Nasal Height Research Articles

Which OCT Measure of the Optic Nerve Head Improves Fastest? Towards Optimizing Early Detection of Resolving Papilledema in Children.

Optical coherence tomography (OCT) has been used to monitor papilledema. This study aims to determine which OCT-derived measures of the optic nerve head (ONH) detect resolving papilledema in children faster than standard OCT measures. Children (≤18years of age) with papilledema who completed optic nerve SD-OCT pretreatment and had evidence of treatment response on one or more follow-up OCTs within 4months were included. Standard (mean circumpapillary retinal nerve fiber layer [cpRNFL] thickness), device-derived (per-quadrant cpRNFL) and custom (ONH height, maximum Bruch's membrane displacement [BMD], ONH volume [ONHV], and BMD volume) OCT measures were calculated. Per-eye generalized estimating equations (GEEs) modelled changes in device-derived and custom measures as a function of mean cpRNFL to identify those measures that resolved faster during early (0-2months) follow-up. Mean cpRNFL coefficients of greater than 1 indicated faster resolving papilledema. We included 52 eyes of 29 children (mean age, 12.8years; 72.4% female). In analysis of early follow-up visits (38 eyes from 22 children), nasal cpRNFL and maximum BMD in each quadrant resolved faster than mean cpRNFL (GEE coefficients range, 1.14-3.37). Inferior cpRNFL, superior, nasal, and inferior ONH heights and ONHV resolved slower than mean cpRNFL (GEE coefficients range, 0.67-0.87). Nasal cpRNFL is a promising device-derived OCT measure for the early detection of resolving papilledema in children compared with mean cpRNFL. Maximum BMD, a custom measure, also shows promise, but its calculation has not yet been incorporated into commercial OCT devices. This study guides the optimal use of OCT in capturing resolving papilledema in children.

The Correlation Between the Foramen Magnum Dimensions and the Main Craniometric Data of the Skull

The purpose of the study was to study the correlation between the length and width of the foramen magnum and the craniometric data of the skull. Methods. The research material consisted of 200 skulls. There were 20 skulls of adolescence age, I adulthood age 68, II adulthood age 72, and elderly age 40. In total, there were 86 male skulls and 114 female skulls. Foramen magnum length is measured as the mid-sagittal distance from the most anterior point on the foramen magnum to opisthion. Foramen magnum breadth is gauged between the lateral margins of the foramen magnum at the point of greatest lateral curvature. A non-parametric ρ-Spearman's rank correlation was used in the study. Results. A correlation between the foramen magnum length and foramen magnum breadth is identified (r=0.479, P<0.001).The foramen magnum length positively correlates with maximum cranial length, nasio-occipital length, bizygomatic breadth, basion-bregma height, cranial base length, basion-prosthion length, biauricular breadth, upper facial breadth, left and right orbital breadths, left and right orbital height, biorbital breadth, interorbital breadth, frontal chord, biasterionic breadth, bimaxillary breadth, and zygoorbitale breadth. The foramen magnum breadth positively correlates with maximum cranial length, nasio-occipital length, bizygomatic breadth, basion-bregma height, cranial base length, basion-prosthion length, maxilla-alveolar breadth, maxilla-alveolar length, biauricular breadth, upper facial breadth, nasal height, left and right orbital breadths, left and right orbital heights, biorbital breadth, frontal chord, parietal chord, bimaxillary breadth, and zygoorbitale breadth. Conclusion. The fact that the length and breadth of the foramen magnum positively correlate with many basic craniometric indicators allows us to regard the foramen itself, or rather, the structures limiting it, as quite stable.

Nasal Anthropometry: An Assessment Among the Akan and Ewe Ethnic Groups in Ghana.

