WorldWideScience

Sample records for facial tissue depth

  1. Facial tissue depths in children with cleft lip and palate.

    Science.gov (United States)

    Starbuck, John M; Ghoneima, Ahmed; Kula, Katherine

    2015-03-01

    Cleft lip and palate (CLP) is a craniofacial malformation affecting more than seven million people worldwide that results in defects of the hard palate, teeth, maxilla, nasal spine and floor, and maxillodental asymmetry. CLP facial soft-tissue depth (FSTD) values have never been published. The purpose of this research is to report CLP FSTD values and compare them to previously published FSTD values for normal children. Thirty-eight FSTDs were measured on cone beam computed tomography images of CLP children (n = 86; 7-17 years). MANOVA and ANOVA tests determined whether cleft type, age, sex, and bone graft surgical status affect tissue depths. Both cleft type (unilateral/bilateral) and age influence FSTDs. CLP FSTDs exhibit patterns of variation that differ from normal children, particularly around the oronasal regions of the face. These differences should be taken into account when facial reconstructions of children with CLP are created.

  2. In vivo facial tissue depth for Canadian aboriginal children: a case study from Nova Scotia, Canada.

    Science.gov (United States)

    Peckmann, Tanya R; Manhein, Mary H; Listi, Ginesse A; Fournier, Michel

    2013-11-01

    This study examines facial tissue depth in Canadian Aboriginal children. Using ultrasound, measurements were taken at 19 points on the faces of 392 individuals aged 3-18 years old. The relationships between tissue thickness, age, and sex were investigated. A positive linear trend may exist between tissue thickness and age for Aboriginal females and males at multiple points. No points show significant differences in facial tissue depth between males and females aged 3-8 years old; seven points show significant differences in facial tissue depth between males and females aged 9-13 years old; and five points show significant differences in facial tissue depth between males and females aged 14-18 years old. Comparisons were made with White Americans and African Nova Scotians. These data can assist in 3-D facial reconstructions and aid in establishing an individual's identity. Previously, no data existed for facial tissue thickness in Canadian Aboriginal populations. © 2013 American Academy of Forensic Sciences.

  3. Facial soft tissue depths in French adults: variability, specificity and estimation.

    Science.gov (United States)

    Guyomarc'h, Pierre; Santos, Frédéric; Dutailly, Bruno; Coqueugniot, Hélène

    2013-09-10

    Facial soft tissue depths (FSTD) are used in facial approximation to render the shape of the face, and are traditionally published specifically to population, corpulence, and sex amongst other factors. This paper investigates the variability of FSTD collected at 37 landmarks on 500 CT (computed tomography) scans of French living individuals. The specificity of the sample is evaluated by comparing values with six published datasets of various populations and recording techniques. Apart from a significant influence of the corpulence, FSTD show negligible variations with age and sex. The differences between the French sample and other datasets contradict the hypothesis of major influence of population, and underline sample specificity linked with technique and methodology of data measurement. Regression equations were computed to estimate FSTD using age, sex, facial build, and craniometrics, leading to more accurate results if such factors are known. Nevertheless, application of the pooled T-table (Tallied-Facial-Soft-Tissue-Depth-Data) has been validated according to the French sample.

  4. Effect of Head Position on Facial Soft Tissue Depth Measurements Obtained Using Computed Tomography.

    Science.gov (United States)

    Caple, Jodi M; Stephan, Carl N; Gregory, Laura S; MacGregor, Donna M

    2016-01-01

    Facial soft tissue depth (FSTD) studies employing clinical computed tomography (CT) data frequently rely on depth measurements from raw 2D orthoslices. However, the position of each patient's head was not standardized in this method, potentially decreasing measurement reliability and accuracy. This study measured FSTDs along the original orthoslice plane and compared these measurements to those standardized by the Frankfurt horizontal (FH). Subadult cranial CT scans (n = 115) were used to measure FSTDs at 18 landmarks. Significant differences were observed between the methods at eight of these landmarks (p < 0.05), demonstrating that high-quality data are not generated simply by employing modern imaging modalities such as CT. Proper technique is crucial to useful results, and maintaining control over head position during FSTD data collection is important. This is easily and most readily achieved in CT techniques by rotating the head to the FH plane after constructing a 3D rendering of the data.

  5. Accuracy and reliability of facial soft tissue depth measurements using cone beam computer tomography

    NARCIS (Netherlands)

    Fourie, Zacharias; Damstra, Janalt; Gerrits, Pieter; Ren, Yijin

    2010-01-01

    It is important to have accurate and reliable measurements of soft tissue thickness for specific landmarks of the face and scalp when producing a facial reconstruction. In the past several methods have been created to measure facial soft tissue thickness (FSTT) in cadavers and in the living. The con

  6. Forensic facial approximation assessment: can application of different average facial tissue depth data facilitate recognition and establish acceptable level of resemblance?

    Science.gov (United States)

    Herrera, Lara Maria; Strapasson, Raíssa Ananda Paim; da Silva, Jorge Vicente Lopes; Melani, Rodolfo Francisco Haltenhoff

    2016-09-01

    Facial soft tissue thicknesses (FSTT) are important guidelines for modeling faces from skull. Amid so many FSTT data, Forensic artists have to make a subjective choice of a dataset that best meets their needs. This study investigated the performance of four FSTT datasets in the recognition and resemblance of Brazilian living individuals and the performance of assessors in recognizing people, according to sex and knowledge on Human Anatomy and Forensic Dentistry. Sixteen manual facial approximations (FAs) were constructed using three-dimensional (3D) prototypes of skulls (targets). The American method was chosen for the construction of the faces. One hundred and twenty participants evaluated all FAs by means of recognition and resemblance tests. This study showed higher proportions of recognition by FAs conducted with FSTT data from cadavers compared with those conducted with medical imaging data. Targets were also considered more similar to FAs conducted with FSTT data from cadavers. Nose and face shape, respectively, were considered the most similar regions to targets. The sex of assessors (male and female) and the knowledge on Human Anatomy and Forensic Dentistry did not play a determinant role to reach greater recognition rates. It was possible to conclude that FSTT data obtained from imaging may not facilitate recognition and establish acceptable level of resemblance. Grouping FSTT data by regions of the face, as proposed in this paper, may contribute to more accurate FAs.

  7. Fast Facial Detection by Depth Map Analysis

    Directory of Open Access Journals (Sweden)

    Ming-Yuan Shieh

    2013-01-01

    Full Text Available In order to obtain correct facial recognition results, one needs to adopt appropriate facial detection techniques. Moreover, the effects of facial detection are usually affected by the environmental conditions such as background, illumination, and complexity of objectives. In this paper, the proposed facial detection scheme, which is based on depth map analysis, aims to improve the effectiveness of facial detection and recognition under different environmental illumination conditions. The proposed procedures consist of scene depth determination, outline analysis, Haar-like classification, and related image processing operations. Since infrared light sources can be used to increase dark visibility, the active infrared visual images captured by a structured light sensory device such as Kinect will be less influenced by environmental lights. It benefits the accuracy of the facial detection. Therefore, the proposed system will detect the objective human and face firstly and obtain the relative position by structured light analysis. Next, the face can be determined by image processing operations. From the experimental results, it demonstrates that the proposed scheme not only improves facial detection under varying light conditions but also benefits facial recognition.

  8. Cephalometric soft tissue facial analysis.

    Science.gov (United States)

    Bergman, R T

    1999-10-01

    My objective is to present a cephalometric-based facial analysis to correlate with an article that was published previously in the American Journal of Orthodontic and Dentofacial Orthopedics. Eighteen facial or soft tissue traits are discussed in this article. All of them are significant in successful orthodontic outcome, and none of them depend on skeletal landmarks for measurement. Orthodontic analysis most commonly relies on skeletal and dental measurement, placing far less emphasis on facial feature measurement, particularly their relationship to each other. Yet, a thorough examination of the face is critical for understanding the changes in facial appearance that result from orthodontic treatment. A cephalometric approach to facial examination can also benefit the diagnosis and treatment plan. Individual facial traits and their balance with one another should be identified before treatment. Relying solely on skeletal analysis, assuming that the face will balance if the skeletal/dental cephalometric values are normalized, may not yield the desired outcome. Good occlusion does not necessarily mean good facial balance. Orthodontic norms for facial traits can permit their measurement. Further, with a knowledge of standard facial traits and the patient's soft tissue features, an individualized norm can be established for each patient to optimize facial attractiveness. Four questions should be asked regarding each facial trait before treatment: (1) What is the quality and quantity of the trait? (2) How will future growth affect the trait? (3) How will orthodontic tooth movement affect the existing trait (positively or negatively)? (4) How will surgical bone movement to correct the bite affect the trait (positively or negatively)?

  9. The Facial Adipose Tissue: A Revision.

    Science.gov (United States)

    Kruglikov, Ilja; Trujillo, Oscar; Kristen, Quick; Isac, Kerelos; Zorko, Julia; Fam, Maria; Okonkwo, Kasie; Mian, Asima; Thanh, Hyunh; Koban, Konstantin; Sclafani, Anthony P; Steinke, Hanno; Cotofana, Sebastian

    2016-12-01

    Recent advantages in the anatomical understanding of the face have turned the focus toward the subcutaneous and deep facial fat compartments. During facial aging, these fat-filled compartments undergo substantial changes along with other structures in the face. Soft tissue filler and fat grafting are valid methods to fight the signs of facial aging, but little is known about their precise effect on the facial fat. This narrative review summarizes the current knowledge about the facial fat compartments in terms of anatomical location, histologic appearance, immune-histochemical characteristics, cellular interactions, and therapeutic options. Three different types of facial adipose tissue can be identified, which are located either superficially (dermal white adipose tissue) or deep (subcutaneous white adipose tissue): fibrous (perioral locations), structural (major parts of the midface), and deposit (buccal fat pad and deep temporal fat pad). These various fat types differ in the size of the adipocytes and the collagenous composition of their extracellular matrix and thus in their mechanical properties. Minimal invasive (e.g., soft tissue fillers or fat grafting) and surgical interventions aiming to restore the youthful face have to account for the different fat properties in various facial areas. However, little is known about the macro- and microscopic characteristics of the facial fat tissue in different compartments and future studies are needed to reveal new insights to better understand the process of aging and how to fight its signs best.

  10. Effects of facial hard tissue surgery on facial aesthetics: changes in facial content and frames.

    Science.gov (United States)

    Choi, Jin-Young; Lee, Sang-Hoon; Baek, Seung-Hak

    2012-11-01

    Aesthetic units of the face can be divided into facial content (FC; eyes, nose, lips, and mouth), anterior facial frame (AFF; a contour line from the trichion, the temporal line of the frontal bone, the lateral orbital rim, the most lateral line of the anterior part of the zygomatic body, the anterior border of the masseter muscle, to the inferior border of the chin), and posterior facial frame (PFF; a contour line from the hairline, the zygomatic arch, to the ramus and gonial angle area of the mandible). The size and shape of each FC and the balance and proportion between FCs create a unique appearance for each person. The facial form can be determined through the combination of AFF and PFF. In the Asian population, clinicians frequently encounter problems of FC (eg, acute nasolabial angle, protrusive and everted lips, nonconsonant lip line, or lip canting), AFF (eg, midface hypoplasia, protrusive and asymmetric chin, vertical deficiency/excess of the anterior maxilla and symphysis, or prominent zygoma), and PFF (eg, square mandibular angle). These problems can be efficiently and effectively corrected through the combination of hard tissue surgery such as anterior segmental osteotomy, genioplasty, mandibular angle reduction, malarplasty, and orthognathic surgery. Therefore, the purposes of this article were to introduce the concepts of FC, AFF, and PFF, and to explain the effects of facial hard tissue surgery on facial aesthetics.

  11. Depth-resolved fluorescence of biological tissue

    Science.gov (United States)

    Wu, Yicong; Xi, Peng; Cheung, Tak-Hong; Yim, So Fan; Yu, Mei-Yung; Qu, Jianan Y.

    2005-06-01

    The depth-resolved autofluorescence ofrabbit oral tissue, normal and dysplastic human ectocervical tissue within l20μm depth were investigated utilizing a confocal fluorescence spectroscopy with the excitations at 355nm and 457nm. From the topmost keratinizing layer of oral and ectocervical tissue, strong keratin fluorescence with the spectral characteristics similar to collagen was observed. The fluorescence signal from epithelial tissue between the keratinizing layer and stroma can be well resolved. Furthermore, NADH and FADfluorescence measured from the underlying non-keratinizing epithelial layer were strongly correlated to the tissue pathology. This study demonstrates that the depth-resolved fluorescence spectroscopy can reveal fine structural information on epithelial tissue and potentially provide more accurate diagnostic information for determining tissue pathology.

