Abstract
Background
The non-invasive three-dimensional (3D) stereophotogrammetry is widely used in anthropometry for medical purpose. Yet, few studies have assessed its reliability on measuring the perioral region.
Objectives
This study aimed to provide a standardized 3D anthropometric protocol for the perioral region.
Methods
38 female and 12 male Asians were recruited (mean age 31.6 ± 9.6 years). Two sets of 3D images using the VECTRA 3D imaging system were acquired for each subject, and two measurement sessions for each image were performed independently by two raters. 25 landmarks were identified, and 28 linear, 2 curvilinear, 9 angular and 4 areal measurements were evaluated for intrarater, interrater, and intramethod reliability.
Results
Our results showed high reliability of 3D imaging-based perioral anthropometry by mean absolute difference (0.57 and 0.57 unit), technical error measurement (0.51 and 0.55 unit), relative error of measurement (2.18% and 2.44%), relative technical error of measurement (2.02% and 2.34%), and intraclass correlation coefficient (0.98 and 0.98) for intrarater 1 and intrarater 2 reliability; respectively 0.78 unit, 0.74 unit, 3.26%, 3.06% and 0.97 for interrater reliability; and respectively 1.01 unit, 0.97 unit, 4.74%, 4.57% and 0.95 for intramethod reliability.
Conclusions
This standardized protocol utilizing 3D surface imaging technologies are feasible and highly reliable in perioral assessment. It could be further applied for diagnostic purpose, surgical planning and therapeutic effect evaluation in clinical practice in relation to perioral morphologies.
Level of Evidence IV
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Funding
The work was supported by National High Level Hospital Clinical Research Funding, Grant Nos. 2022-PUMCH-B-041, 2022-PUMCH-A-210, 2022-PUMCH-C-025 and Major Collaborative Innovation Fund of Chinese Academy of Medical Sciences, Grant No. 2021-I2M-1-068.
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All participants provided written consent for the use of their 3D facial images.
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This study was approved by the Institutional Review Board of the Peking Union Medical College Hospital (Reference Number I-22PJ693) and conducted in accordance with the Declaration of Helsinki.
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Yang, Y., Chi, Y., Jin, L. et al. Development and Validation of a Comprehensive Perioral Evaluation Method Using Three-Dimensional Stereophotogrammetry. Aesth Plast Surg 47, 2389–2400 (2023). https://doi.org/10.1007/s00266-023-03473-1
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DOI: https://doi.org/10.1007/s00266-023-03473-1