREY SATTLER, GERHARD GEBAUER, ALEXANDER POOTH, RAINER MCCLURE, KATHLEEN SIMONE‐KORBEL, ULLI BUCHNER, LARRY |
| description | BACKGROUND
Melomental folds, or marionette lines, are one of the consequences of facial aging. The curvilinear wrinkles formed because of facial movements and the aging process extend downward from the oral commissures.
OBJECTIVES
To develop the Marionette Lines Grading Scale for objective quantification of the severity of melomental folds and to establish the reliability of this photonumeric scale for clinical research and practice.
MATERIALS AND METHODS
A 5‐point photonumeric rating scale was developed to objectively quantify the severity of melomental folds. Nine experts rated photographs of 35 subjects, twice, with regard to marionette lines in comparison with morphed images. Inter‐ and intrarater variability was assessed by computing intraclass correlation coefficients.
RESULTS
The agreement between the experts was high. Bubble plots (bivariate scatter plots) demonstrated linearity in judgment by the experts.
CONCLUSION
The 5‐point photonumeric scale generated spans the severity of marionette lines for which patients commonly seek correction. The scale is well stratified for consistent rating. |
| doi_str_mv | 10.1111/j.1524-4725.2008.34366.x |
| format | Article |
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Melomental folds, or marionette lines, are one of the consequences of facial aging. The curvilinear wrinkles formed because of facial movements and the aging process extend downward from the oral commissures.
OBJECTIVES
To develop the Marionette Lines Grading Scale for objective quantification of the severity of melomental folds and to establish the reliability of this photonumeric scale for clinical research and practice.
MATERIALS AND METHODS
A 5‐point photonumeric rating scale was developed to objectively quantify the severity of melomental folds. Nine experts rated photographs of 35 subjects, twice, with regard to marionette lines in comparison with morphed images. Inter‐ and intrarater variability was assessed by computing intraclass correlation coefficients.
RESULTS
The agreement between the experts was high. Bubble plots (bivariate scatter plots) demonstrated linearity in judgment by the experts.
CONCLUSION
The 5‐point photonumeric scale generated spans the severity of marionette lines for which patients commonly seek correction. The scale is well stratified for consistent rating.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1111/j.1524-4725.2008.34366.x</identifier><identifier>PMID: 19021675</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Esthetics - classification ; Face - anatomy & histology ; Female ; Humans ; Image Processing, Computer-Assisted - methods ; Male ; Photography ; Reproducibility of Results ; Skin Aging</subject><ispartof>Dermatologic surgery, 2008-11, Vol.34, p.S167-S172</ispartof><rights>2008 by the American Society for Dermatologic Surgery, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4236-be911df0b93b64fe4e2025657233b0e3a90dcf335ee3553e4c01002c191029b63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1524-4725.2008.34366.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1524-4725.2008.34366.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19021675$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CARRUTHERS, ALASTAIR</creatorcontrib><creatorcontrib>CARRUTHERS, JEAN</creatorcontrib><creatorcontrib>HARDAS, BHUSHAN</creatorcontrib><creatorcontrib>KAUR, MANDEEP</creatorcontrib><creatorcontrib>GOERTELMEYER, ROMAN</creatorcontrib><creatorcontrib>JONES, DEREK</creatorcontrib><creatorcontrib>RZANY, BERTHOLD</creatorcontrib><creatorcontrib>COHEN, JOEL</creatorcontrib><creatorcontrib>KERSCHER, MARTINA</creatorcontrib><creatorcontrib>FLYNN, TIMOTHY CORCORAN</creatorcontrib><creatorcontrib>MAAS, COREY</creatorcontrib><creatorcontrib>SATTLER, GERHARD</creatorcontrib><creatorcontrib>GEBAUER, ALEXANDER</creatorcontrib><creatorcontrib>POOTH, RAINER</creatorcontrib><creatorcontrib>MCCLURE, KATHLEEN</creatorcontrib><creatorcontrib>SIMONE‐KORBEL, ULLI</creatorcontrib><creatorcontrib>BUCHNER, LARRY</creatorcontrib><title>A Validated Grading Scale for Marionette Lines</title><title>Dermatologic surgery</title><addtitle>Dermatol Surg</addtitle><description>BACKGROUND
Melomental folds, or marionette lines, are one of the consequences of facial aging. The curvilinear wrinkles formed because of facial movements and the aging process extend downward from the oral commissures.