  12. Tissue Engineering and the Future of Facial Volumization.

    Science.gov (United States)

    Reuther, Marsha; Watson, Deborah

    2016-10-01

    Volume loss due to facial aging can be restored by facial volumization using a variety of materials. Volumization can be performed in isolation or concurrent with other facial rejuvenation procedures to obtain an optimal aesthetic result. There is a myriad of manufactured products available for volumization. The use of autologous fat as facial filler has been adopted more recently and possesses certain advantages; however, the ideal filler is still lacking. Tissue engineering may offer a solution. This technology would provide autologous soft-tissue components for use in facial volumization. The use of stem cells may enable customization of the engineered product for the specific needs of each patient. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  13. Facial soft tissue thickness in North Indian adult population

    Directory of Open Access Journals (Sweden)

    Tanushri Saxena

    2012-01-01

    Full Text Available Objectives: Forensic facial reconstruction is an attempt to reproduce a likeness of facial features of an individual, based on characteristics of the skull, for the purpose of individual identification - The aim of this study was to determine the soft tissue thickness values of individuals of Bareilly population, Uttar Pradesh, India and to evaluate whether these values can help in forensic identification. Study design: A total of 40 individuals (19 males, 21 females were evaluated using spiral computed tomographic (CT scan with 2 mm slice thickness in axial sections and soft tissue thicknesses were measured at seven midfacial anthropological facial landmarks. Results: It was found that facial soft tissue thickness values decreased with age. Soft tissue thickness values were less in females than in males, except at ramus region. Comparing the left and right values in individuals it was found to be not significant. Conclusion: Soft tissue thickness values are an important factor in facial reconstruction and also help in forensic identification of an individual. CT scan gives a good representation of these values and hence is considered an important tool in facial reconstruction- This study has been conducted in North Indian population and further studies with larger sample size can surely add to the data regarding soft tissue thicknesses.

  14. Avoiding Facial Incisions with Midface Free Tissue Transfer

    Science.gov (United States)

    Stalder, Mark W.; Sosin, Michael; Urbinelli, Leo J.; Mayo, James L.; Dorafshar, Amir H.; Hilaire, Hugo St.; Borsuk, Daniel E.

    2017-01-01

    Background: We have adopted an intraoral microsurgical anastomosis to the facial vessels to eliminate the need for any visible facial incisions. Methods: Cadaveric dissection was used to demonstrate accessibility of the facial artery and vein through an intraoral approach. Additionally, 5 patients underwent free tissue transfer for reconstruction of major defects of the midface through an intraoral, transmucosal approach, obviating the need for visible skin incisions. Results: The pathology included palatal defects due to mucoepidermoid carcinoma and ischemic necrosis from cocaine abuse, maxillary defects secondary to fibrous dysplasia and avascular necrosis from traumatic blast injury, and a residual posttraumatic bony deformity of the zygoma. Reconstructions were performed with a free ulnar forearm flap, a free vastus lateralis muscle flap, a deep circumflex iliac artery myoosseous flap, a free fibula flap, and a deep circumflex iliac artery osseous flap, respectively. The facial artery and vein were used as recipient vessels for microvascular anastomosis for all cases. Mean follow-up was 12.2 months. All free tissue transfers were successful, and each patient had a satisfactory aesthetic outcome with no associated facial scars. Conclusion: This technique can be employed during reconstruction of an array of bony or soft-tissue midface deficits with minimal morbidity. This small series effectively demonstrates the varied pathologies and tissue deficiencies that can be successfully reconstructed with free tissue transfer using an entirely intraoral approach to the recipient facial vessels, resulting in no visible scars on the face and an improvement in the overall aesthetic outcome. PMID:28280662

  15. Management of facial soft tissue injuries in children.

    Science.gov (United States)

    Vasconez, Henry C; Buseman, Jason L; Cunningham, Larry L

    2011-07-01

    Pediatric facial trauma can present a challenge to even the more experienced plastic surgeon. Injuries to the head and neck may involve bone and soft tissues with an assortment of specialized organs and tissue elements involved. Because of the active nature of children, facial soft tissue injuries can be diverse and extensive as well as some of the more common injuries a plastic surgeon is asked to treat. In 2007, approximately 800,000 patients younger than 15 years presented to emergency departments around the country with significant open wounds of the head that required treatment.In this review, we present the different types and regions of pediatric soft tissue facial trauma, as well as treatment options and goals of plastic surgery wound management. Special aspects, such as bite wounds, burns, pediatric analgesia, and antibiotic therapy, are also discussed.

  16. The soft tissue landmarks to avoid injury to the facial artery during filler and neurotoxin injection at the nasolabial region.

    Science.gov (United States)

    Phumyoo, Thirawass; Tansatit, Tanvaa; Rachkeaw, Natthida

    2014-09-01

    The aim of this study was to locate the course of the facial artery and to propose "the danger line" vulnerable to vascular complications following filler injection. The entire facial soft tissues were harvested from 14 Thai soft embalmed cadavers as a facial flap specimen. Measurements of the distance, the depth, and the diameter of the facial artery were done at level of the oral commissure and the nasal ala. The distance between the facial artery and the oral commissure was 15.3 ± 3.7 mm and the depth from the skin was 11.1 ± 3.1 mm. The distance between the facial artery and the nasal ala was 6.7 ± 4.4 mm and the depth was 11.6 ± 3.7 mm. The diameters of the facial artery at level of the oral commissure and the nasal ala were 2.6 ± 0.8 and 1.9 ± 0.5 mm, respectively. Maximum risk of arterial complication from dermal filler injection lateral to the oral commissure is located approximately 15 mm at the depth of 11 mm. High risk of arterial injury at the lateral nasal ala is located at 7 mm with the depth of 12 mm.

  17. Experience With Esthetic Reconstruction of Complex Facial Soft Tissue Trauma; Application of the Pulsed Dye Laser

    Directory of Open Access Journals (Sweden)

    Ebrahimi

    2014-08-01

    Full Text Available Background Facial soft tissue injury can be one of the most challenging cases presenting to the plastic surgeon. The life quality and self-esteem of the patients with facial injury may be compromised temporarily or permanently. Immediate reconstruction of most defects leads to better restoration of form and function as well as early rehabilitation. Objectives The aim of this study was to present our experience in management of facial soft tissue injuries from different causes. Patients and Methods We prospectively studied patients treated by plastic surgeons from 2010 to 2012 suffering from different types of blunt or sharp (penetrating facial soft tissue injuries to the different areas of the face. All soft tissue injuries were treated primarily. Photography from all patients before, during, and after surgical reconstruction was performed and the results were collected. We used early pulsed dye laser (PDL post-operatively. Results In our study, 63 patients including 18 (28.5% women and 45 (71.5% men aged 8-70 years (mean 47 years underwent facial reconstruction due to soft tissue trauma in different parts of the face. Sharp wounds were seen in 15 (23% patients and blunt trauma lacerations were seen in 52 (77% patients. Overall, 65% of facial injuries were repaired primary and the remainder were reconstructed with local flaps or skin graft from adjacent tissues. Postoperative PDL therapy done two weeks following surgery for all scars yielded good results in our cases. Conclusions Analysis of the injury including location, size, and depth of penetration as well as presence of associated injuries can aid in the formulation of a proper surgical plan. We recommend PDL in the early post operation period (two weeks after suture removal for better aesthetic results.

  18. Preliminary assessment of facial soft tissue thickness utilizing three-dimensional computed tomography models of living individuals.

    Science.gov (United States)

    Parks, Connie L; Richard, Adam H; Monson, Keith L

    2014-04-01

    Facial approximation is the technique of developing a representation of the face from the skull of an unknown individual. Facial approximation relies heavily on average craniofacial soft tissue depths. For more than a century, researchers have employed a broad array of tissue depth collection methodologies, a practice which has resulted in a lack of standardization in craniofacial soft tissue depth research. To combat such methodological inconsistencies, Stephan and Simpson 2008 [15] examined and synthesized a large number of previously published soft tissue depth studies. Their comprehensive meta-analysis produced a pooled dataset of averaged tissue depths and a simplified methodology, which the researchers suggest be utilized as a minimum standard protocol for future craniofacial soft tissue depth research. The authors of the present paper collected craniofacial soft tissue depths using three-dimensional models generated from computed tomography scans of living males and females of four self-identified ancestry groups from the United States ranging in age from 18 to 62 years. This paper assesses the differences between: (i) the pooled mean tissue depth values from the sample utilized in this paper and those published by Stephan 2012 [21] and (ii) the mean tissue depth values of two demographically similar subsets of the sample utilized in this paper and those published by Rhine and Moore 1984 [16]. Statistical test results indicate that the tissue depths collected from the sample evaluated in this paper are significantly and consistently larger than those published by Stephan 2012 [21]. Although a lack of published variance data by Rhine and Moore 1984 [16] precluded a direct statistical assessment, a substantive difference was also concluded. Further, the dataset presented in this study is representative of modern American adults and is, therefore, appropriate for use in constructing contemporary facial approximations.

  19. Radiographic assessment of facial soft tissue thickness in South Indian population--An anthropologic study.

    Science.gov (United States)

    Kotrashetti, Vijayalakshmi S; Mallapur, M D

    2016-04-01

    with care while facial reconstruction. Additionally the present regression equation contributes towards increase in the specificity of the tissue depths and can be used in real cases by allowing the practitioners to calculate individual tissue depth.

  20. Suction based mechanical characterization of superficial facial soft tissues.

    Science.gov (United States)

    Weickenmeier, J; Jabareen, M; Mazza, E

    2015-12-16

    The present study is aimed at a combined experimental and numerical investigation of the mechanical response of superficial facial tissues. Suction based experiments provide the location, time, and history dependent behavior of skin and SMAS (superficial musculoaponeurotic system) by means of Cutometer and Aspiration measurements. The suction method is particularly suitable for in vivo, multi-axial testing of soft biological tissue including a high repeatability in subsequent tests. The campaign comprises three measurement sites in the face, i.e. jaw, parotid, and forehead, using two different loading profiles (instantaneous loading and a linearly increasing and decreasing loading curve), multiple loading magnitudes, and cyclic loading cases to quantify history dependent behavior. In an inverse finite element analysis based on anatomically detailed models an optimized set of material parameters for the implementation of an elastic-viscoplastic material model was determined, yielding an initial shear modulus of 2.32kPa for skin and 0.05kPa for SMAS, respectively. Apex displacements at maximum instantaneous and linear loading showed significant location specificity with variations of up to 18% with respect to the facial average response while observing variations in repeated measurements in the same location of less than 12%. In summary, the proposed parameter sets for skin and SMAS are shown to provide remarkable agreement between the experimentally observed and numerically predicted tissue response under all loading conditions considered in the present study, including cyclic tests.

  1. Facial Soft Tissue Measurement in Microgravity-induces Fluid Shifts

    Science.gov (United States)

    Marshburn, Thomas; Cole, Richard; Pavela, James; Garcia, Kathleen; Sargsyan, Ashot

    2014-01-01

    Fluid shifts are a well-known phenomenon in microgravity, and one result is facial edema. Objective measurement of tissue thickness in a standardized location could provide a correlate with the severity of the fluid shift. Previous studies of forehead tissue thickness (TTf) suggest that when exposed to environments that cause fluid shifts, including hypergravity, head-down tilt, and high-altitude/lowpressure, TTf changes in a consistent and measurable fashion. However, the technique in past studies is not well described or standardized. The International Space Station (ISS) houses an ultrasound (US) system capable of accurate sub-millimeter measurements of TTf. We undertook to measure TTf during long-duration space flight using a new accurate, repeatable and transferable technique. Methods: In-flight and post-flight B-mode ultrasound images of a single astronaut's facial soft tissues were obtained using a Vivid-q US system with a 12L-RS high-frequency linear array probe (General Electric, USA). Strictly mid-sagittal images were obtained involving the lower frontal bone, the nasofrontal angle, and the osseo-cartilaginous junction below. Single images were chosen for comparison that contained identical views of the bony landmarks and identical acoustical interface between the probe and skin. Using Gingko CADx DICOM viewing software, soft tissue thickness was measured at a right angle to the most prominent point of the inferior frontal bone to the epidermis. Four independent thickness measurements were made. Conclusions: Forehead tissue thickness measurement by ultrasound in microgravity is feasible, and our data suggest a decrease in tissue thickness upon return from microgravity environment, which is likely related to the cessation of fluid shifts. Further study is warranted to standardize the technique with regard to the individual variability of the local anatomy in this area.

