Face Width Research Articles

Utilizing Age of Menarche to Optimize Pediatric Rhinoplasty.

Pediatric septorhinoplasty has sparked controversial debate amongst craniofacial surgeons, particularly due to its potential growth disturbances of the face and nose. The purpose of this study is (1) to conduct a systematic literature review that explores unique considerations and limitations associated with performing rhinoplasty in the pediatric population; (2) to discuss objective indicators for determining craniofacial skeleton maturation; (3) to perform a case series to further understand whether the age of menarche serves as a good proxy for estimating the time of facial growth maturation, and by extension, whether a post-menarchal patient is a suitable candidate for rhinoplasty. Systematic literature review was performed in order to assess unique considerations and limitations of pediatric rhinoplasty. Retrospective chart review and anthropometric (9 linear, 3 angular, 6 indices) measurements were performed for ten pediatric female patients who underwent open septo-rhinoplasty. Follow-up times ranged from 66 to 103 weeks. Patients were separated into 2 cohorts according to age at the time of menarche. Cohort 1 consisted of patients who had undergone menses for longer than 2 years at the time of rhinoplasty, whereas Cohort 2 comprised of patients who either had menses within 2 years of rhinoplasty or did not have menses at the time of rhinoplasty. Data included demographic factors, procedural variables, revision surgeries, and complications. Measurements were conducted using VECTRA software (Canfield Scientific, Parsippany, NJ). Differences in measurements between the 2 postoperative timepoints were compared. Literature review yielded 17 articles, which had conflicting opinions regarding pediatric rhinoplasty and ultimately, highlighting the need for a more objective tool for guiding the decision to perform rhinoplasty.Patients in Cohort 1 had minimal deviations in measurements over time, within the exception of an increase in nasal tip projection and a decrease in nasolabial angle and facial width. Patients in Cohort 2 had decreases in facial height, upper facial height, nasal tip angle, and nasofrontal angle. Nasolabial angle decreased for both cohorts. Of the ten patients, 1 in Cohort 2 underwent revision rhinoplasty. Our case series suggests that anthropometric measurements remain relatively more stable for patients who have undergone menses for more than 2 years, compared to those who have not. Although this study has limitations, further investigation is warranted in order to determine whether age of menarche may serve as a useful tool for craniofacial surgeons in guiding the decision to perform rhinoplasty.

Facial Soft Tissue Pattern of the Hausa/Fulani Residents in Port Harcourt, Rivers State, Nigeria

Introduction: This research, facial soft tissue pattern of the Hausa-Fulani in Port Harcourt ascertains the soft tissue dimensions of the face in the Hausa-Fulani population resident in Port Harcourt. Methodology: A sample size of 300 subjects was investigated; 270 males and 30 females, using a digital camera to photograph the front and lateral aspects of the face in the normal position and transferring the image to a computer with specialized medical software for its analysis. Results: Sexual dimorphism was observed among the Hausa-Fulani’s. The mean values for the face height, middle face height, lower face height, middle face ratio, lower face ratio and face width for both males and females are; 271.92cm, 131.96cm, 48.39cm 46.68cm, 733.77cm and 124.85cm for males and 439.80cm 114.80cm 46.68cm, 50.20cm, 72.28cm and 125.21cm for females respectively. Conclusion: This research is relevant in cosmetic surgery and trauma management involving the face and while forming a database for the facial index of this ethnic group.

Cephalic index, facial index and dental parameters: A correlative study to evaluate their significance in facial reconstruction.

Background:It becomes extremely challenging for forensic artists to reconstruct the highly decomposed faces, especially during mass disasters. It would be of great help for the identifying team of experts if there was a method to determine the facial and cephalic dimensions. This study aims to provide a method to generate a simplified method to calculate the facial and cephalic indices of an individual based on the dentition since human dentition remains almost intact in most scenarios.Materials and Methods:The sample consisted of 200 participants with the age range of 18–23 years belonging to Kerala. The cephalic and facial indices were measured using a caliper. The interincisal, intercanine, interpremolar and intermolar widths of maxillary dentition were measured on study models using a digital vernier caliper. The mean cranial and facial index were calculated and were correlated with interdental measurements.Results:It was concluded that dominant head types in Kerala males were dolichocephalic (50.2%) followed by mesocephalic (29.8%). In females, the dominant head types were dolichocephalic (42.7%) followed by mesocephalic (42.2%). In the facial types, majority of individuals were found to be leptoprosopic. A good correlation was found between the intercanine width with facial width and cranial width and a simplified formula were derived to estimate the cranial and facial index for this population.Conclusion:The results of the study suggest that the facial index and cranial index of a particular population can be evaluated from interdental measurements of the maxillary cast, especially the intercanine width.