The distribution of nasal types has been reported to be influenced by climatic adaptation as the nose is involved in conditioning inhaled air. Previous studies have reported differential nasal types and dimensions among varying populations which is very beneficial in planning for rhinoplasty and in forensic identification. However, there is inadequate data on nasal types and dimensions of the various ethnic groups in the Ghanaian population. Since it is inappropriate to apply nasal dimensions of one ethnic group to another, the current study sought to assess the nasal types and dimensions of Akans and Ewes in the Ghanaian population. Nasal height, nasal length, nasal tip protrusion, morphological nose width, and anatomical nose width were measured from 202 participants (116 Akans and 86 Ewes) aged 18-27 years belonging to the Akan and Ewe ethnic groups. Nasal index was calculated, and the frequencies of the nasal types among the two ethnic groups were determined. Ewe significantly had greater nasal length and nasal tip protrusion than the Akans. For both ethnic groups, sexual dimorphism was observed in morphological nose width and anatomical nose width, with males having greater values than females. The platyrrhine (broad nose) nasal type was predominant among the Akan and Ewe ethnic groups. The average nasal dimensions of the Akan and Ewe ethnic groups for the Ghanaian population have been reported in the present study, which will be useful in rhinoplasty intended for individuals belonging to these ethnic groups and in identification.

Gender- and age-related differences in foveal pit morphology.

To measure the foveal pit morphology parameters and evaluate their correlations with age and sex. A retrospective cross-sectional matched comparison study in a tertiary center. Forty men and 40 age-matched women who had normal macular structures and foveal contours were enrolled. Foveal pit parameters including top width, base width, nasal width, temporal width, minimal thickness, nasal thickness, temporal thickness, nasal height, temporal height, nasal slope, and temporal slope were measured on horizontal B-scan macular optical coherence tomography and compared between men and women. Paired t-tests and Pearson's correlation analysis. The average patient age was 51.4 ± 17.5 (21-84) years. Women had a wider base width (313.1 ± 68.0 μm vs 266.8 ± 70.9 μm, P = 0.006), wider temporal width (1043.1 ± 245.6 μm vs 968.9 ± 261.0 μm, P = 0.006), thinner nasal thickness (345.6 ± 36.2 μm vs 359.7 ± 35.8 μm, P = 0.048), and flatter temporal slope (11.60 ± 2.52° vs 12.98 ± 2.68°, P = 0.016) than men. With age, the base width (r = 0.35, P = 0.025) and temporal width (r = 0.54, P = 0.0003) tended to be wider and the temporal slope was flatter (r = -0.45, P = 0.003) in women but not men. The minimal thickness tended to be thinner in the elderly group (r = 0.038, P = 0.015). Women had a significantly wider base width, wider temporal width, thinner nasal thickness, and flatter temporal slope of the foveal pit than age-matched men. The base width and temporal width were wider and the temporal slope was flatter with age in women but not men.

Facial Analysis of the Igbo Ethnic Group of Nigeria for the Evaluation of Sexual Dimorphism

Background: Facial analysis defines the measurement of soft tissue in the face used in forensics, anthropology, artistic design, and facial reconstruction. The study aims to evaluate the sexual differences in facial parameters among the Igbo ethnic group of Nigeria.
 Methods: 400 (200 males and 200 females) subjects of Igbo origin volunteered for the study. Each subject's frontal view photographs were taken in the Natural Head Position (NHP) and analyzed using Pro-Image Facial Software Version 2 to evaluate the nasal width, nasal height, mouth width, facial width, facial height, inner canthal distance, and outer canthal distance. Data obtained were analyzed with IBM SPSS (version 23) and independent T-test as an inferential statistic.
 Results: The result showed that NW was (M=5.16±0.65, F=5.34±0.53, t=-2.91, p=0.00), NH was (M=5.61±0.62, F=5.26±0.57, t=5.92, p=0.00), MW was (M=6.64±0.7, F=6.54±0.71, t=1.46, p=0.14), FW was (M=16.17±1.31, F=15.07±2.04, t=6.39, p=0.00), FH was (M=16.63±1.11, F=16.08±1.31, t=4.36, p=0.00), En was (M=4.62±0.46, F=4.31±0.47, t=6.75, p=0.00) and Ex was (M=12.23±0.86, F=12.16±1.01, t=0.82, p=0.41).
 Conclusion: The nasal width and Height, facial width and height, and inner canthal distance show gender differences among the Igbo ethnic group of Nigeria. This study will have a practical application in Forensics, Anthropology, Artistic and Industrial design, and to medical professionals involved in facial reconstruction.

