Validated Assessment Scales for the Mid Face

Background The improvement of aesthetic treatment options for age‐related mid face changes, such as volume loss, and the increase in patient expectations necessitates the development of more‐complex and globally accepted assessment tools. Objective To develop three grading scales for objective asses...

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Veröffentlicht in:Dermatologic surgery 2012-02, Vol.38 (2ptII), p.320-332
Hauptverfasser: Carruthers, Jean, Flynn, Timothy C., Geister, Thorin L., Görtelmeyer, Roman, Hardas, Bhushan, Himmrich, Silvia, Jones, Derek, Kerscher, Martina, Maio, Maurício, Mohrmann, Cornelia, Narins, Rhoda S., Pooth, Rainer, Rzany, Berthold, Sattler, Gerhard, Buchner, Larry, Benter, Ursula, Breitscheidel, Lusine, Carruthers, Alastair
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container_end_page 332
container_issue 2ptII
container_start_page 320
container_title Dermatologic surgery
container_volume 38
creator Carruthers, Jean
Flynn, Timothy C.
Geister, Thorin L.
Görtelmeyer, Roman
Hardas, Bhushan
Himmrich, Silvia
Jones, Derek
Kerscher, Martina
Maio, Maurício
Mohrmann, Cornelia
Narins, Rhoda S.
Pooth, Rainer
Rzany, Berthold
Sattler, Gerhard
Buchner, Larry
Benter, Ursula
Breitscheidel, Lusine
Carruthers, Alastair
description Background The improvement of aesthetic treatment options for age‐related mid face changes, such as volume loss, and the increase in patient expectations necessitates the development of more‐complex and globally accepted assessment tools. Objective To develop three grading scales for objective assessment of the infraorbital hollow and upper and lower cheek fullness and to establish the reliability of these scales for clinical research and practice. Methods and Materials Three 5‐point rating scales were developed to assess infraorbital hollow and upper and lower cheek fullness objectively. Twelve experts rated identical mid face photographs of 50 subjects in two separate rating cycles using the mid face scales. Test responses of raters were analyzed to assess intra‐ and interrater reliability. Results Interrater reliability was substantial for the infraorbital hollow, upper cheek fullness, and lower cheek fullness scales. Intrarater reliability was high for all three scales. Both of the cheek fullness scales yielded higher reliabilities when three rather than two views were used to assess the volume changes of the cheek. Conclusion The mid face scales are reliable tools for valid and reproducible assessment of age‐related mid face changes.
doi_str_mv 10.1111/j.1524-4725.2011.02251.x
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Objective To develop three grading scales for objective assessment of the infraorbital hollow and upper and lower cheek fullness and to establish the reliability of these scales for clinical research and practice. Methods and Materials Three 5‐point rating scales were developed to assess infraorbital hollow and upper and lower cheek fullness objectively. Twelve experts rated identical mid face photographs of 50 subjects in two separate rating cycles using the mid face scales. Test responses of raters were analyzed to assess intra‐ and interrater reliability. Results Interrater reliability was substantial for the infraorbital hollow, upper cheek fullness, and lower cheek fullness scales. Intrarater reliability was high for all three scales. Both of the cheek fullness scales yielded higher reliabilities when three rather than two views were used to assess the volume changes of the cheek. Conclusion The mid face scales are reliable tools for valid and reproducible assessment of age‐related mid face changes.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1111/j.1524-4725.2011.02251.x</identifier><identifier>PMID: 22316188</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Cheek - anatomy &amp; histology ; Cheek - physiology ; Cheek - surgery ; Female ; Humans ; Internationality ; Male ; Middle Aged ; Observer Variation ; Photography ; Reproducibility of Results ; Rhytidoplasty ; Skin Aging - physiology</subject><ispartof>Dermatologic surgery, 2012-02, Vol.38 (2ptII), p.320-332</ispartof><rights>2012 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3681-1b5526191ac2908d08f3a20f8d2405534b8d35a6827aee012a5fc116c573b1b83</citedby><cites>FETCH-LOGICAL-c3681-1b5526191ac2908d08f3a20f8d2405534b8d35a6827aee012a5fc116c573b1b83</cites></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.1524-4725.2011.02251.