Quantification of faults resulting from disregard of standardised facial photography

Summary Medical photography is an important part of documentary procedures in plastic surgery both for quality assurance and for protecting surgeons from possible medico-legal claims filed by patients. Photo documentary standards were established to make photos reliable and to enable comparisons bet...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2011-07, Vol.64 (7), p.898-901
Main Authors: Riml, S, Piontke, A, Larcher, L, Kompatscher, P
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cohort Studies
Evaluation Studies as Topic
Face - anatomy & histology
Facial Expression
Facial photography
Female
Humans
Male
Medical sciences
Movement
Photo documentary standards
Photo documentation
Photography - standards
Plastic Surgery
Preoperative Care
Quality control
Reference Values
Reproducibility of Results
Sensitivity and Specificity
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery, Plastic
Young Adult
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Summary:Summary Medical photography is an important part of documentary procedures in plastic surgery both for quality assurance and for protecting surgeons from possible medico-legal claims filed by patients. Photo documentary standards were established to make photos reliable and to enable comparisons between pre- and post-operative views of a patient, different operative procedures and between results achieved by different surgeons. Despite their obvious importance, especially in the documentation of subtle surgical procedures on the face such as rhinoplasty, photo documentary standards continue to be disregarded. In this article, we analyse and quantify faults caused by even small deviations from photo documentary standards. Photos of 10 healthy, young adults ( n  = 10) taken in accordance with established standards were compared to photos with the similar types of faults in positioning of the head (±10° deviation from the standard), camera angles (±10° deviation from standard) or mimic expression (slight smile). A computer-assisted facial analysis was performed and the effects of faulty photo documentation on the final result were calculated. The analysis showed, for instance, that a +10° fault in positioning of the head causes a mean shortening of the nasal dorsum by 32.34% ( p
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2010.11.005