Nasal Dorsum Anatomy of Major Different Ethnicities-Surgical Implications: A Multicenter Radiologic Study.

The heterogeneity of nasal features across different racial and ethnic groups is evident. This large-scale multicenter study was performed to evaluate the dorsal keystone area and its relation to superficial nasal anatomy through computed tomography (CT) scans. Six populations were included: South Caucasian, Middle Eastern, Black South African, Eastern Asian, Mestizo, and Eastern European. Each center obtained CT scans performed between January of 2020 and December of 2022 from patients presenting a nasal hump and from an age- and sex-matched control group. Osteocartilaginous measurements in relation to ethmoidal point and to rhinion, as well as their relation to superficial nasal anatomy, were collected from nasal CT scans in midsagittal view. These were compared between populations and, in each center, between patient groups (nasal hump versus no nasal hump). The study population included 600 patients (254 with nasal hump) with a mean age of 33.98 years (range, 18 to 59 years); 55.6% were women. Average distances from the ethmoidal point were 10.1 ± 3.5 mm to the rhinion and 1.68 ± 0.23 mm to the beginning point of the nasal hump. In 96% of cases, the ethmoidal point was cranial or no more than 5 mm caudal to the beginning of the nasal hump. S-shaped nasal bones were associated with nasal hump, but angulation (kyphion angle) did not correlate with nasal hump height. In most patients, the nasal hump has no ethmoid bone underneath it, and the apex is located over the septal cartilage. The ethmoidal point is a reliable landmark and should be considered when evaluating established and new preservation and structural rhinoplasty approaches.

Differences in Nasal Shapes and the Degree of Changes Over a Decade or More: A Paired Analysis.

This study investigated age-related differences in nasal morphometry and the degree of changes within an individual over at least a 10-year period by pairing previous and recent three-dimensional reconstructed computed tomography (CT) images. Forty-eight adult Korean patients who underwent at least two CT scans of the nasal region with an interval of at least 10 years were selected. Patients were categorized into six subgroups according to sex and age (20-39 years, 40-49 years, and ≥50 years) at the time of initial imaging. Eight nasal parameters were measured on the initial and recent images, and paired comparisons between the two images were performed based on the data. The differences in the degree of change by age were also analyzed. Over an average image interval of 12 years, men exhibited an increase in the nasofrontal angle (3.2°±5.4°, P=0.041), profile nasal length (1.7±1.7 mm, P=0.002), and nasal bridge height (1.2±1.6 mm, P=0.002). Conversely, they showed a decrease in the nasofacial angle (-2.3°±2.9°, P=0.010). Women also demonstrated an increase in the nasofrontal angle (2.5°±5.2°, P=0.010), profile nasal length (1.4±1.9 mm, P<0.001), and nasal bridge height (1.3±1.6 mm, P<0.001). However, they exhibited a decrease in the nasofacial angle (-2.0°±2.1°, P<0.001), glabella angle (-9.1°±9.8°, P<0.001), and pyriform angle (-8.5°±10.1°, P<0.001). With the exception of the nasal bridge height (P=0.036) and pyriform angle (P=0.022), the degree of changes in most parameters did not show significant differences across age groups. Our findings indicate that the aging nose exhibits a greater nasal length with inferior angulation of the nasal tip, with an increase in the nasofrontal angle, profile nasal length, and nasal bridge height, along with a decrease in the nasofacial angle. The degree of most nasal morphologic changes demonstrated no significant differences by specific age group.