  2. Facial soft tissue thickness database of Gujarati population for forensic craniofacial reconstruction

    Directory of Open Access Journals (Sweden)

    Anand Lodha

    2016-06-01

    Full Text Available The forensic facial reconstruction is a scientific art to construct the ante-mortem face from the human skull. The facial recognition is made by reconstructing the contours of the facial soft tissue thickness (FSTT.These FSTT data are essential for probable face reconstruction but the data of FSTT at particular anthropological landmarks differ in various ethnic groups. Until now several works have been reported on different population but no study exists in which the FSTT of a Gujarati population has been measured. The aim of this study is to compile a set of soft tissue depth data of Gujarati population of India to add to existing literature on FSTT. Computed tomography (CT-scan has been utilized to measure the 25 different FSTT landmarks of 324 male and 165 female. Present study shows significant differences in certain FSTT of Gujarati population from that of other populations. Our compiled data set of FSTT for the Gujarati population is important in understanding craniofacial characteristics of the Gujarati population and potentially be helpful in forensic identification.

  3. Facial paralysis reconstruction with Gore-Tex Soft-Tissue Patch.

    Science.gov (United States)

    Konior, R J

    1992-11-01

    No procedure perfectly restores a face paralyzed by surgical ablation of the facial nerve. Although dynamic reconstructive procedures are preferred for treating patients with complete facial paralysis, various conditions contraindicate their use, making static suspension of the paralyzed face a reasonable surgical alternative. Expanded polytef soft-tissue patch (polytetrafluoroethylene; Gore-Tex Soft-Tissue Patch, Gore-Tex, W. L. Gore & Assoc Inc., Flagstaff, Ariz) was used to help correct midfacial and perioral asymmetries in 11 patients with complete unilateral facial paralysis. All patients had previous surgical ablation of the facial nerve and were not considered good candidates for dynamic facial reconstruction. Midfacial and perioral asymmetries were improved in all patients using this technique of static soft-tissue suspension. One postoperative infection and two cases of postoperative suture extrusion were observed in the patient population. Other complications associated with the use of Gore-Tex Soft-Tissue Patch for facial suspension were limited to technical factors.

  4. Facial lipohypertrophy in HIV-infected subjects who underwent autologous fat tissue transplantation.

    Science.gov (United States)

    Guaraldi, Giovanni; De Fazio, Domenico; Orlando, Gabriella; Murri, Rita; Wu, Albert; Guaraldi, Pietro; Esposito, Roberto

    2005-01-15

    Of 41 HIV-infected patients with facial lipoatrophy who underwent autologous fat transplantation, disfiguring facial lipohypertrophy at the graft site occurred at the same time as recurrent fat accumulation at the tissue harvest site in 4 patients who had had fat transferred from the dorsocervical fat pad or from subcutaneous abdominal tissue.

  5. Reproducibility of Facial Soft Tissue Thickness Measurements Using Cone-Beam CT Images According to the Measurement Methods.

    Science.gov (United States)

    Hwang, Hyeon-Shik; Choe, Seon-Yeong; Hwang, Ji-Sup; Moon, Da-Nal; Hou, Yanan; Lee, Won-Joon; Wilkinson, Caroline

    2015-07-01

    The purpose of this study was to establish the reproducibility of facial soft tissue (ST) thickness measurements by comparing three different measurement methods applied at 32 landmarks on three-dimensional cone-beam computed tomography (CBCT) images. Two observers carried out the measurements of facial ST thickness of 20 adult subjects using CBCT scan data, and inter- and intra-observer reproducibilities were evaluated. The measurement method of "perpendicular to bone" resulted in high inter- and intra-observer reproducibility at all 32 landmarks. In contrast, the "perpendicular to skin" method and "direct" method, which measures a distance between one point on bone and the other point on skin, presented low reproducibility. The results indicate that reproducibility could be increased by identifying the landmarks on hard tissue images, rather than on ST images, and the landmark description used in this study can be used in the establishment of reliable tissue depth data using CBCT images.

  6. The study on facial soft tissue thickness using Han population in Xinjiang.

    Science.gov (United States)

    Wang, Jierui; Zhao, Xi; Mi, Congbo; Raza, Iqbal

    2016-09-01

    Facial profile is an important aspect in physical anthropology, forensic science, and cosmetic research. Thus, facial soft tissue measurement technology plays a significant role in facial restoration. A considerable amount of work has investigated facial soft tissue thickness, which significantly varies according to gender, age, and race. However, only few studies have considered the nutritional status of the investigated individuals. Moreover, no sufficient research among Chinese ethnic groups, particularly Xinjiang population in China, is currently available. Hence, the current study investigated the adaptability of facial soft tissue to the underlying hard tissue among young adults of Han population in Xinjiang, China; the analysis was performed on the basis of gender, skeletal class, and body mass index (BMI). Measurements were obtained from the lateral cephalometric radiographs of 256 adults aged 18-26 years old. Differences in soft tissue thickness were observed between genders and among skeletal classes. With regard to gender, significant differences in soft tissue thickness were found at rhinion, glabella, subnasale, stomion, labrale superius, pogonion, and gnathion among different BMI groups. Thus, nutritional status should be considered when reconstructing an individual's facial profile. Results showed that the thinnest and thickest craniofacial soft tissues existed in rhinion and lip regions, respectively. Overall, this research provides valuable data for forensic facial reconstruction and identification of young adults in Xinjiang, China.

  7. Depth Determination of an Abnormal Heat Source in Biological Tissues

    Institute of Scientific and Technical Information of China (English)

    WANG Qing-Hua; LI Zhen-Hua; LAI Jian-Cheng; HE An-Zhi

    2011-01-01

    We deduce the surface temperature distribution generated by the inner point heat source in biological tissues and propose a graphic method to retrieve the depth of the point heat source. The practical surface temperature distribution can be regarded as the convolution of the temperature distribution of the inner point heat source with the heat source shape function. The depth of an abnormal heat source in biological tissues can be retrieved by using the graphic method combined with the blind deconvolution scheme.%We deduce the surface temperature distribution generated by the inner point heat source in biological tissues and propose a graphic method to retrieve the depth of the point heat source.The practical surface temperature distribution can be regarded as the convolution of the temperature distribution of the inner point heat source with the heat source shape function.The depth of an abnormal heat source in biological tissues can be retrieved by using the graphic method combined with the blind deconvolution scheme.Surface temperature distribution of the biological tissues is closely related to the neighboring metabolic heat production,blood circulation in an organism and environmental temperature.[1] The abnormal metabolic performances of a local region in biological tissue imply malignant changes occurring,which can be distinguished from the variance of surface temperature.Modern development of thermal infrared (TIR) imaging has made the surface temperature measurement of biological tissue easier.Nowadays,several types of tumors,e.g.skin or breast can be recognized with TIR imaging.[2] The diagnostics with TIR imaging require more experienced operators and can not accurately ascertain the site of pathological changes,which limits the value of this technology.Therefore ascertaining the depth of inner heat source in biological body has the extremely important clinical value.

  8. Measurement depth enhancement in terahertz imaging of biological tissues.

    Science.gov (United States)

    Oh, Seung Jae; Kim, Sang-Hoon; Jeong, Kiyoung; Park, Yeonji; Huh, Yong-Min; Son, Joo-Hiuk; Suh, Jin-Suck

    2013-09-09

    We demonstrate the use of a THz penetration-enhancing agent (THz-PEA) to enhance the terahertz (THz) wave penetration depth in tissues. The THz-PEA is a biocompatible material having absorption lower than that of water, and it is easily absorbed into tissues. When using glycerol as a THz-PEA, the peak value of the THz signal which was transmitted through the fresh tissue and reflected by a metal target, was almost doubled compared to that of tissue without glycerol. THz time-of-flight imaging (B-scan) was used to display the sequential glycerol delivery images. Enhancement of the penetration depth was confirmed after an artificial tumor was located below fresh skin. We thus concluded that the THz-PEA technique can potentially be employed to enhance the image contrast of the abnormal lesions below the skin.

  9. Linear Elastic Properties of the Facial Soft Tissues Using an Aspiration Device: Towards Patient Specific Characterization.

    OpenAIRE

    Luboz, Vincent; Promayon, Emmanuel; Payan, Yohan

    2014-01-01

    International audience; Biomechanical modeling of the facial soft tissue behavior is needed in aesthetic or maxillo-facial surgeries where the simulation of the bone displacements cannot accurately predict the visible outcome on the patient's face. Because these tissues have different nature and elastic properties across the face, depending on their thickness, and their content in fat or muscle, individualizing their mechanical parameters could increase the simulation accuracy. Using a specif...

  10. Variations of midline facial soft tissue thicknesses among three skeletal classes in Central Anatolian adults.

    Science.gov (United States)

    Gungor, Kahraman; Bulut, Ozgur; Hizliol, Ismail; Hekimoglu, Baki; Gurcan, Safa

    2015-11-01

    Facial reconstruction is a technique employed in a forensic investigation as a last resort to recreate an individual's facial appearance from his/her skull. Forensic anthropologists or artists use facial soft tissue thickness (FSTT) measurements as a guide in facial reconstructions. The aim of this study was to develop FSTT values for Central Anatolian adults, taking into consideration sex and skeletal classes; first, to achieve better results obtaining the likenesses of deceased individuals in two or three-dimensional forensic facial reconstructions and, second, to compare these values to existing databases. Lateral cephalograms were used to determine FSTT values at 10 midline facial landmarks of 167 adults. Descriptive statistics were calculated for these facial soft tissue thickness values, and these values were compared to those reported in two other comparable databases. The majority of the landmarks showed sex-based differences. Males were found to have significantly larger landmark values than female subjects. These results point not only to the necessity to present data in accordance with sexual dimorphism, but also the need to consider that individuals from different geographical areas have unique facial features and that, as a result, geographical population-specific FSTT values are required.

  11. Depth-encoded synthetic aperture optical coherence tomography of biological tissues with extended focal depth.

    Science.gov (United States)

    Mo, Jianhua; de Groot, Mattijs; de Boer, Johannes F

    2015-02-23

    Optical coherence tomography (OCT) has proven to be able to provide three-dimensional (3D) volumetric images of scattering biological tissues for in vivo medical diagnostics. Unlike conventional optical microscopy, its depth-resolving ability (axial resolution) is exclusively determined by the laser source and therefore invariant over the full imaging depth. In contrast, its transverse resolution is determined by the objective's numerical aperture and the wavelength which is only approximately maintained over twice the Rayleigh range. However, the prevailing laser sources for OCT allow image depths of more than 5 mm which is considerably longer than the Rayleigh range. This limits high transverse resolution imaging with OCT. Previously, we reported a novel method to extend the depth-of-focus (DOF) of OCT imaging in Mo et al.Opt. Express 21, 10048 (2013)]. The approach is to create three different optical apertures via pupil segmentation with an annular phase plate. These three optical apertures produce three OCT images from the same sample, which are encoded to different depth positions in a single OCT B-scan. This allows for correcting the defocus-induced curvature of wave front in the pupil so as to improve the focus. As a consequence, the three images originating from those three optical apertures can be used to reconstruct a new image with an extended DOF. In this study, we successfully applied this method for the first time to both an artificial phantom and biological tissues over a four times larger depth range. The results demonstrate a significant DOF improvement, paving the way for 3D high resolution OCT imaging beyond the conventional Rayleigh range.

  12. ORGAN CULTURE OF MID-FACIAL TISSUE AND SECONDARY PALATE

    Science.gov (United States)

    Abstract: Palatal organ culture provides an in vitro model for the study of the formation of the secondary palate, which forms the roof of the mouth in the developing fetus. The protocol describes the steps for culture of the mid-facial region of the fetal mouse or rat. In cult...

  13. Craniofacial reconstruction using a combined statistical model of face shape and soft tissue depths: methodology and validation.