OBJECTIVES
To develop the Marionette Lines Grading Scale for objective quantification of the severity of melomental folds and to establish the reliability of this photonumeric scale for clinical research and practice.
MATERIALS AND METHODS
A 5‐point photonumeric rating scale was developed to objectively quantify the severity of melomental folds. Nine experts rated photographs of 35 subjects, twice, with regard to marionette lines in comparison with morphed images. Inter‐ and intrarater variability was assessed by computing intraclass correlation coefficients.
RESULTS
The agreement between the experts was high. Bubble plots (bivariate scatter plots) demonstrated linearity in judgment by the experts.
CONCLUSION
The 5‐point photonumeric scale generated spans the severity of marionette lines for which patients commonly seek correction. The scale is well stratified for consistent rating.</description><subject>Esthetics - classification</subject><subject>Face - anatomy & histology</subject><subject>Female</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted - methods</subject><subject>Male</subject><subject>Photography</subject><subject>Reproducibility of Results</subject><subject>Skin Aging</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMFOwzAQRC0EoqXwCygnbglrO3biC1JVoCAVcSjlajnJBrlKk2Knavv3JG0FV_ayI-3MrPQICShEtJv7ZUQFi8M4YSJiAGnEYy5ltDsjw9_DeachkSEIygbkyvslAGWKwyUZUAWMykQMSTQOPk1lC9NiEUydKWz9FcxzU2FQNi54M842NbYtBjNbo78mF6WpPN6c9ogsnp8-Ji_h7H36OhnPwjxmXIYZKkqLEjLFMxmXGCMDJqRIGOcZIDcKirzkXCByITjGOVAAllNFgalM8hG5O_auXfO9Qd_qlfU5VpWpsdl4LVUKSZqyzpgejblrvHdY6rWzK-P2moLuWeml7pHoHonuWekDK73rorenH5tshcVf8ASnMzwcDVtb4f7fxfpxvjhI_gMBAHVB</recordid><startdate>200811</startdate><enddate>200811</enddate><creator>CARRUTHERS, ALASTAIR</creator><creator>CARRUTHERS, JEAN</creator><creator>HARDAS, BHUSHAN</creator><creator>KAUR, MANDEEP</creator><creator>GOERTELMEYER, ROMAN</creator><creator>JONES, DEREK</creator><creator>RZANY, BERTHOLD</creator><creator>COHEN, JOEL</creator><creator>KERSCHER, MARTINA</creator><creator>FLYNN, TIMOTHY CORCORAN</creator><creator>MAAS, COREY</creator><creator>SATTLER, GERHARD</creator><creator>GEBAUER, ALEXANDER</creator><creator>POOTH, RAINER</creator><creator>MCCLURE, KATHLEEN</creator><creator>SIMONE‐KORBEL, ULLI</creator><creator>BUCHNER, LARRY</creator><general>Blackwell Publishing Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200811</creationdate><title>A Validated Grading Scale for Marionette Lines</title><author>CARRUTHERS, ALASTAIR ; CARRUTHERS, JEAN ; HARDAS, BHUSHAN ; KAUR, MANDEEP ; GOERTELMEYER, ROMAN ; JONES, DEREK ; RZANY, BERTHOLD ; COHEN, JOEL ; KERSCHER, MARTINA ; FLYNN, TIMOTHY CORCORAN ; MAAS, COREY ; SATTLER, GERHARD ; GEBAUER, ALEXANDER ; POOTH, RAINER ; MCCLURE, KATHLEEN ; SIMONE‐KORBEL, ULLI ; BUCHNER, LARRY</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4236-be911df0b93b64fe4e2025657233b0e3a90dcf335ee3553e4c01002c191029b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Esthetics - classification</topic><topic>Face - anatomy & histology</topic><topic>Female</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted - methods</topic><topic>Male</topic><topic>Photography</topic><topic>Reproducibility of Results</topic><topic>Skin