Regression analysis of nasal shape from juvenile to adult ages for forensic facial reconstruction

The nose is a prominent feature for facial recognition and reconstruction. To investigate the relationship of the nasal shape with the piriform aperture in Korean adults and juveniles, we performed regression analysis. By regression analysis, prediction equations for nasal shape were obtained in relation to the shape of the piriform aperture considering sex and age groups.Three-dimensional skull and face models, rendered from computed tomography images, were assessed (331 males and 334 females). Juveniles (<20 years) were divided into three age groups according to the development of the dentition. Adults were divided into three age groups of two decades each, according to their age. To measure the nasal area, nine landmarks and nine measurements were chosen, while seven landmarks and five measurements were selected to measure the piriform aperture area. Four measurements were defined to explain the direct relationship between the nasal aperture and nasal shape.First, descriptive statistical analyses were performed according to sex and age groups. Subsequently, the correlation of nasal soft tissue measurements with piriform measurements was analyzed. Last, we performed a linear regression analysis of the measurements with higher correlations, considering sex and age groups as variables. Prediction equations were used to estimate the nasal bridge length, height, protrusion, and width. Equations considering sex and age groups showed better explanation ability. Measurements related to the height of the nasal bridge presented improvement. This study may assist in the more accurate approximation of nasal shape in facial reconstruction.

Factors influencing nasal airway pressure and comfort in high-flow nasal cannula oxygen therapy: a volunteer study

BackgroundHigh-flow nasal cannula (HFNC) oxygen therapy is essentially a constant-flow, noninvasive respiratory support system similar to a noninvasive ventilator operating in constant-flow mode. The clinical outcome of HFNC oxygen therapy is strongly associated with the pressure generated by high-flow gas and the patient’s comfort level. This study was performed to explore the relevant factors affecting pressure and comfort of HFNC oxygen therapy in vivo.MethodsThirty-five healthy volunteers were enrolled in the trial. They underwent placement of nasal cannulas of various inner diameters (3, 4 or 5 mm) and treatment with different HFNC devices [HFT-300 (Weishengkang Medical Technology Co., Ltd., Jiangsu China) or H-80 M (BMC Medical Co., Ltd., Beijing China)],and the nasal airway pressure and comfort were assessed. Multiple linear regression was used to determine predictors of airway pressure.ResultsMultiple linear regression showed that the end-expiratory pressure was associated with the flow rate, sex, height, and cannula size. The end-expiratory pressure increased by 0.6 cmH2O per 1-mm increase in cannula diameter, decreased by 0.3 cmH2O per 10-cm increase in participant height (with a 0.35 cmH2O decrease for men), and increased by 1 cmH2O when the flow rate increased by 10 L/min (R2 = 0.75, P < 0.05 for all variables in model). In addition, the pressure generated by the H-80 M device was higher than that generated by the HFT-300 device (P < 0.05). Discomfort manifested as difficulty in expiration, and its severity increased as the cannula diameter increased; however there was no significant difference in comfort between the two HFNC devices (P > 0.05).ConclusionIn volunteers undergoing HFNC oxygen therapy, the nasal cannula diameter, flow rate, sex, height, and device model can affect the nasal airway pressure, and the nasal catheter diameter and flow rate can affect comfort. These factors should be given close attention in clinical practice.Trial registrationChiCTR2300068313 (date of first registration: 14 February 2023, https://www.chictr.org.cn).

Septal extension graft in cleft rhinoplasty: Patients with secondary unilateral cleft lip nasal deformity.