    Science.gov (United States)

    Claes, Peter; Vandermeulen, Dirk; De Greef, Sven; Willems, Guy; Suetens, Paul

    2006-05-15

    Forensic facial reconstruction aims at estimating the facial outlook associated with an unidentified skull specimen. Estimation is generally based on tabulated average values of soft tissue thicknesses measured at a sparse set of landmarks on the skull. Traditional 'plastic' methods apply modeling clay or plasticine on a cast of the skull, approximating the estimated tissue depths at the landmarks and interpolating in between. Current computerized techniques mimic this landmark interpolation procedure using a single static facial surface template. However, the resulting reconstruction is biased by the specific choice of the template and no face-specific regularization is used during the interpolation process. We reduce the template bias by using a flexible statistical model of a dense set of facial surface points, combined with an associated sparse set of skull-based landmarks. This statistical model is constructed from a facial database of (N = 118) individuals and limits the reconstructions to statistically plausible outlooks. The actual reconstruction is obtained by fitting the skull-based landmarks of the template model to the corresponding landmarks indicated on a digital copy of the skull to be reconstructed. The fitting process changes the face-specific statistical model parameters in a regularized way and interpolates the remaining landmark fit error using a minimal bending thin-plate spline (TPS)-based deformation. Furthermore, estimated properties of the skull specimen (BMI, age and gender, e.g.) can be incorporated as conditions on the reconstruction by removing property-related shape variation from the statistical model description before the fitting process. The proposed statistical method is validated, both in terms of accuracy and identification success rate, based on leave-one-out cross-validation tests applied on the facial database. Accuracy results are obtained by statistically analyzing the local 3D facial surface differences of the

  14. Measurement of facial soft tissues thickness using 3D computed tomographic images

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Ho Gul; Kim, Kee Deog; Shin, Dong Won; Hu, Kyung Seok; Lee, Jae Bum; Park, Hyok; Park, Chang Seo [Yonsei Univ. Hospital, Seoul (Korea, Republic of); Han, Seung Ho [Catholic Univ. of Korea, Seoul (Korea, Republic of)

    2006-03-15

    To evaluate accuracy and reliability of program to measure facial soft tissue thickness using 3D computed tomographic images by comparing with direct measurement. One cadaver was scanned with a Helical CT with 3 mm slice thickness and 3 mm/sec table speed. The acquired data was reconstructed with 1.5 mm reconstruction interval and the images were transferred to a personal computer. The facial soft tissue thickness were measured using a program developed newly in 3D image. For direct measurement, the cadaver was cut with a bone cutter and then a ruler was placed above the cut side. The procedure was followed by taking pictures of the facial soft tissues with a high-resolution digital camera. Then the measurements were done in the photographic images and repeated for ten times. A repeated measure analysis of variance was adopted to compare and analyze the measurements resulting from the two different methods. Comparison according to the areas was analyzed by Mann-Whitney test. There were no statistically significant differences between the direct measurements and those using the 3D images(p>0.05). There were statistical differences in the measurements on 17 points but all the points except 2 points showed a mean difference of 0.5 mm or less. The developed software program to measure the facial soft tissue thickness using 3D images was so accurate that it allows to measure facial soft tissue thickness more easily in forensic science and anthropology.

  15. First experiences with simultaneous skeletal and soft tissue reconstruction of noma-related facial defects.

    Science.gov (United States)

    Giessler, Goetz A; Borsche, André; Lim, Paul K; Schmidt, Andreas B; Cornelius, C-Peter

    2012-02-01

    Noma victims suffer from a three-dimensional facial soft-tissue loss. Some may also develop complex viscerocranial defects, due to acute osteitis, chronic exposure, or arrested skeletal growth. Reconstruction has mainly focused on soft tissue so far, whereas skeletal restoration was mostly avoided. After successful microvascular soft tissue free flap reconstruction, we now included skeletal restoration and mandibular ankylosis release into the initial step of complex noma surgery. One free rib graft and parascapular flap, one microvascular osteomyocutaneous flap from the subscapular system, and two sequential chimeric free flaps including vascularized bone were used as the initial steps for facial reconstruction. Ankylosis release could spare the temporomandibular joint. Complex noma reconstruction should include skeletal restoration. Avascular bone is acceptable in cases with complete vascularized graft coverage. Microsurgical chimeric flaps are preferable as they can reduce the number and complexity of secondary operations and provide viable, infection-resistant bone supporting facial growth.

  16. Clinical usefulness of facial soft tissues thickness measurement using 3D computed tomographic images

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Ho Gul; Kim, Kee Deog; Hu, Kyung Seok; Lee, Jae Bum; Park, Hyok [Maxtron Inc., Seoul (Korea, Republic of); Han, Seung Ho [Catholic Univ. of Korea, Seoul (Korea, Republic of); Choi, Seong Ho; Kim, Chong Kwan; Park, Chang Seo [Yonsei Univ., Seoul (Korea, Republic of)

    2006-06-15

    To evaluate clinical usefulness of facial soft tissue thickness measurement using 3D computed tomographic images. One cadaver that had sound facial soft tissues was chosen for the study. The cadaver was scanned with a Helical CT under following scanning protocols about slice thickness and table speed: 3 mm and 3 mm/sec, 5 mm and 5 mm/sec, 7 mm and 7 mm/sec. The acquired data were reconstructed 1.5, 2.5, 3.5 mm reconstruction interval respectively and the images were transferred to a personal computer. Using a program developed to measure facial soft tissue thickness in 3D image, the facial soft tissue thickness was measured. After the ten-time repeation of the measurement for ten times, repeated measure analysis of variance (ANOVA) was adopted to compare and analyze the measurements using the three scanning protocols. Comparison according to the areas was analysed by Mann-Whitney test. There were no statistically significant intraobserver differences in the measurements of the facial soft tissue thickness using the three scanning protocols (p>0.05). There were no statistically significant differences between measurements in the 3 mm slice thickness and those in the 5 mm, 7 mm slice thickness (p>0.05). There were statistical differences in the 14 of the total 30 measured points in the 5 mm slice thickness and 22 in the 7 mm slice thickness. The facial soft tissue thickness measurement using 3D images of 7 mm slice thickness is acceptable clinically, but those of 5 mm slice thickness is recommended for the more accurate measurement.

  17. A Case of Complex Facial Clefts Treated with Staged-tissue Expansion

    Directory of Open Access Journals (Sweden)

    Koichi Ueda, MD, PhD

    2014-12-01

    Full Text Available Summary: Craniofacial clefts involve all soft tissue and skeletal elements throughout the cleft. Usefulness of tissue expansion in craniofacial clefts is reported. Surgery for a complex type of facial clefts is more difficult and more extensive than for a simple one. We experienced a primary case of complex facial clefts (Tessier No. 2 and 12 on the right and 3, 11, and 5 on the left. Soft-tissue closure of all clefts could be completed by using 4 tissue expanders and 7 operations. Because multiple tissue deficiencies and abnormalities exist in craniofacial clefts, especially complex type, a planned, staged, sequential approach by tissue expansion is necessary to produce ideal results.

  18. Chemical facial cellulitis due to inadvertent injection of formalin into oral tissue space

    Directory of Open Access Journals (Sweden)

    Aditi Bector

    2015-12-01

    Full Text Available This paper reports the accidental injection of formalin into oral tissue space, in an 8-year old child resulting in chemical facial necrotizing cellulitis and its management. The common practice of keeping formalin in local anesthesia vials should be avoided by dental clinics, to prevent such unfortunate incidents.

  19. Effect of head position on cephalometric evaluation of the soft-tissue facial profile

    NARCIS (Netherlands)

    Hoogeveen, R.C.; Sanderink, G.C.H.; Berkhout, W.E.R.

    2013-01-01

    Objectives: During a cone beam CT scan, the patient is in an upright or supine position. This position depends on the brand and type of the scanner. The aims of this study are: (1) to investigate if the head position has an effect on cephalometric evaluation of the soft-tissue facial profile, compar

  20. Invasive facial fungal infections: Orofacial soft-tissue infiltration in immunocompromised patients

    OpenAIRE

    Jun, Peter; Russell, Matthew; El-Sayed, Ivan; Dillon, William; Glastonbury, Christine

    2015-01-01

    Invasive facial fungal infections affect the orofacial soft tissues in immunocompromised patients and can cause significant morbidity and mortality. Primary infection occurs from direct inoculation of the skin surface, while secondary infection occurs from extension from an adjacent sinonasal process. The imaging features of secondary infection are similar to acute fulminant invasive fungal sinusitis with infiltration of the orofacial soft tissues in combination with sinonasal disease. Howeve...

  1. A cross-sectional study of soft tissue facial morphometry in children of West Bengal

    Directory of Open Access Journals (Sweden)

    Badruddin A Bazmi

    2013-01-01

    Full Text Available Context: Facial analysis is the first step in the evaluation of patients with orthodontic, cosmetic, or reconstructive procedures of the face, and one of the most important components of orthodontic diagnosis and treatment planning. It is a well-established fact that human faces differ from one another on the basis of race and ethnicity. The study will provide the aesthetic guidelines to assess the facial discrepancy in Bengali children to develop a proper treatment plan. Aims: To find out the mean values for selective linear measurements on the facial soft tissue of Bengali children, to demonstrate gender differences in the measurements. Materials and Methods: A cross-sectional study was done on 250 Bengali children of 6-14 years age, by measuring certain identified facial landmarks using a digital caliper. Statistical Analysis Used: Analytical statistical method with the help of student′s t-test was used to determine mean values, standard deviation, and gender differences in the measurements using SPSS version 11.0. Results: In 6-8 years age group, male′s average inter-endocanthion distance was significantly higher than that of females ( P 0.05, though for 87% of cases, it was significant ( P = 0.13. Total facial height for male subject was significantly high compared to that of females ( P < 0.001 in 12-14 years age group. Conclusions: The study will provide the aesthetic guidelines to assess the facial discrepancy in Bengali children and provide a proper treatment plan through a simple and economically reasonable soft tissue analysis method.

  2. Linear elastic properties of the facial soft tissues using an aspiration device: towards patient specific characterization.

    Science.gov (United States)

    Luboz, V; Promayon, E; Payan, Y

    2014-11-01

    Biomechanical modeling of the facial soft tissue behavior is needed in aesthetic or maxillo-facial surgeries where the simulation of the bone displacements cannot accurately predict the visible outcome on the patient's face. Because these tissues have different nature and elastic properties across the face, depending on their thickness, and their content in fat or muscle, individualizing their mechanical parameters could increase the simulation accuracy. Using a specifically designed aspiration device, the facial soft tissues deformation is measured at four different locations (cheek, cheekbone, forehead, and lower lip) on 16 young subjects. The stiffness is estimated from the deformations generated by a set of negative pressures using an inverse analysis based on a Neo Hookean model. The initial Young's modulus of the cheek, cheekbone, forehead, and lower lip are respectively estimated to be 31.0 kPa±4.6, 34.9 kPa±6.6, 17.3 kPa±4.1, and 33.7 kPa±7.3. Significant intra-subject differences in tissue stiffness are highlighted by these estimations. They also show important inter-subject variability for some locations even when mean stiffness values show no statistical difference. This study stresses the importance of using a measurement device capable of evaluating the patient specific tissue stiffness during an intervention.

  3. New methodology for mechanical characterization of human superficial facial tissue anisotropic behaviour in vivo.

    Science.gov (United States)

    Then, C; Stassen, B; Depta, K; Silber, G

    2017-02-21

    Mechanical characterization of human superficial facial tissue has important applications in biomedical science, computer assisted forensics, graphics, and consumer goods development. Specifically, the latter may include facial hair removal devices. Predictive accuracy of numerical models and their ability to elucidate biomechanically relevant questions depends on the acquisition of experimental data and mechanical tissue behavior representation. Anisotropic viscoelastic behavioral characterization of human facial tissue, deformed in vivo with finite strain, however, is sparse. Employing an experimental-numerical approach, a procedure is presented to evaluate multidirectional tensile properties of superficial tissue layers of the face in vivo. Specifically, in addition to stress relaxation, displacement-controlled multi-step ramp-and-hold protocols were performed to separate elastic from inelastic properties. For numerical representation, an anisotropic hyperelastic material model in conjunction with a time domain linear viscoelasticity formulation with Prony series was employed. Model parameters were inversely derived, employing finite element models, using multi-criteria optimization. The methodology provides insight into mechanical superficial facial tissue properties. Experimental data shows pronounced anisotropy, especially with large strain. The stress relaxation rate does not depend on the loading direction, but is strain-dependent. Preconditioning eliminates equilibrium hysteresis effects and leads to stress-strain repeatability. In the preconditioned state tissue stiffness and hysteresis insensitivity to strain rate in the applied range is evident. The employed material model fits the nonlinear anisotropic elastic results and the viscoelasticity model reasonably reproduces time-dependent results. Inversely deduced maximum anisotropic long-term shear modulus of linear elasticity is G∞,max(aniso)=2.43kPa and instantaneous initial shear modulus at an

  4. The effect of bone displacement operations on facial soft tissues.

    Science.gov (United States)

    Habib, Ali; Hisham, Ahmed

    2013-01-01

    A novel biomechanical model for face soft tissue (skin, mucosa, and muscles) is introduced to investigate the effect of mandible and chin bone displacement on the overall appearance of the patient's face. Nonlinear FE analysis is applied to the model and the results obtained are used to help surgeons to decide the amount of displacement required.