Correlation of morphological parameters of donkey from Austria

The donkey, as a work animal, is gradually losing its value. Agriculture industrialization, mechanization of many processes on mountain and valley farms have lead to a reduction of donkey livestock. This reduction gives cause for concern, and is good reason to study all aspects of these domestic animals in order to revive its role, to restart livestock growth in its familiar habitats, and to introduce it into new environments. This study focuses on these aspects. The domestic donkey (Equus asinus) originated from Africa, and there are two kinds of African donkeys: Nubian and Somali. Their enormous, almost mystical, endurance is well known. There is no place in the world where a donkey is not able to perform the most difficult work, above all in transporting goods. A donkey has an amazing capability of stable movement through the most difficult places. For study sample consisted of 44 donkeys (28 males and 16 females) from Austria. The following morphometric parameters were analysed: height at the withers, height at the back, height of the croup, body length, chest depth, chest width, chest circumference anterior, chest circumference posterior, shin circumference, head length, skull length, face length, skull width, face width, length of ears. Measurements were performed using a ruler, tape measure and vernier callipers. The average height at the withers of males was 116.40 cm, ranging from 99.60 to 140.60 cm, while for females, the average was 102.38 cm, ranging from 90.50 to 125.70 cm. Body length of males was on average 121.85 cm with a standard deviation of 11.79, while the mean body length for females is 115.80 cm, with a range of 101.00 to 131.00 cm. Male head length ranged from 48.00 to 71.00 cm, with an average of 55.60 cm, while in females, head length was on average 50.06 cm, ranging from 43.00 to 56.00 cm. Using the Pearson correlation, a very significant or significant positive statistical correlation was observed between almost all parameters of males, while for females, Pearson correlation values had slightly different values than for males. There was no statistically significant correlation between chest width and anterior chest circumference with nearly any other parameters. For females, a negative correlation between the skull width and all other parameters was also observed.

Face Proportions, and Analysis of Maxillary Anterior Teeth and Facial Proportions in a Thai Population

Background: Esthetics is the primary consideration for patients looking for prosthetic treatment. Determining the facial types of Thai populations is important because most studies conducted in Caucasian populations mention their facial types, and describe the gender comparisons, and GP of the teeth. Objectives: This study compared facial proportions, analyzed the maxillary anterior teeth proportions and determined the relationships between teeth with facial measurements using the Golden Proportion (GP) and Golden Standard (GS) in a Thai population. Methods: A total of 200 students (18-35 years) with well-aligned maxillary anterior teeth participated in this study. Face heights and widths were measured from the face using digital calipers and faces were classified as narrow, average, and broad. Teeth and face proportions were compared with GP and GS. One-way ANOVA was performed to compare maxillary anterior teeth proportions and facial proportions with different face types (α= 0.05). Pearson’s correlation was used (α= 0.05) to determine the correlation between facial proportion and teeth dimension among different facial types. Results: The findings showed 82.50% narrow face, 13.50% average, and 4% broad face among Thai subjects. No GP or GS was found in the face and anterior teeth, but teeth and face proportions other than GP and GS were found. No significant correlation was found between the Width of the Central Incisor (WCI) with interpupillary distance and alar width. Conclusion: In this study, the GP was not found in the facial and teeth proportion. The data obtained from this study may help to provide guidelines for prosthetic and orthodontic management and help to select the proper size and form of the maxillary anterior teeth to achieve proper esthetic outcomes in the Thai population.