Tip refinement procedure is still controversial in secondary unilateral cleft rhinoplasty. The aim of this study was to assess whether septal extension graft improved nasal and tip deformity and achieved a normal profile with clinical and 3D morphometric analyses. A consecutive series of 194 skeletally mature patients with unilateral cleft were included and analyzed. All had undergone secondary open rhinoplasty, performed by a single surgeon, with the use of septal extension graft between 2013 and 2021. Clinical data were collected, and 3D morphometric measurements were performed. An age-, sex-, and ethnicity-matched normal group was included for comparisons. Our standard procedures included open approach combining reverse U incision, septal extension graft, dorsal augmentation, lip revision, and vermilion augmentation. The postoperative outcome showed significantly increased numerical values (nasal bridge length, nasal height, nasal tip projection, nasal dorsum angle, columellar angle, columellar-lobule angle, nostril height ratio, nasal surface area, nasal volume) and decreased numerical values (alar width, tip/middle deviation, nasal tip angle, labial-columellar angle) than the preoperative morphology. The postoperative measurement showed significantly higher numerical values (nasal protrusion, tip/middle deviation, nasal dorsum angle), and lower numerical values (columellar-lobule angle, nostril height ratio, alar width ratio) than the control group. This study revealed that our secondary cleft rhinoplasty significantly improved the under-projected, up-rotated, deviated, and poorly defined tip as well as short nasal bridge deformities. The technique could result in the nose of the patients with cleft lip nasal deformity being closer to that of the normative profile.

Outcomes of Fisher Technique for Unilateral Incomplete Cleft Lip Repair

Background:-&#x0D; Cleft lip repair is imperative for a child’s physical and mental well-being. Fisher’s innovative technique adds versatility to conventional methods with optimal aesthetic results. An inconspicuous scar along the anatomical subunits is a hallmark of this procedure. &#x0D; Objective: This study aimed to evaluate the outcomes of Fisher technique for unilateral incomplete cleft lip.&#x0D; Methods:-&#x0D; This Quasi experimental study was conducted at the Plastic Surgery Department, Mayo Hospital Lahore from 2017 to 2021. 50 consecutive patients with primary unilateral incomplete cleft lip were included in the study. Qualitative analysis was performed using Steffensen Grading Criteria 9. Improvement in pre-operative and post-operative anthropometric ratios was also analyzed. Symmetry of repaired cleft to normal cleft side was also assessed 9,12 .&#x0D; Results:-&#x0D; Mean age of patients was 4.14±0.72 months. Parent’s satisfaction score on the Likert scale was 4.84±0.37 (Mean ±SD). Significant improvement in anthropometric parameters (vertical lip height, vermilion height, nostril width and nostril height) except lip width was recorded. Significant symmetry was achieved for all parameters (p-value less than 0.05) except nasal height ratio (p- value=0.071). Good results were also achieved on all parameters according to Steffensen criteria.&#x0D; Conclusion:-&#x0D; Fisher anatomical subunit repair is a reliable option for unilateral incomplete cleft lip repair producing aesthetically pleasing results.&#x0D;

Anthropometric Measurements of the Nose and Nose Types

Background: In this study, the purpose was to obtain normal anthropometric data of the nose, and to determine the changes in age and gender. Materials and Methods: For this purpose, the nose anthropometric measurements were made with a caliper in 874 healthy individuals who were between the ages of 5 and 64, and the nose types were de-termined for adults. The individuals were divided into 8 groups as 5-7, 8-9, 10-11, 12-13, 14-15, 16-17, 18-40, and 41-64-year-old. The nasal length, nasal height, morphological nasal width, anatomical nasal width, nasal root width, nasal depth, lengths, nostril widths, face width, and face heights of the individu-als were measured; and the external nasal surface area, nasal volume, nasal index, nasofacial index, and nose-face width index were calculated. According to Martin and Sallar, the types of noses were classified in adults. The SPSS 20.0 Program was used for the statistical analysis of the data. Results: The most common type of nose was determined to be Mesorrhine. Statistically significant differ-ences were detected between the genders in all measurements except nasal depth. Statistically signifi-cant differences were detected in all groups in terms of all length and height measurements, morphologi-cal and anatomical nasal width values, external nasal surface areas, and nasal volume and indices. Conclusions: It is expected that detailed data about age-sex-related nose morphometry in our study will contribute to the creation of a database of our population. It is thought that these detailed data will be helpful in the determination of age and gender in forensic medicine, the reconstruction studies in anthro-pology, and the treatment plan and post-surgery evaluation to surgeons.

Межгрупповая изменчивость краниометрических характеристик населения Средней Азии в 1500-летней ретроспективе (VII в. до н.э. – VIII в. н.э.)