  5. Journal of Tissue Engineering and Reconstructive Surgery%The Clinical Comparison Study of Two Different Methods for Repairing Facial Soft Tissue Defect in Severe Progressive Facial Hemiatrophy

    Institute of Scientific and Technical Information of China (English)

    陈军宝; 李澍源; 曹谊林; 李秉航; 滕利; 卢建建; 徐家杰; 张超; 解芳; 杨莉亚; 杨璐

    2016-01-01

    Objective To evaluate clinical effect of free anterolateral thigh adipofascial flap transplantation and autologous fat graft to repair facial soft tissue defection in severe progressive facial hemiatrophy. Methods From September 2013 to December 2015, 16 patients with progressive facial hemiatrophy were selected according to enter criterion. The patients were divided into two groups according to different surgical methods, autologous fat graft group (Group A, n=8) and free anterolateral thigh adipofascial flap group (Group B, n=8). The facial three-dimensional data were acquired via 3-D scanner preoperatively. Using Mimics 17.0 and Geomagic studio 12.0 software, facial 3-D model of patient was reconstructed, facial symmetry was analyzed, the volume of facial tissue defect was calculated and the reconstruction scope of facial soft tissue was designed. All the patients were operated and clinical indexes were analysed after 6 months. Results The facial symmetry and soft tissue defect in Group A and Group B 6 months post-operation were both significantly improved compared with pre-operation (P0.05). The patients′clinical indexes: total operation time, postoperative hospital stay in Group B were greater than in Group A, times of hospitalization of Group B surpassed Group A with statistical significance (P0.05). Satisfaction score: patients postoperative satisfaction in Group A was better than in Group B (P0.05). Conclusion The clinical effect of autologous fat graft in repairing facial soft tissue defect of severe PFHA patients is non-inferior to free anterolateral thigh adipofascial flap transplantation with good clinical effects and high satisfactory, and is worthy of clinical application.%目的:比较吻合血管的股前外侧筋膜脂肪瓣移植与自体脂肪移植两种方法,修复重度半侧颜面萎缩(PFHA)患者面部软组织缺损的临床效果。方法自2013年09月至2015年12月,根据入组标准选取PFHA患者16例,分为自

  6. Study on the Clinical Significance of Mathematical Relations between the Thickness of Facial Soft Tissues in Male

    Institute of Scientific and Technical Information of China (English)

    WANG Zixuan; WANG Qinghua

    2002-01-01

    Objective To discuss the mathematical relations between the thickness of facial soft tissues. Mehtods Measured the thickness of facial soft tissue on X- ray film (51 men). Record seven data every man, computed their related ratio and analysis all the data with SPSS software. Result All of the items were positive correlation and their correlations were significant expect the correlation between the thickness of hair line point and the Sn point. All the results were normal distribution. Conclusion The results can be used to calculate the thickness of injured facial soft tissue in male.

  7. Quantified Facial Soft-tissue Strain in Animation Measured by Real-time Dynamic 3-Dimensional Imaging

    Directory of Open Access Journals (Sweden)

    Vivian M. Hsu, MD

    2014-09-01

    Conclusions: This pilot study illustrates that the face can be objectively and quantitatively evaluated using dynamic major strain analysis. The technology of 3-dimensional optical imaging can be used to advance our understanding of facial soft-tissue dynamics and the effects of animation on facial strain over time.

  8. [Individualized three-dimensional finite element model of facial soft tissue and preliminary application in orthodontics].

    Science.gov (United States)

    Chen, Si; Xu, Tian-min; Lou, Hang-di; Rong, Qi-guo

    2012-12-01

    To get individualized facial three-dimensional finite element (FE) model from transformation of a generic one to assist orthodontic analysis and prediction of treatment-related morphological change of facial soft tissue. A generic three-dimensional FE model of craniofacial soft and hard tissue was constructed based on a volunteer's spiral CT data. Seven pairs of main peri-oral muscles were constructed based on a combination of CT image and anatomical method. Individualized model could be obtained through transformation of the generic model based on selection of corresponding anatomical landmarks and radial basis functions (RBF) method. Validation was analyzed through superimposition of the transformed model and cone-beam CT (CBCT) reconstruction data. Pre- and post-treatment CBCT data of two patients were collected, which were superimposed to gain the amount of anterior teeth retraction and anterior alveolar surface remodeling that could be used as boundary condition. Different values of Poisson ratio ν and Young's modulus E were tested during simulation. Average deviation was 0.47 mm and 0.75 mm in the soft and hard tissue respectively. It could be decreased to a range of +0.29 mm and -0.21 mm after a second transformation at the lip-mouth region. The best correspondence between simulation and post-treatment result was found with elastic properties of soft tissues defined as follows. Poisson ratio ν for skin, muscle and fat being set as 0.45 while Young's modulus being set as 90.0 kPa, 6.2 kPa and 2.0 kPa respectively. Individualized three-dimensional facial FE model could be obtained through mathematical model transformation. With boundary condition defined according to treatment plan such FE model could be used to analyze the effect of orthodontic treatment on facial soft tissue.

  9. Automatic segmentation of human facial tissue by MRI-CT fusion: a feasibility study.

    Science.gov (United States)

    Kale, Emre H; Mumcuoglu, Erkan U; Hamcan, Salih

    2012-12-01

    The aim of this study was to develop automatic image segmentation methods to segment human facial tissue which contains very thin anatomic structures. The segmentation output can be used to construct a more realistic human face model for a variety of purposes like surgery planning, patient specific prosthesis design and facial expression simulation. Segmentation methods developed were based on Bayesian and Level Set frameworks, which were applied on three image types: magnetic resonance imaging (MRI), computerized tomography (CT) and fusion, in which case information from both modalities were utilized maximally for every tissue type. The results on human data indicated that fusion, thickness adaptive and postprocessing options provided the best muscle/fat segmentation scores in both Level Set and Bayesian methods. When the best Level Set and Bayesian methods were compared, scores of the latter were better. Number of algorithm parameters (to be trained) and computer run time measured were also in favour of the Bayesian method.

  10. Massive osteoradionecrosis of facial bones and soft tissues.

    Science.gov (United States)

    Benlier, E; Alicioglu, B; Kocak, Z; Yurdakul-Sikar, E; Top, H

    2009-01-01

    Osteoradionecrosis (ORN) is one of the most serious and uncommon complications in head and neck irradiation for cancer. It is defined as a combination of necrotic soft tissue and bone not being able to heal spontaneously, it demonstrates a general resistance to antibiotics and requires conservative surgical management. Even with modern radiation therapy, its incidence is highly unpredictable and varies between 4-30%. We report on a patient with a huge open cavitation in the cheek, communicating with the mouth and extending to contralateral periodontal gingival and temporal fossa. He had been treated with radiation therapy for nasopharyngeal cancer 5 years ago and presented with restriction of the opening of the mouth. Osteonecrosis complicated with osteomyelitis was evident in bilateral mandible and maxillary bones and the temporal bone. The ramus of the mandible and zygomatic arc were resected, subtotal maxillectomy was performed and the defect was repaired by a free double island flap from the scapular and parascapular osteocutaneous latissimus dorsi muscle flap supplied by subscapular artery. To our knowledge, this is the most extensive bone and soft tissue destruction due to radiation reported in the literature.

  11. Soft tissue augmentation for restoration of facial contour deformities using the free SCIA/SIEA flap.

    Science.gov (United States)

    Nasir, Serdar; Aydin, Mustafa Asim; Altuntaş, Selman; Sönmez, Erhan; Safak, Tunç

    2008-01-01

    Reconstruction for facial contour deformities is still a challenging process and treatment for most cases is achieved only by soft tissue augmentation. The use of free tissue transfer offers the advantage of one step vascularized soft tissue augmentation. This article summarized the authors' use of de-epithelialized free superficial circumflex iliac artery/superficial inferior epigastric artery flap for facial contour deformities. Of these patients, two had hemifacial microsomia, one depressed scar, and one had hemifacial progressive atrophy. Stable restoration of the facial contour was achieved in all patients. The advantages of this flap are numerous. Two surgical teams may work at the same time for flap harvesting and recipient area preparation. A wide flap may be planned for large contour deformity to achieve one single stage augmentation. Pedicle course of this flap allows primary de-fating without disturbing distal flap circulation when in need of a thin flap for mild contour deformity. Donor site may be closed with bikini (abdominoplasty) incision, which has excellent esthetic outcome compared to other flaps.

  12. Free-tissue transfer reconstruction of midfacial and cranio-orbito-facial defects.

    Science.gov (United States)

    Funk, G F; Laurenzo, J F; Valentino, J; McCulloch, T M; Frodel, J L; Hoffman, H T

    1995-03-01

    To review our results using free-tissue transfer to reconstruct midfacial and cranio-orbito-facial defects. Case series. The University of Iowa Hospitals and Clinics, Iowa City. Fourteen of 21 patients had defects that resulted from ablative oncologic surgery; six had severe mid-facial trauma; and one had Romberg's disease. Four latissimus dorsi, 11 rectus abdominis, three scapula, and four forearm free-tissue transfer flaps were used. Adequate flap separation of vital structures (intracranial contents and carotid artery) from the sinonasal or oropharyngeal cavities; restoration of palatal competence, oral diet, and speech intelligibility; maxillary dental rehabilitation; aesthetic results; complications; and the patient's return to social activities outside the home after surgery. The intracranial contents (six cases) or carotid artery (four cases) were protected from sinonasal or oropharyngeal contamination by the reconstructive flap in all cases in which this was required. Functional closure of the palate with the flap or a prosthesis was possible in 12 of the 13 patients with a palatal defect; seven of these 13 patients have had full maxillary dental rehabilitation. Twenty patients take an oral diet. Sixteen patients have normal or easily understood speech. Fourteen patients engage in social activities outside the home, and eight have returned to full-time employment. No vascular flap failures occurred in this series. The use of free-tissue transfer flaps is a safe and effective technique for repairing large midfacial and cranio-orbito-facial defects resulting from ablative oncologic surgery or trauma.

  13. Measuring the Reliability of Sagittal Facial Anthropometric Measurements under Soft Tissue Displacement Using a Modified Ruler

    Directory of Open Access Journals (Sweden)

    Faramarz Mojtahedzadeh

    2013-01-01

    Full Text Available Objective: Despite the current use of radiography for quantifying sagittal skeletal measurements, it is an unsuitable way for screening or epidemiologic purposes. Although not fully approved, anthropometric measurements have been suggested as a substitute, and considering displacement of soft tissues, could possibly lead to more consistent results. The purpose of this study was to evaluate the reliability of anthropometric anteroposterior facial measurements under soft tissue compression using a special ruler.Material and Methods: Anthropometric measurements were done with a specifically designed sliding ruler twice on 36 adult patients with a 14 day lag between two measurements. The ruler measured the distance between the external acoustic meatus and the nasion (Na, subnasal (Sn point and the soft tissue pogonion (Pog. The soft tissue was displaced during measurements only to the extent that the underlying hard tissue resistance was felt subjectively by each assessor. The intraclass correlation coefficient (ICC was calculated for both inter- and intra- rater measurements using SPSS software.Results: All measurements had inter- and intrarater agreements above 0.9, with only a few parameters having lower bound confidence intervals below 0.9, but more than 0.8.Conclusion: Sagittal facial anthropometric measurements under soft tissue displacement using the specific ruler are valid and reliable and could possibly aid orthodontists in chairside craniofacial assessments.

  14. Facial Scar Revision: Understanding Facial Scar Treatment

    Science.gov (United States)

    ... a facial plastic surgeon Facial Scar Revision Understanding Facial Scar Treatment When the skin is injured from a cut or tear the body heals by forming scar tissue. The appearance of the scar can range from ...

  15. Soft tissue assessment in midface advancement: the use of regional flaps to enhance facial projection.

    Science.gov (United States)

    Chavanne, Juan Martin; Steinberg, Diego; Houssay, Alfredo; Margaride, Luis A

    2009-09-01

    Classically, soft tissue repair when indicated is done before or after the skeletal mobilization especially in those cases that present midface deficiency with severe midline soft tissue restriction by scars or congenital affectation. The distraction osteogenesis method has contributed to improve substantially this problem elongating bones, muscles, and ligaments, but some situations need specific and more precise reconstruction of the subunits to gain in aesthetics. The labial-columella junction, the tip of the nose, and the more projecting point of the cheeks are one of these exigent anatomic areas, where only sophisticated reconstruction by flaps can improve facial proportions and projections.

  16. The Use of Adobe Photoshop Software for the Development of Individualized Soft Tissue Facial Analysis with Special Emphasis on Soft Tissue Nose for Planning Rhinoplasty Procedures

    National Research Council Canada - National Science Library

    Kanhoba Mahabaleshwar Keluskar; N D Zingade; Madhu P Sivan

    2013-01-01

    .... Here, we have used Adobe Photoshop (CS 3) software for the development of individualized soft tissue facial analysis with special emphasis on parameters related to nose useful in planning for rhinoplasty procedures...