Effect of genetic and non-genetic factors on morphometric traits of indigenous cattle breeds used for sporting event in Tamil Nadu

A total of 310 sporting bulls belonging to Pulikulam, Kangayam, Umblachery and non-descript cattle were used to assess the morphometric traits such as body weight (kg) and body length (cm), height at withers and chest girth (cm), face length and face width (cm), horn length and horn circumference and skin thickness (mm). The body measurements were analyzed to study the effect of different factors such as place of event, genetic and age groups by the general linear model. From this analyses, body weight and chest girth did not vary among different genetic groups, but, numerically higher body weight values were observed at more than six years of age. Kangayam bulls had significantly higher height at withers, when compared to other genetic groups. Pulikulam breed had higher face length (46.79±1.52 cm), maximum horn length (31.38±3.05 cm) and face width (20.53±1.04 cm), when compared to other genetic groups. Age of the bull, genetic groups and place of event did not show any significant effect on skin thickness. Overall, Pulikulam breed had optimum parameters with respect to body length, body weight, horn length and horn circumference and these attributes would confer jallikattu breed when compared to other recognized breeds.

The optimal framework and model to balance underground coal mining and cropland protection in Jining, eastern China

Coal and cropland resources play a vital role in energy safety and grain supply, respectively. However, the social growth that is driven by coal mining is followed by cropland damage, reductions in grain yields, and human-land conflict, all of which impede the sustainable development of coal mining and food safety. Thus, finding a way to optimize both coal mining and farmland protection in the coal-cropland overlapping area is crucial. In this paper, we constructed theoretical and empirical models to analyze the impact of the working face width on cropland with non-full subsidence based on the extent of cropland damage due to land subsidence caused by mining. Taking the Jining Coalfield with its high groundwater table as an example, this critical land subsidence was discussed based on the groundwater level (reclamation timing), suitable groundwater depth of crop growth, and coal mining efficiency. In addition, the reasons for surface ponding were analyzed caused by underground coal mining. The results showed that the surface ponding's anthropogenic item and internal factors are mining-induced land subsidence and the high groundwater table, respectively. These joint factors raise the groundwater level and lead to grainland damages which can be divided into four categories based on their extents (no effect, slight-reduction in yield, moderate-reduction in yield, and no harvest). Critical subsidence caused by mining width could optimize the groundwater depth or cropland damage. The calculated results from both models of the eight coal mines showed that the average mean deviation was 3.93%. The calculated results from the models were reliable, while the empirical model had fewer parameters and an easily calculable simple formula. The proposed optimal framework verified that the mining width needed to be reduced to 134m, 126m or 116m, 112m based on the groundwater depth or the damaged farmland in the Xinglongzhuang Coal Mine. The optimal framework will be of great significance for providing scientific references as to why the sustainable development of coal mining and grainland protection has been chosen.

English

BACKGROUND Surgical removal of impacted third molar is widely carried out in general dental practice and is usually associated with postoperative inflammatory sequelae like pain, swelling, and trismus. The objective of the study was to assess and compare the efficacy of oral bromelain and Serratiopeptidase for the control of post-operative sequelae following surgical removal of impacted third molar. METHODS A randomized, comparative clinical study was conducted on sixty patients who were undergoing impacted third molar surgery, and were allocated into two groups each comprising 30 patients. Conventional drugs included Cap amoxicillin 500 mg bid, Tab. metronidazole 200 mg tid, and Tab. diclofenac sodium 50 mg bid that were given to both the groups. Group I was treated with Tab. bromelain 200 mg tid along with conventional treatment for 5 days. Group II received a combination of conventional treatment and Tab. Serratiopeptidase 10 mg bid for 5 days. The parameters such as measurement of pain, facial width and trismus were analysed on postoperative days 1, 2 and 7. RESULTS The study comprised of totally 60 otherwise healthy patients. The group of patients who received bromelain along with diclofenac sodium seemed to be effective in controlling post-operative sequelae like pain (P < 0.05), swelling (P < 0.05) but not trismus (P < 0.05) when compared to the group who received Serratiopeptidase with diclofenac sodium. CONCLUSIONS The intensified anti-inflammatory action of bromelain, was possibly by inhibiting the generation of bradykinin and negative action on the prostaglandin pathway. The present study assessed the clinical effect of bromelain and serratiopeptidase on pain, facial swelling and trismus. KEY WORDS Bromelain, Oral Bromelain, Serratiopeptidase, Proteolytic Enzyme, Third Molar Surgery

Late Middle Pleistocene Harbin cranium represents a new Homo species

Late Middle Pleistocene Harbin cranium represents a new Homo species

Facial Anthropometry Measurements Using Three-Dimensional Stereophotogrammetry Analysis Among Nigerians.