Introduction. The paper revisits the intergroup craniometric variability in the Early Iron Age, Antiquity and Early medieval Central Asian population. Some new cranial materials are considered within the hierarchical system of the regional populations. Materials and methods. The comparison included 61 cranial samples from all historical and cultural regions of Central Asia with a total of 1100 crania. 12 standard measurements of the facial skeleton were used. First, we conducted Canonical discriminant analysis. Second, the matrix of Mahalanobis D2 distances was obtained using the resulting group coordinates in the space of the canonical vectors. Finally, the distance matrix was subjected to Multidimensional scaling and the Ward’s hierarchical cluster analysis. Results. The first three canonical variates reflect 53.4% of the total intergroup variation and differentiate samples based on bizygomatic breadth, orbit dimensions, nasal bridge height (and width to a lesser extent), horizontal profiling angles and nose protrusion angle. Upper facial height also contributes to intergroup craniometric variability but does not play a decisive role in differentiating among samples of European ancestry in the considered chronological period. Correlation coefficients between canonical variables and multidimensional scaling coordinates suggest similar relative positions of the groups in the scatterplots. Discussion. Considering the mixed nature of the Central Asian population and the difficulty of objective differentiation of morphological types, we caution against unreflective use of terms “East Mediterranean type” and “Pamir-Fergana race”. The results suggest that the Antiquity and Early medieval sedentary populations are difficult to distinguish from nomadic and semi-nomadic groups of the Wusun period. The new materials confirm the morphological similarity between Early medieval population of Sogdiana (ancient Panjakent) and Ushrusana (Kurkat dakhmaks). @ 2023. This work is licensed under a CC BY 4.0 license

Evaluation of soft tissue changes around the nose following subspinal Le Fort Ⅰ osteotomy

PurposeThis study sought to evaluate the effect of subspinal Le Fort Ⅰ osteotomy (SLFⅠO) and alar base chinch suture (ABCS) in preventing postoperative changes of nasal shape following maxillary movement of advancement-impaction (MAI) or advancement-downward (MAD) by analyzing changes of nasal soft tissue on computed tomography (CT) images. MethodsForty-three Japanese patients with dentofacial deformity who underwent orthognathic surgery with SLFⅠO and ABCS were retrospectively examined. Maxillary movement and changes to soft tissues around the nose were analyzed using pre- and postoperative CT. ResultsIncreased nasal width and alar base width, upturning of the nasal tip and flattening of the nose occurred in both groups, with more prominent changes in MAI. MAD showed horizontal maxillary movement strongly correlated with changes in pronasale and subnasale. Preoperative nasal height correlated negatively with changes to nasal height in both groups, and to nasolabial angle and nasal tip angle in MAD. There were no correlations between the tightness of ABCS during operation and postoperative nasal soft tissue changes including nasal width. ConclusionPostoperative changes to nasal shape following SLFⅠO and ABCS need to be considered with advance movements of the maxilla, regardless of vertical maxillary movement. Postoperative pronasale and subnasale may be estimable from the amount of the maxillary advance movement in MAD. Postoperative changes in nasal shape may be more prominent in cases with low nasal height.

Determining the Correlation Between Maxillary Anterior Teeth Size with Bitragion Width, Wrist Width, Interpupillary Width, Nasal Height in Indian Population and Using These Anthropometric Measurement as A Guide For Selecting Maxillary Anterior Dimensions