  17. Facial soft-tissue morphology of adolescent patients with nonsyndromic bilateral cleft lip and palate.

    Science.gov (United States)

    Hasanzadeh, Nadia; Majidi, Mohammad Reza; Kianifar, Hamidreza; Eslami, Neda

    2014-01-01

    The purpose of this study was to cephalometrically evaluate the facial soft-tissue characteristics of adolescent patients with bilateral cleft lip and palate (BCLP) and to compare them with a noncleft control group. Lateral cephalometric radiographs obtained from 56 adolescents with nonsyndromic BCLP (29 boys and 27 girls) were analyzed and compared with 67 control subjects (29 boys and 38 girls) who were matched for sex, age, and ethnicity. All patients had been operated on before the age of 2 years for the surgical repair of cleft lip and palate. None had received any orthopedic or orthodontic treatment. Independent-samples t test revealed that patients with BCLP significantly differed from the control group by having a flatter facial profile, thinner and more retruded nasal base, flatter nasal tip (in males), and reduced upper-lip length. Furthermore, thicker lower-lip pit, shallower mentolabial sulcus, and increased inclination angles of the upper and lower lips relative to the horizontal plane were observed in female patients compared with the normal group. The findings of the current study suggested that adolescent patients with BCLP showed several facial soft-tissue deformities when compared with normal individuals with the same age, sex, and ethnic origin. This study provides objective measures that could lead to better treatment planning and prediction of the need for corrective surgeries in patients with BCLP.

  18. Probing multifractality in depth-resolved refractive index fluctuations in biological tissues using backscattering spectral interferometry

    Science.gov (United States)

    Das, Nandan Kumar; Dey, Rajib; Chakraborty, Semanti; Panigrahi, P. K.; Ghosh, Nirmalya

    2016-12-01

    Fourier domain low coherence interferometry is a promising method for quantification of the depth distribution of the refractive index in a layered scattering medium such as biological tissue. Here, we have explored backscattering spectral interferometric measurement in combination with multifractal detrended fluctuation analysis to probe and quantify multifractality in depth distribution of the refractive index in tissue. The depth resolution of the experimental system was validated on model systems comprising of polystyrene microspheres and mica sheet, and was initially tested on turbid collagen layer, the main building blocks of the connective tissue. Following successful evaluation, the method was applied on ex vivo tissues of human cervix. The derived multifractal parameters of depth-resolved index fluctuations of tissue, namely, the generalized Hurst exponent and the width of the singularity spectrum showed interesting differences between tissues having different grades of precancers. The depth-resolved index fluctuations exhibited stronger multifractality with increasing pathological grades, demonstrating its promise as a potential biomarker for precancer detection.

  19. Comparison of soft tissue facial morphometry in children with Class I and Class II occlusions.

    Science.gov (United States)

    Ferrario, V F; Sforza, C; Serrao, G; Puletto, S; Bignotto, M; Tartaglia, G

    1994-01-01

    Three-dimensional soft tissue facial morphometry was investigated in a sample of 167 children aged 6 to 9 years by using a new noninvasive computerized method. For each child, 16 cutaneous facial landmarks were automatically collected by a system consisting of two infrared CCD cameras, real-time hardware for the recognition of markers, and software for the three-dimensional reconstruction of the x, y, and z coordinates of landmarks. From these landmarks, 15 linear and 10 angular measurements and five linear distance ratios were computed. For each age class, mean values were computed for all children with a bilateral Angle Class I occlusion (modified according to Katz) and compared with values obtained in children with a bilateral Class II occlusion. Most of the differences involved three-dimensional angular measurements: Class II children had more convex faces in the sagittal plane and a less prominent mandible than did Class I children. No differences were found in the linear measurements. Only the lower facial height ratio was different between the two occlusion groups, but the difference was not consistent among all the age groups.

  20. Reproducibility of transcutaneous oximetry and laser Doppler flowmetry in facial skin and gingival tissue.

    Science.gov (United States)

    Svalestad, J; Hellem, S; Vaagbø, G; Irgens, A; Thorsen, E

    2010-01-01

    Laser Doppler flowmetry (LDF) and transcutaneous oximetry (TcPO(2)) are non-invasive techniques, widely used in the clinical setting, for assessing microvascular blood flow and tissue oxygen tension, e.g. recording vascular changes after radiotherapy and hyperbaric oxygen therapy. With standardized procedures and improved reproducibility, these methods might also be applicable in longitudinal studies. The aim of this study was to evaluate the reproducibility of facial skin and gingival LDF and facial skin TcPO(2). The subjects comprised ten healthy volunteers, 5 men, aged 31-68 years. Gingival perfusion was recorded with the LDF probe fixed to a custom made, tooth-supported acrylic splint. Skin perfusion was recorded on the cheek. TcPO(2) was recorded on the forehead and cheek and in the second intercostal space. The reproducibility of LDF measurements taken after vasodilation by heat provocation was greater than for basal flow in both facial skin and mandibular gingiva. Pronounced intraday variations were observed. Interweek reproducibility assessed by intraclass correlation coefficient ranged from 0.74 to 0.96 for LDF and from 0.44 to 0.75 for TcPO(2). The results confirm acceptable reproducibility of LDF and TcPO(2) in longitudinal studies in a vascular laboratory where subjects serve as their own controls. The use of thermoprobes is recommended. Repeat measurements should be taken at the same time of day.

  1. Depth

    NARCIS (Netherlands)

    Koenderink, J.J.; Van Doorn, A.J.; Wagemans, J.

    2011-01-01

    Depth is the feeling of remoteness, or separateness, that accompanies awareness in human modalities like vision and audition. In specific cases depths can be graded on an ordinal scale, or even measured quantitatively on an interval scale. In the case of pictorial vision this is complicated by the f

  2. Depth

    NARCIS (Netherlands)

    Koenderink, J.J.; Van Doorn, A.J.; Wagemans, J.

    2011-01-01

    Depth is the feeling of remoteness, or separateness, that accompanies awareness in human modalities like vision and audition. In specific cases depths can be graded on an ordinal scale, or even measured quantitatively on an interval scale. In the case of pictorial vision this is complicated by the

  3. Expanded polytetrafluoroethylene (Gore-Tex soft-tissue patch) in facial augmentation.

    Science.gov (United States)

    Maas, C S; Gnepp, D R; Bumpous, J

    1993-09-01

    Expanded polytetrafluoroethylene (EPTFE) (Gore-Tex soft-tissue patch) has received favorable clinical reports for use in facial augmentation procedures. We evaluated the EPTFE soft-tissue patch in short-term (3-week), intermediate-term (6-month), and long-term (12-month) animal models. Nine pathogen-free male and female New Zealand white rabbits weighing 2 to 4 kg were used. After implantation of the EPTFE soft-tissue patch, the animals were carefully observed on a daily basis for signs of wound infection, seroma, or hematoma formation. The stability of the implant was evaluated and graded after the animals were killed. Tissue specimens, including skin, implant, and underlying bone, were removed en bloc. These blocks were sectioned and stained for histologic evaluation. A portion of these blocks were used for scanning electron microscopy. The material increased in stability over time and showed minimal inflammatory cell response and only a delicate fibrous capsule, even in long-term implants. Ultrastructural analysis demonstrated close apposition of the material to tissue, suggesting good interface bioactivity. The EPTFE soft-tissue patch appears to be safe and reliable material for augmentation, demonstrating high biocompatibility, low tissue reactivity, and increasing stability over time.

  4. Repair of facial soft tissues for improvement of facial contour%软组织修复法改善面部轮廓

    Institute of Scientific and Technical Information of China (English)

    丁祥生; 王长会; 魏翠娥; 郭妤; 祁佐良

    2009-01-01

    目的 探讨用中面部软组织修复法改善面部轮廓的效果.方法 应用A型肉毒毒素咬肌内注射,使咬肌萎缩、变薄,同时经口内入路摘除部分颊脂垫,及必要时行面颊部皮下脂肪抽吸.结果 临床治疗36例均获得良好的瘦脸效果,面部轮廓改善显著,经6~12个月随访,效果稳定.结论 面部软组织修复法改善面部轮廓具有操作简便、创伤轻、康复快、安全有效的特点.%Objective To investigate the plastic surgery of facial soft tissue for improvement of facial contour. Methods Botulinum toxin type A was injected into hypertrophied masseter to make it atrophy and attenuation; meanwhile, buccal fat lining was partly resected by intra-oral approach. Buc-cal liposuction was performed if necessary. Results 36 cases got satisfactory face thinning results af-ter treatment. The facial contour of all patients was markedly improved. Following up for 6 - 12 months showed that the effect was stable. Conclusion Plastic repair of facial soft tissue for improve-ment of facial contour is a simple approach, with mild injury, quick recovery, safe and effective.

  5. Increasing the penetration depth for ultrafast laser tissue ablation using glycerol based optical clearing

    Science.gov (United States)

    Gabay, Ilan; Subramanian, Kaushik G.; Martin, Chris; Yildirim, Murat; Tuchin, Valery V.; Ben-Yakar, Adela

    2016-03-01

    Background: Deep tissue ablation is the next challenge in ultrafast laser microsurgery. By focusing ultrafast pulses below the tissue surface one can create an ablation void confined to the focal volume. However, as the ablation depth increases in a scattering tissue, increase in the required power can trigger undesired nonlinear phenomena out of focus that restricts our ability to ablate beyond a maximum ablation depth of few scattering lengths. Optical clearing (OC) might reduce the intensity and increase the maximal ablation depth by lowering the refractive index mismatch, and therefore reducing scattering. Some efforts to ablate deeper showed out of focus damage, while others used brutal mechanical methods for clearing. Our clinical goal is to create voids in the scarred vocal folds and inject a biomaterial to bring back the tissue elasticity and restore phonation. Materials and methods: Fresh porcine vocal folds were excised and applied a biocompatible OC agent (75% glycerol). Collimated transmittance was monitored. The tissue was optically cleared and put under the microscope for ablation threshold measurements at different depths. Results: The time after which the tissue was optically cleared was roughly two hours. Fitting the threshold measurements to an exponential decay graph indicated that the scattering length of the tissue increased to 83+/-16 μm, which is more than doubling the known scattering length for normal tissue. Conclusion: Optical clearing with Glycerol increases the tissue scattering length and therefore reduces the energy for ablation and increases the maximal ablation depth. This technique can potentially improve clinical microsurgery.

  6. Characterization of p75{sup +} ectomesenchymal stem cells from rat embryonic facial process tissue

    Energy Technology Data Exchange (ETDEWEB)

    Wen, Xiujie; Liu, Luchuan; Deng, Manjing; Zhang, Li; Liu, Rui; Xing, Yongjun; Zhou, Xia [Department of Stomatology, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing 400042 (China); Nie, Xin, E-mail: dr.xinnie@gmail.com [Department of Stomatology, Daping Hospital and Research Institute of Surgery, Third Military Medical University, Chongqing 400042 (China)

    2012-10-12

    Highlights: Black-Right-Pointing-Pointer Ectomesenchymal stem cells (EMSCs) were found to migrate to rat facial processes at E11.5. Black-Right-Pointing-Pointer We successfully sorted p75NTR positive EMSCs (p75{sup +} EMSCs). Black-Right-Pointing-Pointer p75{sup +} EMSCs up to nine passages showed relative stable proliferative activity. Black-Right-Pointing-Pointer We examined the in vitro multilineage potential of p75{sup +} EMSCs. Black-Right-Pointing-Pointer p75{sup +}EMSCs provide an in vitro model for tooth morphogenesis. -- Abstract: Several populations of stem cells, including those from the dental pulp and periodontal ligament, have been isolated from different parts of the tooth and periodontium. The characteristics of such stem cells have been reported as well. However, as a common progenitor of these cells, ectomesenchymal stem cells (EMSCs), derived from the cranial neural crest have yet to be fully characterized. The aim of this study was to better understand the characteristics of EMSCs isolated from rat embryonic facial processes. Immunohistochemical staining showed that EMSCs had migrated to rat facial processes at E11.5, while the absence of epithelial invagination or tooth-like epithelium suggested that any epithelial-mesenchymal interactions were limited at this stage. The p75 neurotrophin receptor (p75NTR), a typical neural crest marker, was used to select p75NTR-positive EMSCs (p75{sup +} EMSCs), which were found to show a homogeneous fibroblast-like morphology and little change in the growth curve, proliferation capacity, and cell phenotype during cell passage. They also displayed the capacity to differentiate into diverse cell types under chemically defined conditions in vitro. p75{sup +} EMSCs proved to be homogeneous, stable in vitro and potentially capable of multiple lineages, suggesting their potential for application in dental or orofacial tissue engineering.