This study aimed to determine the normative facial anthropometry measurement among Nigerians using three-dimensional stereophotogrammetry analysis.This study was carried out in Lagos, Nigeria over a period of 3 years. The sample population was Nigerians of diverse ethnic groups, age 16 and above with no history of congenital or acquired craniofacial deformities.A total of 452 subjects participated in the study with 56.2% males and 43.8% females. Most of the participants were between the ages of 25 to 49 (54.4%), 40.7% were less than 25 years of age and only 4.4% were more than 50 years old. The mean body mass index (BMI) for males was 22.7 and 23.4 for females. Mean values of upper facial height, midfacial height, lower facial height, intercanthal distance, interpupillary distance, upper facial width, and lower facial width are 69.13 ± 5.91, 49.89 ± 3.56, 67.85 ± 6.12, 35.19 ± 3.20, 67.04 ± 3.67, 139.43 ± 7.11, and 124.29 ± 9.72 mm, respectively. The upper facial height, commissure width, upper lip length, and lower jaw width were significantly affected by age, while the BMI of an individual was a determinant of the interpupillary distance, facial width, and lower jaw width.This study demonstrated that there was a statistically significant difference in the facial dimensions of males when compared to females across all ages among the study population. The authors also observed that age and BMI are significant predictors of variations in some of the measurements.

Anthropometric Analysis of the Growth Proportions of the Head and Face in Koreans.

The present study is to identify primarily the morphological characteristics in the growth proportion of the head and face for young Korean (8-24 years) and compare the magnitude of growth changes to the sex-related differences. Total 1255 were divided into 3 age groups: childhood (8-10 years), adolescence (14-16 years), and young adult (20-24 years). The anthropometric assessments were performed with 11 landmarks on the head and facial dimensions. The standardized frontal and lateral head and face photographs were analyzed the craniofacial growth proportions and morphological features for the comparison of both sexes. The noteworthy differences of anthropometric measurements between sexes with growing were noted on the lower head height (22.6%, 17.8%), midface height (22.0%, 19.6%), lower face height (23.5%, 14.7%), and face length (21.1%, 14.9%), face breadth (14.8%, 11.3%) of males and females, respectively. Whereas the upper head height (7.9%, 6.0%) and upper face height (4.2%, 0%, respectively) were less growing features. The most remarkable changes are the dimension of midface height and lower face height in both sexes. The present study could demonstrate a fundamental example to elucidate the sex-related dimensional differences for the analysis of the growth proportion of both sexes in Koreans.

Cue vetoing in depth estimation: Physical and virtual stimuli

Motion parallax and binocular disparity contribute to the perceived depth of three-dimensional (3D) objects. However, depth is often misperceived, even when both cues are available. This may be due in part to conflicts with unmodelled cues endemic to computerized displays. Here we evaluated the impact of display-based cue conflicts on depth cue integration by comparing perceived depth for physical and virtual objects. Truncated square pyramids were rendered using Blender and 3D printed. We assessed perceived depth using a discrimination task with motion parallax, binocular disparity, and their combination. Physical stimuli were presented with precise control over position and lighting. Virtual stimuli were viewed using a head-mounted display. To generate motion parallax, observers made lateral head movements using a chin rest on a motion platform. Observers indicated if the width of the front face appeared greater or less than the distance between this surface and the base. We found that accuracy was similar for virtual and physical pyramids. All estimates were more precise when depth was defined by binocular disparity than motion parallax. Our probabilistic model shows that a linear combination model does not adequately describe performance in either physical or virtual conditions. While there was inter-observer variability in weights, performance in all conditions was best predicted by a veto model that excludes the less reliable depth cue, in this case motion parallax.