Aging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CARRUTHERS, ALASTAIR</creatorcontrib><creatorcontrib>CARRUTHERS, JEAN</creatorcontrib><creatorcontrib>HARDAS, BHUSHAN</creatorcontrib><creatorcontrib>KAUR, MANDEEP</creatorcontrib><creatorcontrib>GOERTELMEYER, ROMAN</creatorcontrib><creatorcontrib>JONES, DEREK</creatorcontrib><creatorcontrib>RZANY, BERTHOLD</creatorcontrib><creatorcontrib>COHEN, JOEL</creatorcontrib><creatorcontrib>KERSCHER, MARTINA</creatorcontrib><creatorcontrib>FLYNN, TIMOTHY CORCORAN</creatorcontrib><creatorcontrib>MAAS, COREY</creatorcontrib><creatorcontrib>SATTLER, GERHARD</creatorcontrib><creatorcontrib>GEBAUER, ALEXANDER</creatorcontrib><creatorcontrib>POOTH, RAINER</creatorcontrib><creatorcontrib>MCCLURE, KATHLEEN</creatorcontrib><creatorcontrib>SIMONE‐KORBEL, ULLI</creatorcontrib><creatorcontrib>BUCHNER, LARRY</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CARRUTHERS, ALASTAIR</au><au>CARRUTHERS, JEAN</au><au>HARDAS, BHUSHAN</au><au>KAUR, MANDEEP</au><au>GOERTELMEYER, ROMAN</au><au>JONES, DEREK</au><au>RZANY, BERTHOLD</au><au>COHEN, JOEL</au><au>KERSCHER, MARTINA</au><au>FLYNN, TIMOTHY CORCORAN</au><au>MAAS, COREY</au><au>SATTLER, GERHARD</au><au>GEBAUER, ALEXANDER</au><au>POOTH, RAINER</au><au>MCCLURE, KATHLEEN</au><au>SIMONE‐KORBEL, ULLI</au><au>BUCHNER, LARRY</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Validated Grading Scale for Marionette Lines</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2008-11</date><risdate>2008</risdate><volume>34</volume><spage>S167</spage><epage>S172</epage><pages>S167-S172</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>BACKGROUND
Melomental folds, or marionette lines, are one of the consequences of facial aging. The curvilinear wrinkles formed because of facial movements and the aging process extend downward from the oral commissures.
OBJECTIVES
To develop the Marionette Lines Grading Scale for objective quantification of the severity of melomental folds and to establish the reliability of this photonumeric scale for clinical research and practice.
MATERIALS AND METHODS
A 5‐point photonumeric rating scale was developed to objectively quantify the severity of melomental folds. Nine experts rated photographs of 35 subjects, twice, with regard to marionette lines in comparison with morphed images. Inter‐ and intrarater variability was assessed by computing intraclass correlation coefficients.
RESULTS
The agreement between the experts was high. Bubble plots (bivariate scatter plots) demonstrated linearity in judgment by the experts.
CONCLUSION
The 5‐point photonumeric scale generated spans the severity of marionette lines for which patients commonly seek correction. The scale is well stratified for consistent rating.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>19021675</pmid><doi>10.1111/j.1524-4725.2008.34366.x</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Journals@Ovid Ovid Autoload; Wiley Online Library All Journals |
| subjects | Esthetics - classification Face - anatomy & histology Female Humans Image Processing, Computer-Assisted - methods Male Photography Reproducibility of Results Skin Aging |
| title | A Validated Grading Scale for Marionette Lines |
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