  7. Facial Soft Tissue Augmentation using Autologous Fat Mixed with Stromal Vascular Fraction

    Directory of Open Access Journals (Sweden)

    Sang Kyun Lee

    2012-09-01

    Full Text Available Background Autologous fat grafting evolved over the twentieth century to become a quick,safe, and reliable method for restoring volume. However, autologous fat grafts have someproblems including uncertain viability of the grafted fat and a low rate of graft survival. Toovercome the problems associated with autologous fat grafts, we used uncultured adiposetissue-derived stromal cell (stromal vascular fraction, SVF assisted autologous fat grafting.Thus, the purpose of this study was to evaluate the effect of SVF in a clinical trial.Methods SVF cells were freshly isolated from half of the aspirated fat and were used incombination with the other half of the aspirated fat during the procedure. Between March2007 and February 2008, a total of 9 SVF-assisted fat grafts were performed in 9 patients.The patients were followed for 12 weeks after treatment. Data collected at each follow-upvisit included clinical examination of the graft site(s, photographs for historical comparison,and information from a patient questionnaire that measured the outcomes from the patientperspective. The photographs were evaluated by medical professionals.Results Scores of the left facial area grafted with adipose tissue mixed with SVF cells weresignificantly higher compared with those of the right facial area grafted with adipose tissuewithout SVF cells. There was no significant adverse effect.Conclusions The subjective patient satisfaction survey and surgeon survey showed that SVFassistedfat grafting was a surgical procedure with superior results.

  8. Measurement of optical penetration depth and refractive index of human tissue

    Institute of Scientific and Technical Information of China (English)

    Shusen Xie(谢树森); Hui Li(李晖); Buhong Li(李步洪)

    2003-01-01

    Experimental techniques for measurement of optical penetration depth and refractive index of human tissue are presented, respectively. Optical penetration depth can be obtained from the measurement of the relative fluence-depth distribution inside the target tissue. The depth of normal and carcinomatous human lung tissues irradiated with the wavelengths of 406.7, 632.8 and 674.4 nm in vitro are respectively determined. In addition, a novel simple method based on total internal reflection for measuring the refractive index of biotissue in vivo is developed, and the refractive indices of skin from people of different age, sex and skin color are measured. Their refractive indices are almost same and the average is 1.533.

  9. Maximum imaging depth of two-photon autofluorescence microscopy in epithelial tissues.

    Science.gov (United States)

    Durr, Nicholas J; Weisspfennig, Christian T; Holfeld, Benjamin A; Ben-Yakar, Adela

    2011-02-01

    Endogenous fluorescence provides morphological, spectral, and lifetime contrast that can indicate disease states in tissues. Previous studies have demonstrated that two-photon autofluorescence microscopy (2PAM) can be used for noninvasive, three-dimensional imaging of epithelial tissues down to approximately 150 μm beneath the skin surface. We report ex-vivo 2PAM images of epithelial tissue from a human tongue biopsy down to 370 μm below the surface. At greater than 320 μm deep, the fluorescence generated outside the focal volume degrades the image contrast to below one. We demonstrate that these imaging depths can be reached with 160 mW of laser power (2-nJ per pulse) from a conventional 80-MHz repetition rate ultrafast laser oscillator. To better understand the maximum imaging depths that we can achieve in epithelial tissues, we studied image contrast as a function of depth in tissue phantoms with a range of relevant optical properties. The phantom data agree well with the estimated contrast decays from time-resolved Monte Carlo simulations and show maximum imaging depths similar to that found in human biopsy results. This work demonstrates that the low staining inhomogeneity (∼ 20) and large scattering coefficient (∼ 10 mm(-1)) associated with conventional 2PAM limit the maximum imaging depth to 3 to 5 mean free scattering lengths deep in epithelial tissue.

  10. Effect of head position on cephalometric evaluation of the soft-tissue facial profile

    Science.gov (United States)

    Hoogeveen, RC; Sanderink, GCH; Berkhout, WER

    2013-01-01

    Objectives: During a cone beam CT scan, the patient is in an upright or supine position. This position depends on the brand and type of the scanner. The aims of this study are: (1) to investigate if the head position has an effect on cephalometric evaluation of the soft-tissue facial profile, comparing the recordings in natural head position (NHP) and supine head position (SHP) and (2) to investigate if age, gender and body mass index (BMI) are contributing factors to the effect of the head position. Methods: 90 subjects were photographed in profile both in NHP and in SHP. 12 soft-tissue angular and linear cephalometric values were calculated. Two-way random intraclass correlation coefficients were calculated to determine observer reliability. Paired t-tests and linear regression analyses were performed to investigate the differences between the head positions and the influence of age, gender and BMI. Results: Intraobserver reliability was generally high. Paired t-tests showed significant changes as a result of head positioning (p < 0.0001) in 9 of the 12 measurements. These differences were small and clinically not relevant, except for the “lower face—throat angle”. Regression analysis revealed no relevant influence of age, gender and BMI. Conclusions: Cephalometric soft-tissue evaluation from a recording in SHP is generally reliable, except for the throat–chin area where a clinically relevant difference was found. The contour of the submandibular tissues in SHP causes the chin to appear more prominently. This can cause incorrect orthodontic diagnosis and treatment planning. PMID:23412462

  11. Experimental considerations concerning the use of stem cells and tissue engineering for facial nerve regeneration: a systematic review.

    Science.gov (United States)

    Euler de Souza Lucena, Eudes; Guzen, Fausto Pierdoná; Lopes de Paiva Cavalcanti, José Rodolfo; Galvão Barboza, Carlos Augusto; Silva do Nascimento Júnior, Expedito; Cavalcante, Jeferson de Sousa

    2014-05-01

    Peripheral nerve trauma results in functional loss in the innervated organ, and recovery without surgical intervention is rare. Many surgical techniques can be used for repair in experimental models. The authors investigated the source and delivery method of stem cells in experimental outcomes, seeking to clarify whether stem cells must be differentiated in the injured facial nerve and improve the regenerative process. The following key terms were used: nervous regeneration, nerve regeneration, facial nerve regeneration, stem cells, embryonic stem cells, fetal stem cells, adult stem cells, facial nerve, facial nerve trauma, and facial nerve traumatism. The search was restricted to experimental studies that applied stem cell therapy and tissue engineering for nerve repair. Eight studies meeting the inclusion criteria were reviewed. Different sources of stem and precursor cells were explored (bone marrow mesenchymal stem cells, adipose-derived stem cells, dental pulp cells, and neural stem cells) for their potential application in the scenario of facial nerve injuries. Different material conduits (vases, collagen, and polyglycolic acid) were used as bridges. Immunochemistry and electrophysiology are the principal methods for analyzing regenerative effects. Although recent studies have shown that stem cells can act as a promising bridge for nerve repair, considerable optimization of these therapies will be required for their potential to be realized in a clinical setting. Based on these studies, the use of stem cells derived from different sources presents promising results related to facial nerve regeneration and produces effective functional results. The use of tubes also optimizes nerve repair, thus promoting greater myelination and axonal growth of peripheral nerves. Copyright © 2014 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  12. Facial soft tissue esthetic predictions: validation in craniomaxillofacial surgery with cone beam computed tomography data.

    Science.gov (United States)

    Bianchi, Alberto; Muyldermans, Louis; Di Martino, Mirko; Lancellotti, Lorenzo; Amadori, Sara; Sarti, Alessandro; Marchetti, Claudio

    2010-07-01

    Facial soft tissue prediction in orthognathic surgery could be a valuable aid to preview the results and determine the best surgical treatment. After many years, considerable difficulties are still present in the prediction of the clinical final aspect. The object of the present study was to validate new soft tissue simulation software (SurgiCase CMF; Materialise, Leuven, Belgium), using data acquired by cone beam computed tomography (CBCT), that makes it possible to foresee the final result. Ten patients with craniomaxillofacial deformations underwent CBCT before surgery. Using the SurgiCase CMF software, the data were reconstructed in 3 dimensions, and various osteotomies were simulated in a 3-dimensional virtual environment by applying different surgical procedures. At 6 months after surgery, the patients underwent repeat CBCT. Thus, it was possible to superimpose the pre- and postoperative CBCT studies to evaluate the reproducibility and reliability of the software. CBCT simulations defined an average absolute error of 0.94 mm, a standard deviation of 0.90 mm, and a percentage of error less than 2 mm of 86.80%. The preliminary results have allowed us to conclude that simulations in orthognathic surgery for skull-maxillofacial deformities using CBCT acquisition are reliable, in addition to the low radiation exposure, and could become the reference standard to plan surgical treatment. Copyright 2010 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  13. Evaluation of optical imaging and spectroscopy approaches for cardiac tissue depth assessment

    Energy Technology Data Exchange (ETDEWEB)

    Lin, B; Matthews, D; Chernomordik, V; Gandjbakhche, A; Lane, S; Demos, S G

    2008-02-13

    NIR light scattering from ex vivo porcine cardiac tissue was investigated to understand how imaging or point measurement approaches may assist development of methods for tissue depth assessment. Our results indicate an increase of average image intensity as thickness increases up to approximately 2 mm. In a dual fiber spectroscopy configuration, sensitivity up to approximately 3 mm with an increase to 6 mm when spectral ratio between selected wavelengths was obtained. Preliminary Monte Carlo results provided reasonable fit to the experimental data.

  14. Fibre orientation contrast for depth-resolved identification of structural interfaces in birefringent tissue

    Energy Technology Data Exchange (ETDEWEB)

    Kemp, Nate J; Park, Jesung; Zaatari, Haitham N; III, H Grady Rylander; Milner, Thomas E [Department of Biomedical Engineering, University of Texas at Austin, 1 University Station C0800, Austin, TX 78712-1084 (United States)

    2006-08-07

    Incorporation of polarimetric sensitivity into optical coherence tomography can provide additional image contrast when structures of interest are optically anisotropic (e.g., fibrous tissue). We present a generalized technique based on polarization-sensitive optical coherence tomography to detect changes in depth-resolved fibre orientation and thus increase image contrast in multiple-layered birefringent tissues. A high contrast B-scan image of collagen fibre orientation is shown for a porcine intervertebral disc cartilage specimen that exhibited low backscattering intensity contrast. Interfaces in the annulus fibrosus identified using depth-resolved fibre orientation allowed quantification of lamellae thickness. Moreover, the technique detects changes in fibre orientation without intense processing needed to effectively quantify tissue retardation and diattenuation.

  15. Surgical-Allogeneic Facial Reconstruction: Facial Transplants

    OpenAIRE

    Marcelo Coelho Goiato; Daniela Micheline Dos Santos; Lisiane Cristina Bannwart; Marcela Filié Haddad; Leonardo Viana Pereira; Aljomar José Vechiato Filho

    2014-01-01

    Several factors including cancer, malformations and traumas may cause large facial mutilation. These functional and aesthetic deformities negatively affect the psychological perspectives and quality of life of the mutilated patient. Conventional treatments are prone to fail aesthetically and functionally. The recent introduction of the composite tissue allotransplantation (CTA), which uses transplanted facial tissues of healthy donors to recover the damaged or non-existent facial tissue of mu...

  16. Determination of agar tissue phantoms depth profiles with pulsed photothermal radiometry

    Science.gov (United States)

    Milanič, Matija; Majaron, Boris; Nelson, J. Stuart

    2007-07-01

    Pulsed photothermal radiometry (PPTR) can be used for non-invasive depth profiling of skin vascular lesions (e.g., port wine stain birthmarks), aimed towards optimizing laser therapy on an individual patient basis. Optimal configuration of the experimental setup must be found and its performance characterized on samples with well defined structure, before introducing the technique into clinical practice. The aim of our study is to determine how sample structure and width of spectruml acquisition band affect the accuracy of measured depth profiles. We have constructed tissue phantoms composed of multiple layers of agar and of thin absorbing layers between the agar layers. Three phantoms had a single absorber layer at various depths between 100 and 500 μm, and one phantom had two absorber layers. In each sample we induced a non-homogeneous temperature profile with a 585 nm pulsed laser and acquired the resulting radiometric signal with a fast InSb infrared camera. We tested two configurations of the acquisition system, one using the customary 3-5 um spectruml band and one with a custom 4.5 μm cut-on filter. The laser-induced temperature depth profiles were reconstructed from measured PPTR signals using a custom algorithm and compared with sample structure as determined by histology and optical coherent tomography (OCT). PPTR determined temperature profiles correlate well with sample structure in all samples. Determination of the absorbing layer depth shows good repeatability with spatial resolution decreasing with depth. Spectruml filtering improved the accuracy of reconstructed profiles for shallow absorption layers (100-200 μm). PPTR technique enables reliable determination of structure in tissue phantoms with thin absorbing layers. Narrowing of the spectruml acquisition band (to 4.5 - 5.3 μm) improves reconstruction of objects near the surface.