Role of presurgical nasoalveolar molding in the repair of unilateral cleft lip

Aim: A study aims to reappraise the merits of nasoalveolar molding before the repair of unilateral cleft lip. Materials and Methods: A prospective study was conducted with 20 cases of the unilateral complete cleft lip for 3 years. We counseled the parents, offered them to choose the surgical procedure with/without preoperative nasoalveolar molding (NAM), and obtained consent from them. The nasolabial closure was done either after aligning the cleft segments with NAM or without preoperative NAM. The patients were followed up for 1 year and assessed. Both groups are then compared with normal healthy individuals of the same age group. Results: Depending on preoperative NAM, the patients were divided into Groups A (without NAM) and B (with NAM). All the facial proportions and angles (except oral commissural width: facial width and nasal tip angle) of Group B are much closer to the values of normal age-controlled individuals. However, a significant difference existed between the Group A values and normal individuals. Group B showed better nasal symmetry and restoration of normal proportions. The quality of scar produced was significantly superior in Group B when compared to Group A. Body weight change was also significantly different in the two groups. Group B seemed to catch the 15th percentile while Group A stayed at the 3rd percentile in the postoperative period. Conclusion: Presurgical NAM helps to restore the normal facial proportions and produces a healthier scar. Furthermore, the bodyweight of patients seems to improve as the NAM plate acts as a feeding plate.

Morphometric characteristics of skull and face parameters in fetuses and newborns

Modern science has a significant number of diagnostic methods: craniological, anatomical, ultrasound, radiological. The development of new research methods, such as ultrasound and X-ray methods (magnetic resonance imaging), forms the concept of ultrasound and X-ray norms at different stages of human development. Now it is important to study the anatomical variability of people, morphometric characteristics, relationships of organs, anatomical structures, their parts at all stages of human development. The purpose of the work is to establish normative morphometric parameters of the skull and face in fetuses and newborns, followed by construction of mathematical models. The study was performed on 57 preparations of human fetuses 4-10 months and 7 newborns using adequate anatomical methods: macropreparation, topographic anatomical sections, computed tomography, craniometry. The main parameters of the facial and cerebral skull were measured with the help of a centimeter tape, a thick, sliding compass and a caliper. Statistical analysis of the obtained data was performed using a licensed program RStudio. It is established that according to the graphs of the average values of the parameters of the skull and face, there are two periods of accelerated and two periods of slow development. For transverse skull length, face width and skull height, two periods of accelerated development from the 6th to the 8th month of fetal development and from the 9th month of fetal development to the neonatal period and two periods of delayed development from the 5th to the 6th months and from the 8th to the 9th month of fetal development were revealed. For the total height of the face – periods of accelerated development – from the 4th to the 6th month of fetal development and from the 7th to the 9th month of fetal development, periods of delayed development – from the 6th to the 7th month of fetal development and from the 9th month of fetal development to the neonatal period. On the basis of arithmetic mean data of transverse skull length, face width, skull height, total face height, models for predicting normative morphometric parameters in fetuses and newborns are constructed. The constructed models will serve as a norm for the subsequent determination of certain morphometric deviations to establish variants of the structure and malformations of the skull and face. Thus, our systematized data on the features of spatio-temporal transformations of morphometric parameters of transverse skull length, face width, skull height, total face height with subsequent construction of mathematical models will contribute to the individualization of the norm, improvement of early diagnosis methods and development of new methods for surgical correction of congenital defects of the skull and face.

Латентные факторы компонентов физического развития у детей и подростков северного региона с недифференцированной дисплазией соединительной ткани

In connection with the spread of undifferentiated forms of connective tissue dysplasia (UCTD) in unfavorable climatogeographic and environmental conditions, it seems relevant to assess the impact of organogenesis disorders on physical development in schoolchildren living in the northern region. Based on the foregoing, the purpose of this study was to study the relationships and interdependencies of the components of physical development and somatometric indicators in children of the northern region with phenotypic signs of connective tissue dysplasia. Anthropometric indicators were revealed that can be used for express diagnostics of the level of physical development in children with UCTD these are the length of the legs, the thickness of the skin-fat fold on the front surface of the shoulder and the interorbital-circumferential index. When assessing covariants such as age and sex, there is a correlation of clusters of long-length values with age, the relationship of the thickness of the skin-fat folds with the floor, and the parameters assessing changes in the cerebral and facial skull, such as: face width, head circumference and interorbital-circumferential index are associated with both sex and with age. The influence of posture disorders on the studied components of physical development is manifested by higher growth in children with flat and round-curved backs, a decrease in the thickness of skin-fat folds and head size with a round and round-curved back. Thus, for a comparative analysis of gender and age differences in the level of physical development in children with UCTD, it is necessary to take into account the dynamics of interdependent anthropometric indicators and indices, taking into account postural disorders.