Background: The vast number of combinations such as face form and size, Sex, Personality, and Age factor are utilized for determining the anterior tooth dimension. Whenever possible, it is advisable to record the form and shape of the natural teeth before extracting them. However, several anatomic entities and anthropometric measurements are used as a guide to select anterior teeth dimensions, but which is the most reliable indicator to determine the maxillary anterior teeth dimensions remains unclear. The study aimed to determine the correlation between maxillary anterior teeth size (Right Maxillary central incisor Length, Right Maxillary central incisor Width, Intercanine distance) with Bitragion width (BW), wrist width (WW), interpupillary width (IPW), Nasal height (NH) in Indian population. Material &amp; Methods: Measurements of intraoral and extraoral landmarks made using Digital vernier caliper &amp; Measuring tape in 173 subjects with an age range from 19 to 87 years were randomly selected fulfilling the inclusion and exclusion criteria. Results: The present study found that statistically significant difference (0.001) and strong correlation between Right maxillary central incisor length &amp; width, and Intercanine distance with wrist width, nasal height &amp; interpupillary distance, whereas, it is not significant between Right central incisor length &amp; width, and Intercanine distance with Bitragion width. Conclusion: The results suggested that a high degree of correlation was seen between Wrist width, interpupillary width, nasal height, and maxillary anterior teeth dimensions. Hence, these anthropometric measurements can also be used for determining the maxillary anterior dimension in edentulous patients.

Morphometric Study of Nasal Parameters in Undergraduates at a Medical University in Central Uttar Pradesh

Abstract Background: Nasal morphometry is a technique which includes the study of a part, size, and shape of the human nose. The nasal index (NI), nostril shape, and philtrum shape are the parameters commonly studied. These may show variations according to regional, ethnic, and climatic differences. Hence, a study was done to calculate the NI among a subgroup and classify the nose type based on it. Also to assess the gender variations and to observe the nostril and philtrum shapes. Methodology: This was a cross-sectional study consisted of 210 undergraduate students at a medical university. The nasal height and nasal breadth were measured in centimeters with a Digital Vernier Caliper. Subsequently, the NI was calculated. Based on these nasal indices, the nose was classified into the following: leptorrhine: &lt;70, mesorrhine: 70–84.9, and platyrrhine: &gt;84.9. The nostril shapes (rectangular/triangular/teardrop/round) and philtrum shapes (triangular/parallel/flat/concave) were also observed. Results: The mean NI was 76.06 ± 8.614 with a range from 54.7 to 110. Mesorrhine variety was the most common type. The predominant shape of the nostrils found was rectangular, whereas the most common shape of the philtrum found was triangular. Conclusions: Nasal anthropometric measurements are a simple, reliable, and cost-effective method to study the facial characteristics among a population. These measurements provide guidelines that may play a crucial role in forensics and facial reconstructive procedures.

Nasal and Sellar Anatomic Variations in Pituitary-Dependent Cushing Disease.

Adrenocorticotrophic hormone excessive secretion in pituitary-dependent Cushing disease (CD) patients may lead to anatomic variations of the nasal-sphenoidal corridor as a result of hormone-induced abnormal soft tissue change. However, there is still a lack of data on anatomic dimensions in CD patients. In this study, magnetic resonance images were analyzed to determine the anatomic variations of the nasal cavity and sphenoid sinus in CD patients. A retrospective radiographic analysis was conducted on CD patients undergoing endonasal transsphenoidal surgery as primary treatment between January 2013 and December 2017. A total of 97 CD patients and 100 controls were included. The nasal and sphenoidal anatomic dimensions of CD patients were compared with the control group. Both sides of nasal cavity height, middle nasal meatus width, and inferior nasal meatus width in CD patients were narrower than that of controls. When compared with controls, the ratio of the middle turbinate to middle nasal meatus and the ratio of inferior turbinate to inferior nasal meatus was found to increase on both sides in CD patients. Intercarotid distance of CD patients was shorter than that of controls. The most prevalent pneumatization pattern of CD patients was postsellar, followed by sellar, presellar, and conchal. Cushing disease patients have nasal and sphenoidal anatomic variations affecting the endonasal transsphenoidal surgical corridor, especially the shorter intercarotid distance. The neurosurgeon should be aware of these anatomic variations, and adapt surgical techniques and optimal approaches to reach the sella safely.

Comparing Tear Film Viscosity between Sjögren and Non-Sjögren Dry Eye Disease.