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1524-4725.2011.02251.x$$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/22316188$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carruthers, Jean</creatorcontrib><creatorcontrib>Flynn, Timothy C.</creatorcontrib><creatorcontrib>Geister, Thorin L.</creatorcontrib><creatorcontrib>Görtelmeyer, Roman</creatorcontrib><creatorcontrib>Hardas, Bhushan</creatorcontrib><creatorcontrib>Himmrich, Silvia</creatorcontrib><creatorcontrib>Jones, Derek</creatorcontrib><creatorcontrib>Kerscher, Martina</creatorcontrib><creatorcontrib>Maio, Maurício</creatorcontrib><creatorcontrib>Mohrmann, Cornelia</creatorcontrib><creatorcontrib>Narins, Rhoda S.</creatorcontrib><creatorcontrib>Pooth, Rainer</creatorcontrib><creatorcontrib>Rzany, Berthold</creatorcontrib><creatorcontrib>Sattler, Gerhard</creatorcontrib><creatorcontrib>Buchner, Larry</creatorcontrib><creatorcontrib>Benter, Ursula</creatorcontrib><creatorcontrib>Breitscheidel, Lusine</creatorcontrib><creatorcontrib>Carruthers, Alastair</creatorcontrib><title>Validated Assessment Scales for the Mid Face</title><title>Dermatologic surgery</title><addtitle>Dermatol Surg</addtitle><description>Background The improvement of aesthetic treatment options for age‐related mid face changes, such as volume loss, and the increase in patient expectations necessitates the development of more‐complex and globally accepted assessment tools. Objective To develop three grading scales for objective assessment of the infraorbital hollow and upper and lower cheek fullness and to establish the reliability of these scales for clinical research and practice. Methods and Materials Three 5‐point rating scales were developed to assess infraorbital hollow and upper and lower cheek fullness objectively. Twelve experts rated identical mid face photographs of 50 subjects in two separate rating cycles using the mid face scales. Test responses of raters were analyzed to assess intra‐ and interrater reliability. Results Interrater reliability was substantial for the infraorbital hollow, upper cheek fullness, and lower cheek fullness scales. Intrarater reliability was high for all three scales. Both of the cheek fullness scales yielded higher reliabilities when three rather than two views were used to assess the volume changes of the cheek. Conclusion The mid face scales are reliable tools for valid and reproducible assessment of age‐related mid face changes.</description><subject>Adult</subject><subject>Aged</subject><subject>Cheek - anatomy &amp; histology</subject><subject>Cheek - physiology</subject><subject>Cheek - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Internationality</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Observer Variation</subject><subject>Photography</subject><subject>Reproducibility of Results</subject><subject>Rhytidoplasty</subject><subject>Skin Aging - physiology</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEFPwzAMhSMEYmPwF1BvXGiJnaZNDxymwQBpiMMY1yhNXdGpXUfTie3f07KxM77Ykt97tj7GPOABdHW3DEBi6IcxygA5QMARJQTbEzY8Lk67mceRzyXggF04t-QcMBH8nA0QBUSg1JDdfpiyyExLmTd2jpyraNV6c2tKcl5eN177Sd5rkXlTY-mSneWmdHR16CO2mD6-T5792dvTy2Q8862IFPiQSokRJGAsJlxlXOXCIM9VhiGXUoSpyoQ0kcLYEHVPGZlbgMjKWKSQKjFiN_vcdVN_bci1uiqcpbI0K6o3TicIIJIYe6XaK21TO9dQrtdNUZlmp4HrHpVe6p6I7onoHpX-RaW3nfX6cGSTVpQdjX9sOsH9XvBdlLT7d7B-mC_6SfwAkcl0JA</recordid><startdate>201202</startdate><enddate>201202</enddate><creator>Carruthers, Jean</creator><creator>Flynn, Timothy C.</creator><creator>Geister, Thorin L.</creator><creator>Görtelmeyer, Roman</creator><creator>Hardas, Bhushan</creator><creator>Himmrich, Silvia</creator><creator>Jones, Derek</creator><creator>Kerscher, Martina</creator><creator>Maio, Maurício</creator><creator>Mohrmann, Cornelia</creator><creator>Narins, Rhoda S.