Three-dimensional analysis of facial asymmetry after zygomaticomaxillary complex fracture reduction: a retrospective analysis of 101 East Asian patients.

BackgroundThe zygomaticomaxillary complex (ZMC) has a protruded, convex shape and plays a vital role in determining the contour by affecting the width of the middle face. This study aimed to evaluate the efficiency of ZMC fracture reduction and explore detailed directions for outcome improvement.MethodsWe conducted a retrospective study of patients diagnosed with unilateral ZMC fracture who underwent ZMC reduction surgery at a single hospital between January 2015 and May 2020. The primary outcome variable was facial asymmetry using the difference in the bilateral malar eminence (ME) position measured by computed tomography scan. The 3-dimensional distance (IA, asymmetry index) and the distance in each dimension, Dx (anteroposterior distance), Dy (mediolateral distance), and Dz (superoinferior distance) were compared.ResultsA total of 101 patients with ZMC fractures and 54 non-fracture patients were enrolled in the study. The mean age of the study sample was 43.49 years (control sample, 43.35 years), and the male-to-female ratio was 66.3:33.7 (control sample, 64.8:35.2). There were 53 and 48 patients with right and left ZMC fractures, respectively. The IA was not statistically different between the two groups. In terms of position in each dimension, only Dx was significantly different between the two groups.ConclusionThe results show that overall facial asymmetry was recovered after ZMC reduction, but in certain dimension significant difference in ME position has still remained. For further improvement, treatment should be performed to relieve malar depression in the anteroposterior dimension.

A Cross-Sectional Study to Determine and Compare the Craniofacial Anthropometric Norms in a Selected Kenyan and Chinese Population.

Background: Craniofacial anthropometry provides essential data for diagnosis and treatment planning, with the norms for many races having been investigated. The results reveal that facial morphometry varies greatly because of geographical, ethnic, and racial variations. This study aims to gather the normative anthropometric data and compare the differences in facial morphometry between the Kenyan population and that of the Chinese. Methods: Four vertical measurements (trichion-nasion, nasion-subnasale, subnasale-gnathion, and superaurale-subaurale) and 6 horizontal measurements (zygion-zygion, exocanthion-endocanthion, endocanthion-endocanthion, pupil-pupil, alare-alare, and chelion-chelion) were obtained manually from subjects with no craniofacial abnormality. Results: A total of 180 participants (90 Kenyans and 90 Chinese) were included. Among the Kenyans, males generally had greater dimensions in comparison to the Kenyan females with the exception of the upper third, lower third, and intercanthal, and interpupillary distances. Among the Chinese, there was a significant difference between the 2 genders with the exception of intercanthal distance. All measurements were greater in Chinese males in comparison to the females. Comparison between races shows that Kenyans had greater vertical measurements with exception of the ear length for both genders. The Chinese males had increased facial width and intercanthal distance, while the Chinese females showed increased intercanthal distance compared to Kenyans. Kenyans exhibited hyperleptoprosopic-type face, while Chinese exhibited mesoprosopic-type face, with none of the 2 groups conforming to the neoclassical canons. Conclusion: Kenyans generally have greater craniofacial measurements versus Chinese, except for the facial width and intercanthal distance for males and interorbital distance for females.

A cross-sectional study of facial index in Western Uttar Pradesh population between 18-25 years of age

Background: Facial anthropometry is the scientific study of measurements and proportions of the human face. There is huge paucity in the metric measurements of face in Indian population. This study is involved in collecting facial anthropometric data of Western Uttar Pradesh population of age group between 18-25 years.
 Aims and Objectives: This study aims at evaluating predominant facial phenotype, using facial height and facial width of Western Uttar Pradesh population as study subjects.
 Materials and Methods: The study was conducted on 200 medical and paramedical students of Shri Ram Murti Smarak Institute of Medical Sciences (SRMS-IMS), Bareilly, Uttar Pradesh. The study subjects were of 18-25 year’s age, belonging to Western Uttar Pradesh region. Digital Vernier Caliper was used to measure the facial parameters. The data was analyzed using statistical tool SPSS 16.0 version.
 Results: In the present study it is found that facial height and width are more in males compared to females. This difference is statistically significant. On analyzing facial index, hyperleptoprosopic face is the predominant phenotype in males as well as in females, followed by leptoprosopic type in males and mesoprosopic type in females. However, gender differences in facial index are not statistically significant at p<0.05. 
 Conclusion: The current study reveals that facial parameters can be used to determine the gender of an individual on the basis of height and width.