This study aimed to compare tear film viscosity (TFV) in Sjögren and non-Sjögren dry eye diseases (DEDs). This was a cross-sectional observational study. A total of 68 DED patients were enrolled, including 32 patients with Sjögren syndrome (SS) and 36 without SS. TFV was assessed by a tear film analyzer and determined by the momentary moving speed (MMS; MMS (t) = α × t-β, t = time (s)) with its power-law fitting-derived parameters (α and β). Among the four indices of TFV (MMS (0.1 s), MMS (2.0 s), α, and β), the SS-DED patients had significantly lower MMS (0.1 s) (p = 2.01 × 10-5), α (p = 0.0375), and β (p = 0.0076). The SS-DED group also had significantly higher OSDI, lower central and nasal tear meniscus height (TMH), and higher OSS. MMS (0.1 s) was significantly correlated with nasal TMH and OSS (ρ = 0.2520, p = 0.0381 in nasal TMH; ρ = -0.3487, p = 0.0036 in OSS). Index β was not correlated with any non-TFV tests. In conclusion, MMS (0.1 s), α, and β are promising TFV indices in distinguishing SS-DED from non-SS-DED patients early. Among these TFV indices, lower MMS is the best alternative clue for detecting SS-DED.

Primary Cleft Rhinoplasty with Custom Suture Needle for Alar Cartilage Repositioning in Unilateral Cleft Lip Patients: 3D Nasal Analysis.

Primary nasal correction has been demonstrated to be a beneficial practice for patients with unilateral cleft lip and palate. However, there is currently no consensus among cleft surgeons regarding the ideal approach to addressing the malpositioned cartilages. This study aims to introduce a new surgical technique for repositioning deformed lower lateral cartilage during primary cleft rhinoplasty, which involves using a customized suture needle. Retrospective cohort study. Tertiary university-affiliated hospital. This retrospective study included 51 patients with unilateral cleft lip and palate who underwent primary rhinoplasty during the labial repair. A morphological analysis of the nose was conducted using three-dimensional (3D) photographs. The cleft-to-noncleft side ratios of various nasal parameters, including nasal tip volume, nostril width, height, and area, were calculated at three time points: preoperative (T0), 3 months postoperative (T1), and 1 year postoperative (T2). Significant improvement (p < 0.05) was observed in the cleft-to-noncleft side ratios of nasal volume and nostril parameters. The nasal volume ratio and nostril height ratio remained stable, with no significant differences between the T1 and T2 periods. The nostril width ratio increased from 0.96 ± 0.13 at T1 to 1.05 ± 0.16 at T2, indicating an appropriate degree of surgical overcorrection of nasal width during primary lip repair. Primary cleft rhinoplasty using a Chang's needle allows direct suture placement in the intercartilaginous region with minimally invasive approach, thereby preserving growth potential of the nose and restoring the nasal symmetry.

A common ecogeographic trend in the internal nasal cavity variation across Mesolithic to Bronze Age Eastern European and Caucasian populations

AbstractThe ecogeographic trends in the shape of the internal nasal cavity and external facial skeleton were explored in a sample of Mesolithic, Neolithic, and Bronze Age skulls from Northeastern Europe and the Caucasus and tested against a background of the variation in recent populations from the same area. The volume, surface area, and several linear dimensions of the internal nasal cavity as well as a set of 3D landmarks of the external mid‐face were collected in a sample of computed tomography (CT) scans of 121 adult male skulls from six modern human populations of Eastern Europe, Anatolia, and Caucasus (74 individuals) and seven ancient burial sites (47 individuals). Various measures of the association between nasal cavity morphology and climate revealed moderate to high levels of correlation. The modern populations from colder climates and all but one ancient group display a substantial decrease in the nasal cavity heights and widths, volume and nasal protrusion, a relative narrowing of the nasal cavity, and a substantial increment in length of the maxillary part of the cavity. These groups also exhibit a less protruding external nose, smaller orbits, and a vertically taller zygomatic region. Our results show that the suite of morphological features associated with living in a cold climate is more strongly pronounced in ancient Europeans compared with the Medieval or modern groups of the same continent.