</creator><creator>Pooth, Rainer</creator><creator>Rzany, Berthold</creator><creator>Sattler, Gerhard</creator><creator>Buchner, Larry</creator><creator>Benter, Ursula</creator><creator>Breitscheidel, Lusine</creator><creator>Carruthers, Alastair</creator><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>201202</creationdate><title>Validated Assessment Scales for the Mid Face</title><author>Carruthers, Jean ; Flynn, Timothy C. ; Geister, Thorin L. ; Görtelmeyer, Roman ; Hardas, Bhushan ; Himmrich, Silvia ; Jones, Derek ; Kerscher, Martina ; Maio, Maurício ; Mohrmann, Cornelia ; Narins, Rhoda S. ; Pooth, Rainer ; Rzany, Berthold ; Sattler, Gerhard ; Buchner, Larry ; Benter, Ursula ; Breitscheidel, Lusine ; Carruthers, Alastair</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3681-1b5526191ac2908d08f3a20f8d2405534b8d35a6827aee012a5fc116c573b1b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cheek - anatomy &amp; histology</topic><topic>Cheek - physiology</topic><topic>Cheek - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Internationality</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Observer Variation</topic><topic>Photography</topic><topic>Reproducibility of Results</topic><topic>Rhytidoplasty</topic><topic>Skin Aging - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carruthers, Jean</creatorcontrib><creatorcontrib>Flynn, Timothy C.</creatorcontrib><creatorcontrib>Geister, Thorin L.</creatorcontrib><creatorcontrib>Görtelmeyer, Roman</creatorcontrib><creatorcontrib>Hardas, Bhushan</creatorcontrib><creatorcontrib>Himmrich, Silvia</creatorcontrib><creatorcontrib>Jones, Derek</creatorcontrib><creatorcontrib>Kerscher, Martina</creatorcontrib><creatorcontrib>Maio, Maurício</creatorcontrib><creatorcontrib>Mohrmann, Cornelia</creatorcontrib><creatorcontrib>Narins, Rhoda S.</creatorcontrib><creatorcontrib>Pooth, Rainer</creatorcontrib><creatorcontrib>Rzany, Berthold</creatorcontrib><creatorcontrib>Sattler, Gerhard</creatorcontrib><creatorcontrib>Buchner, Larry</creatorcontrib><creatorcontrib>Benter, Ursula</creatorcontrib><creatorcontrib>Breitscheidel, Lusine</creatorcontrib><creatorcontrib>Carruthers, Alastair</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, Jean</au><au>Flynn, Timothy C.</au><au>Geister, Thorin L.</au><au>Görtelmeyer, Roman</au><au>Hardas, Bhushan</au><au>Himmrich, Silvia</au><au>Jones, Derek</au><au>Kerscher, Martina</au><au>Maio, Maurício</au><au>Mohrmann, Cornelia</au><au>Narins, Rhoda S.</au><au>Pooth, Rainer</au><au>Rzany, Berthold</au><au>Sattler, Gerhard</au><au>Buchner, Larry</au><au>Benter, Ursula</au><au>Breitscheidel, Lusine</au><au>Carruthers, Alastair</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Validated Assessment Scales for the Mid Face</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2012-02</date><risdate>2012</risdate><volume>38</volume><issue>2ptII</issue><spage>320</spage><epage>332</epage><pages>320-332</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>Background The improvement of aesthetic treatment options for age‐related mid face changes, such as volume loss, and the increase in patient expectations necessitates the development of more‐complex and globally accepted assessment tools. Objective To develop three grading scales for objective assessment of the infraorbital hollow and upper and lower cheek fullness and to establish the reliability of these scales for clinical research and practice. Methods and Materials Three 5‐point rating scales were developed to assess infraorbital hollow and upper and lower cheek fullness objectively. Twelve experts rated identical mid face photographs of 50 subjects in two separate rating cycles using the mid face scales. Test responses of raters were analyzed to assess intra‐ and interrater reliability. Results Interrater reliability was substantial for the infraorbital hollow, upper cheek fullness, and lower cheek fullness scales. Intrarater reliability was high for all three scales. Both of the cheek fullness scales yielded higher reliabilities when three rather than two views were used to assess the volume changes of the cheek. Conclusion The mid face scales are reliable tools for valid and reproducible assessment of age‐related mid face changes.</abstract><cop>United States</cop><pmid>22316188</pmid><doi>10.1111/j.1524-4725.2011.02251.x</doi><tpages>13</tpages></addata></record>
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subjects Adult
Aged
Cheek - anatomy & histology
Cheek - physiology
Cheek - surgery
Female
Humans
Internationality
Male
Middle Aged
Observer Variation
Photography
Reproducibility of Results
Rhytidoplasty
Skin Aging - physiology
title Validated Assessment Scales for the Mid Face
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