Abstract P002: Associations Of Bone Fracture Outcomes With Body Compositions Measurements In A Fragility Fracture Clinic Population

Introduction: While preoperative bone health optimization is typical in the fragile population, objective assessment is limited. Among the aged, localized discordance in bone loss is prevalent and may not be assessed properly with traditional diagnostic measures. Etiology for bone loss discordance is unknown, but may be attributed to aging, disease state, habitus, or activity. This study investigated the association between body composition measures and common fragility fractures. Hypothesis: We hypothesized that each different fracture outcome would associate differently with measures of body composition. Methods: The Fragility Fracture Clinic at the University of Michigan provides comprehensive care to promote bone health, accelerate healing, and reduce fracture risk in those with and at-risk for fractures. Participants (N=344) included those who enrolled at the clinic between 2013 and 2020 and received an abdomen and/or pelvis computed tomography (CT) scan up to 120 days prior to initial enrollment date. Fracture categorizations included acute vs. non-acute, intensity (high vs. low energy), and location (thoracic vs. lumbar vertebral). Retrospective CT-scans were obtained from the University of Michigan Picture Archive and Communication System. Analytic Morphomics was used to obtain granular vertebral-indexed measurements of vertebral bone density, fascia, adipose tissue, muscle, vasculature, and interior body dimensions. Relevant measures include bone mineral density (BMD) [vertebral body trabecular bone density in Hounsfield Units (HU)], lower muscle group density in HU (DMG) (cross sectional area of DMG in HU range of 31-100), cortical bone density [anterior cortical half-maximum (in HU)], and fascial width (in mm). Measurements were divided by their standard deviation to ease interpretation of odds ratios. Multivariable logistic regression was used to evaluate the relationship between body measures and fracture type. Coefficients are reported as odds ratio (OR) and 95% confidence interval (CI). An alpha level of 0.05 determine statistical significance. Results: Associations were observed between acute fracture and BMD at L3 [OR 0.58, 95% CI 0.36-0.85]; high energy fracture and DMG at L3 [OR 2.08, 1.05-4.64]; low energy fracture and BMD at T8 [OR 0.39, 0.17-0.81]; thoracic vertebral fractures and BMD at T11 [OR 0.39, 0.17-0.81], cortical bone density at T11 [OR 0.64, 0.40-0.95], and fascial width at L4 [OR 0.67, 0.43-0.98]; lumbar vertebral fracture and BMD at L3 [OR 0.44, 95% CI 0.20-0.88]. Conclusion: Body composition measures uniquely associated with fracture outcomes. Lower vertebral trabecular bone density was associated with acute, high energy, thoracic vertebral, and lumbar vertebral fractures; lower lean muscle with high energy fractures; cortical bone density and facial (i.e. visceral cavity) width with thoracic vertebral fractures.

Reduction Mandibuloplasty Along with Partial Masseter Muscle Resection: Masseter Muscle Response and Bone Regeneration

To compare the masseter muscle changes and bone regeneration between reduction mandibuloplasty along with partial masseter muscle resection and reduction mandibuloplasty alone. Forty-seven patients who complained of prominent mandibular angle and hypertrophy masseter muscles (MMH) were divided into group 1 treated with reduction mandibuloplasty along with partial masseter muscle resection, and group 2 treated with reduction mandibuloplasty alone. Pre-5 days and long-term postoperative computed tomography data were collected, and the masseter muscle volume, hemi-mandible volume, and unilateral lower face width were measured. Patient satisfaction and complication were also evaluated. At long-term follow-up, group 1 showed a greater decrease in masseter volume (p<0.001), and lower face width (p<0.001), and less bone regeneration (p<0.001) than group 2. Furthermore, patients in group 1 had higher satisfaction with the surgical outcome (p<0.05). Reduction mandibuloplasty along with partial masseter muscle resection can achieve a slender frontal appearance and significantly decrease bone generation. For patients with MMH, reduction mandibuloplasty along with partial masseter muscle resection is an effective and predictable lower face reshaping surgery. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors www.springer.com/00266 .