Facial soft tissue thicknesses (FSTT) measurements collected from Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) imaging techniques are most commonly taken in the supine position for forensic craniofacial reconstruction. FSTT have been shown to be different in comparison to the upright position due to gravity. The variation of facial morphology between the upright and supine position of laser-scanned images taken from 44 individuals was investigated using volumetric analysis with deviation maps. Between 82.4% and 86.7% of the facial surface area were within the error range of ±2mm between the supine and the upright position. This indicates that most anatomical landmarks taken from the MRI and CT data can be an accurate representative of the FSTT in the upright position. Seven landmarks located around the buccal region, masseteric region and the nasolabial region of the face showed the greatest FSTT deviation between the upright and supine position, thus these landmarks may affect the accuracy of facial reconstructions when using a CT or MRI database.
Background
The human mandible is variable in shape, size and position and any deviation from normal can affect the facial appearance and dental occlusion.
Objectives
The objectives of this study were to determine whether the Sassouni cephalometric analysis could help predict two-dimensional mandibular shape in humans using cephalometric planes and landmarks.
Materials and methods
A retrospective computerised analysis of 100 lateral cephalometric radiographs taken at Kingston Hospital Orthodontic Department was carried out.
Results
Results showed that the Euclidean straight-line mean difference between the estimated position of gonion and traced position of gonion was 7.89 mm and the Euclidean straight-line mean difference between the estimated position of pogonion and the traced position of pogonion was 11.15 mm. The length of the anterior cranial base as measured by sella-nasion was positively correlated with the length of the mandibular body gonion-menton, r = 0.381 and regression analysis showed the length of the anterior cranial base sella-nasion could be predictive of the length of the mandibular body gonion-menton by the equation 22.65 + 0.5426x, where x = length of the anterior cranial base (SN). There was a significant association with convex shaped palates and oblique shaped mandibles, p = 0.0004.
Conclusions
The method described in this study can be used to help estimate the position of cephalometric points gonion and pogonion and thereby sagittal mandibular length. This method is more accurate in skeletal class I cases and therefore has potential applications in craniofacial anthropology and the ‘missing mandible’ problem in forensic and archaeological reconstruction.
Background: Prediction of the nose from the skull remains an important issue in forensic facial approximation. In 2010, Rynn et al. published a method of predicting nose projection from the skull. With this method, three craniometric measurements (x, y, z) are taken, and these are then used in regression formulae to estimate the nasal dimensions. Aim: The purpose of this study was to examine and test the accuracy of the Rynn et al. method and if necessary to adapt the formulae for this population. Subjects and methods: A sample of 90 CT scans of Turkish adults was used in the study. The actual and predicted dimensions were compared using t-test. The age of the individuals ranged from 20 to 40 years by sex. Results: The descriptive statistics and correlations were calculated, and the actual and predicted measurements were compared. The differences between the actual and predicted values were statistically significant (p<0.01), with −1 mm for males and −1.5 mm for females. Validation accuracies ranged from 76-92% in females and 72-82% in males. Recalibration equation accuracies ranged from 88-100% in females and 90-100% in males. Conclusion: The results showed that the recalibration of the Rynn et al. method and its formulae gave satisfactory results with less error and can be employed in facial approximation cases.
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