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Table 3 Distribution of ratings based on physical exam (PE) and 2D images for 78 hemifaces of 39 participants

From: Reliable classification of facial phenotypic variation in craniofacial microsomia: a comparison of physical exam and photographs

 

2D photo (n = 78)

PE (n = 78)

 

2D photo (n = 78)

PE (n = 78)

 

2D photo (n = 78)

PE (n = 78)

Craniofacial feature

n (%)

n (%)

Craniofacial feature

n (%)

n (%)

Craniofacial feature

n (%)

n (%)

Orbital size

  

Brow palsy

  

Ear

  

  Normal

77 (99)

75 (96)

 None

60 (97)

65 (90)

 Unaffected

  

  Abnormal

1 (1)

3 (4)

 Present

2 (3)

7 (10)

  Normal

35 (46)

36 (47)

   Missing

0

0

Missing

16

6

  All parts present, mild

11 (15)

9 (12)

  History of surgery

none

none

 History of surgery

none

none

  deformity

  

Orbital displacement

  

Orbic palsy

  

 Affected

  

  Normal

63 (81)

62 (85)

 None

68 (100)

69 (96)

  Auricle 1/2-1/3 of

6 (8)

7 (9)

  Inferior displacement

6 (8)

6 (8)

 Present

0 (0)

3 (4)

  predicted size, not

  

  Superior displacement

9 (12)

5 (7)

Missing

10

6

  all parts present

  

   Missing

0

5

 History of surgery

none

none

  Severely malformedc

22 (29)

24 (31)

  History of surgery

none

none

Smile palsy

  

  Anotia

2 (3)

1 (1)

Occlusal plane

  

 None

69 (100)

77 (99)

   Missing

2

1

 Unaffected

  

 Present

0 (0)

1 (1)

  History of surgeryb

5 (6)

4 (5)

  No cant

44 (70)

45 (68)

Missing

9

0

Ear canal

  

  1–5°

11 (18)

9 (14)

 History of surgery

none

none

  Normal

35 (53)

44 (60)

 Affected

  

Lower lip palsy

  

  Stenosis

3 (5)

6 (8)

  6–15°

7 (11)

11 (17)

 None

56 (85)

63 (83)

  Atresia

28 (42)

24 (32)

  >15°

1 (2)

1 (2)

 Present

10 (15)

13 (17)

   Missing

12

4

   Missing

15

12

Missing

12

2

  History of surgery

1 (1)

1 (1)

  History of surgery

none

none

 History of surgery

none

none

   

Mandible

     

Preauricular tag

  

 Unaffected

  

Upper lid coloboma

  

  None

58 (78)

61 (86)

  Normal

42 (54)

39 (50)

 None

75 (96)

76 (97)

  Present

16 (21)

10 (14)

  Mild hypoplasia

15 (19)

14 (18)

 Present

3 (4)

2 (3)

   Missing

4

7

 Affected

  

Missing

0

0

  History of surgery

8 (10)

9 (16)

  Moderate hypoplasia

9 (12)

8 (10)

 History of surgery

none

none

Ear tag

  

  Mod-sev hypoplasia

7 (9)

11 (14)

Lower lid coloboma

  

  None

69 (92)

67 (94)

  Severe hypoplasia

5 (6)

6 (8)

 None

78 (100)

78 (100)

  Present

6 (8)

4 (6)

   Missing

0

0

 History of surgery

none

none

   Missing

3

7

  History of surgery

0 (0)

3 (3.8)

Iris coloboma

  

  History of surgery

6 (8)

7 (9)

Soft tissue deficiency

  

 None

72 (100)

78 (100)

Facial tag

  

 Unaffected

  

Missing

6

0

  None

71 (96)

70 (97)

  Normal

38 (49)

38 (49)

 History of surgery

none

none

  Present

3 (4)

2 (3)

  Minimal

23 (30)

20 (26)

Strabismus

  

   Missing

4

6

 Affected

  

 None

75 (97)

77 (100)

  History of surgery

8 (10)

7 (9)

  Moderate

15 (20)

17 (22)

 Exotropia

2 (3)

0 (0)

Preauricular pit

  

  Severe

1 (1)

3 (4)

Missing

1

0

  None

74 (99)

74 (97)

   Missing

1

0

 History of surgery

none

none

  Present

1 (1)

2 (3)

  History of surgery

0 (0)

1 (1)

Dermoid

  

   Missing

3

2

Cleft lip

  

 None

75 (96)

74 (95)

  History of surgery

3 (4)

2 (3)

  None

71 (99)

75 (96)

 Present

3 (4)

4 (5)

Ear pit

  

  Present

1 (1)

3 (4)

Missing

0

0

  None

73 (97)

74 (97)

   Missing

6

0

 History of surgery

0 (0)

1 (1)

  Present

2 (3)

2 (3)

  History of surgery

none

none

Lateral oral cleft

  

   Missing

3

2

Tongue

  

 No cleft

71 (92)

70 (91)

  History of surgery

3 (4)

2 (3)

  Normal

62 (94)

74 (97)

 Cleft terminates mediala

6 (8)

4 (5)

Facial pit

  

  Mild dysmorphism

4 (6)

2 (3)

 Cleft terminates laterala

0 (0)

3 (4)

  None

74 (100)

77 (100)

   Missing

12

2

Missing

1

1

   Missing

4

1

  History of surgery

none

none

 History of surgery

3 (4)

3 (4)

  History of surgery

4 (5)

1 (1)

  1. ato anterior border of masseter
  2. bnon-missing ear ratings which also had a history of surgery corresponded to ratings of “severly malformed, often peanut shaped” and “anotia”; these ear ratings were carried out despite history of surgery since surgery did not affect raters ability to judge severity of ear involvement
  3. coften peanut shaped
  4. Hx history