  17. Quantified Facial Soft-tissue Strain in Animation Measured by Real-time Dynamic 3-Dimensional Imaging

    Science.gov (United States)

    Hsu, Vivian M.; Wes, Ari M.; Tahiri, Youssef; Cornman-Homonoff, Joshua

    2014-01-01

    Background: The aim of this study is to evaluate and quantify dynamic soft-tissue strain in the human face using real-time 3-dimensional imaging technology. Methods: Thirteen subjects (8 women, 5 men) between the ages of 18 and 70 were imaged using a dual-camera system and 3-dimensional optical analysis (ARAMIS, Trilion Quality Systems, Pa.). Each subject was imaged at rest and with the following facial expressions: (1) smile, (2) laughter, (3) surprise, (4) anger, (5) grimace, and (6) pursed lips. The facial strains defining stretch and compression were computed for each subject and compared. Results: The areas of greatest strain were localized to the midface and lower face for all expressions. Subjects over the age of 40 had a statistically significant increase in stretch in the perioral region while lip pursing compared with subjects under the age of 40 (58.4% vs 33.8%, P = 0.015). When specific components of lip pursing were analyzed, there was a significantly greater degree of stretch in the nasolabial fold region in subjects over 40 compared with those under 40 (61.6% vs 32.9%, P = 0.007). Furthermore, we observed a greater degree of asymmetry of strain in the nasolabial fold region in the older age group (18.4% vs 5.4%, P = 0.03). Conclusions: This pilot study illustrates that the face can be objectively and quantitatively evaluated using dynamic major strain analysis. The technology of 3-dimensional optical imaging can be used to advance our understanding of facial soft-tissue dynamics and the effects of animation on facial strain over time. PMID:25426394

  18. Quantified Facial Soft-tissue Strain in Animation Measured by Real-time Dynamic 3-Dimensional Imaging.

    Science.gov (United States)

    Hsu, Vivian M; Wes, Ari M; Tahiri, Youssef; Cornman-Homonoff, Joshua; Percec, Ivona

    2014-09-01

    The aim of this study is to evaluate and quantify dynamic soft-tissue strain in the human face using real-time 3-dimensional imaging technology. Thirteen subjects (8 women, 5 men) between the ages of 18 and 70 were imaged using a dual-camera system and 3-dimensional optical analysis (ARAMIS, Trilion Quality Systems, Pa.). Each subject was imaged at rest and with the following facial expressions: (1) smile, (2) laughter, (3) surprise, (4) anger, (5) grimace, and (6) pursed lips. The facial strains defining stretch and compression were computed for each subject and compared. The areas of greatest strain were localized to the midface and lower face for all expressions. Subjects over the age of 40 had a statistically significant increase in stretch in the perioral region while lip pursing compared with subjects under the age of 40 (58.4% vs 33.8%, P = 0.015). When specific components of lip pursing were analyzed, there was a significantly greater degree of stretch in the nasolabial fold region in subjects over 40 compared with those under 40 (61.6% vs 32.9%, P = 0.007). Furthermore, we observed a greater degree of asymmetry of strain in the nasolabial fold region in the older age group (18.4% vs 5.4%, P = 0.03). This pilot study illustrates that the face can be objectively and quantitatively evaluated using dynamic major strain analysis. The technology of 3-dimensional optical imaging can be used to advance our understanding of facial soft-tissue dynamics and the effects of animation on facial strain over time.

  19. Cone-shell Raman spectroscopy (CSRS) for depth-sensitive measurements in layered tissue.

    Science.gov (United States)

    Khan, Khan Mohammad; Majumder, Shovan Kumar; Gupta, Pradeep Kumar

    2015-11-01

    We report the development of a depth-sensitive Raman spectroscopy system using the configuration of cone-shell excitation and cone detection. The system uses a 785 nm diode laser and three identical axicons for Raman excitation of the target sample in the form of a hollow conic section. The Raman scattered light from the sample, passed through the same (but solid) conic section, is collected for detection. Apart from its ability of probing larger depths (~ few mm), an important attraction of the system is that the probing depths can be varied by simply varying the separation between axicons in the excitation arm. Furthermore, no adjustment is required in the sample arm, which is a significant advantage for noncontact, depth-sensitive measurement. Evaluation of the performance of the developed setup on nonbiological phantom and biological tissue sample demonstrated its ability to recover Raman spectra of layers located at depths of ~2-3 mm beneath the surface. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  20. Nonsurgical Facial Rejuvenation: Outcomes and Safety of Neuromodulator and Soft-Tissue Filler Procedures Performed in a Resident Cosmetic Clinic.

    Science.gov (United States)

    Qureshi, Ali A; Parikh, Rajiv P; Sharma, Ketan; Myckatyn, Terence M; Tenenbaum, Marissa M

    2017-05-25

    The ability to perform nonsurgical facial rejuvenation procedures is a core competency requirement for plastic surgery residents. However, limited data exist on training models to achieve competency in nonsurgical facial rejuvenation and on outcomes of these procedures performed by residents. The purpose here is to evaluate patient-reported outcomes and safety of nonsurgical facial rejuvenation procedures performed by plastic surgery residents. We prospectively enrolled 50 patients undergoing neuromodulator and/or soft-tissue filler injections in a resident cosmetic clinic between April and August 2016. Patients completed FACE-Q modules pre-procedure, and at 1 week and 1 month post-procedure. Paired t-tests were used to calculate statistical significance of changes between pre- and post-procedure scores. Effect sizes were calculated to assess clinical improvement from pre- to post-procedure. The magnitude of change was interpreted using Cohen's arbitrary criteria (small 0.20, moderate 0.50, large 0.80). Forty-five patients completed the study. Patients experienced significant improvements (p Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266 .

  1. Chromatic confocal microscopy for multi-depth imaging of epithelial tissue.

    Science.gov (United States)

    Olsovsky, Cory; Shelton, Ryan; Carrasco-Zevallos, Oscar; Applegate, Brian E; Maitland, Kristen C

    2013-05-01

    We present a novel chromatic confocal microscope capable of volumetric reflectance imaging of microstructure in non-transparent tissue. Our design takes advantage of the chromatic aberration of aspheric lenses that are otherwise well corrected. Strong chromatic aberration, generated by multiple aspheres, longitudinally disperses supercontinuum light onto the sample. The backscattered light detected with a spectrometer is therefore wavelength encoded and each spectrum corresponds to a line image. This approach obviates the need for traditional axial mechanical scanning techniques that are difficult to implement for endoscopy and susceptible to motion artifact. A wavelength range of 590-775 nm yielded a >150 µm imaging depth with ~3 µm axial resolution. The system was further demonstrated by capturing volumetric images of buccal mucosa. We believe these represent the first microstructural images in non-transparent biological tissue using chromatic confocal microscopy that exhibit long imaging depth while maintaining acceptable resolution for resolving cell morphology. Miniaturization of this optical system could bring enhanced speed and accuracy to endomicroscopic in vivo volumetric imaging of epithelial tissue.

  2. A new form of spondyloperipheral dysplasia with facial dysmorphism, flattened vertebrae, hypoplastic pelvis, brachydactyly and soft tissue syndactyly

    Energy Technology Data Exchange (ETDEWEB)

    Kitoh, Hiroshi [Aichi Prefectural Colony, Kasugai (Japan). Inst. for Developmental Research; Lachman, R.S. [Cedars-Sinai Medical Research Inst., Los Angeles, CA (United States)

    2001-01-01

    We report the case of a 9-year-old Japanese boy with spondyloperipheral skeletal dysplasia associated with facial dysmorphism, pelvic abnormalities, and distinctive hands and feet. Radiographic manifestations included mild platyspondyly with posterior scalloping, small flared ilia with shallow acetabulae, mesomelic shortening of long bones, marked delay of carpal bone maturation, and brachydactyly with hypoplastic middle and terminal phalanges bilaterally in both hands and feet. There was bilateral soft tissue syndactyly of the 2nd and 3rd interdigital spaces of the hands, the 2nd interdigital space of the feet, with hypoplastic nails. The clinical and radiographic manifestations in this case appear to represent a unique type of skeletal dysplasia. (orig.)

  3. THE VALUE OF LIPOSTRUCTURE IN RECONSTRUCTION OF THE MAXILLO-FACIAL SOFT TISSUE DEFFECTS

    OpenAIRE

    2012-01-01

    BACKGROUND: Indifferent to the origin (congenital or acquired) the facial deformities are difficult to be accepted by the patients. The ideal technique is a simple procedure, with minimal trauma for the patient and with predictable results. The lipostructure can be considered one of these types of reconstruction method and we present our experience with. METHODS: We had used lipostructure at 8 patients for the plasty of postoperative defects (5 after resection of parotidian or cutaneous malig...

  4. The frontal soft tissue changes in the lower facial portion after orthodontic treatment combined with anterior segmental osteotomy.

    Science.gov (United States)

    Cha, Young Min; Park, Na Seon; Bayome, Mohamed; Han, Seong-Ho; Kim, Yoonji; Kook, Yoon-Ah

    2011-01-01

    To evaluate changes of the lower facial portion on the frontal view before and after orthodontic treatment combined with anterior segmental osteotomy (ASO) in patients with bimaxillary protrusion. The sample consisted of 16 women in the experimental group who had received ASO and 24 women in the untreated control group. Twelve linear measurements, 5 angular measurements, and the lip perimeter and area were measured and analyzed using unpaired and paired t tests. The upper lip height and lower lip to chin length were significantly greater after treatment. The upper and lower vermilion heights and all vermilion areas decreased significantly, while lip width did not change. Upper lip height was significantly greater in the posttreatment group than in the control group, but there was no difference in upper and total lip areas. Treatment combined with ASO significantly improved the frontal soft tissue proportions. Anticipated frontal soft tissue changes of the lower face should be considered by clinicians for accurate diagnosis and treatment planning.

  5. Depth profiling of cells and tissues by using C 60+ and SF 5+ as sputter ions

    Science.gov (United States)

    Malmberg, Per; Kriegeskotte, Christian; Arlinghaus, Heinrich F.; Hagenhoff, Birgit; Holmgren, Jan; Nilsson, Mikael; Nygren, Håkan

    2008-12-01

    In the present study, SF 5+ and C 60+ were used as primary ions for sputtering and Bi 3+ was used as primary ions for analysis. The depth profiling procedure was utilized to make 3D images of the chemistry of single cultured cells and tissue samples of intact intestinal epithelium. The results show sputtering of organic material from cells and tissue with both SF 5+ and C 60+ sources. Cholesterol fragments were found in the superficial layers when sputtering with C 60+. Spectra were collected revealing the change in yield along the z-axis of the sample. 3D images of the localization of Na, K, phosphocholine and cholesterol were constructed with both ion sources for single cell cultures and the mouse intestine. Cryostate sections of mouse intestine were analysed in 2D and the results were compared with the 3D image of the intestine. The localization of cholesterol and phosphocholine was found to be similar in cryostate sections analysed in two dimensions and the sputtered, freeze-dried intestine analysed in 3D. The comparison of 2D and 3D images suggest that the phosphocholine signal faded with C 60+ sputtering. In conclusion, both C 60+ and SF 5+ can be used as primary ion sources for sputtering of organic material from cells and tissues. Consecutive analysis with a Bi 3+ source can be used to obtain image stacks that could be used for reconstruction of 3D images.

  6. Burn Depth Estimation Based on Infrared Imaging of Thermally Excited Tissue

    Energy Technology Data Exchange (ETDEWEB)

    Dickey, F.M.; Hoswade, S.C.; Yee, M.L.

    1999-03-05

    Accurate estimation of the depth of partial-thickness burns and the early prediction of a need for surgical intervention are difficult. A non-invasive technique utilizing the difference in thermal relaxation time between burned and normal skin may be useful in this regard. In practice, a thermal camera would record the skin's response to heating or cooling by a small amount-roughly 5 C for a short duration. The thermal stimulus would be provided by a heat lamp, hot or cold air, or other means. Processing of the thermal transients would reveal areas that returned to equilibrium at different rates, which should correspond to different burn depths. In deeper thickness burns, the outside layer of skin is further removed from the constant-temperature region maintained through blood flow. Deeper thickness areas should thus return to equilibrium more slowly than other areas. Since the technique only records changes in the skin's temperature, it is not sensitive to room temperature, the burn's location, or the state of the patient. Preliminary results are presented for analysis of a simulated burn, formed by applying a patch of biosynthetic wound dressing on top of normal skin tissue.

  7. Surgical-allogeneic facial reconstruction: facial transplants.

    Directory of Open Access Journals (Sweden)

    Marcelo Coelho Goiato

    2014-12-01

    Full Text Available Several factors including cancer, malformations and traumas may cause large facial mutilation. These functional and aesthetic deformities negatively affect the psychological perspectives and quality of life of the mutilated patient. Conventional treatments are prone to fail aesthetically and functionally. The recent introduction of the composite tissue allotransplantation (CTA, which uses transplanted facial tissues of healthy donors to recover the damaged or non-existent facial tissue of mutilated patients, resulted in greater clinical results. Therefore, the present study aims to conduct a literature review on the relevance and effectiveness of facial transplants in mutilated subjects. It was observed that the facial transplants recovered both the aesthetics and function of these patients and consequently improved their quality of life.

  8. Three-dimensional analyses of facial soft tissue configuration of Japanese females with jaw deformity--a trial of polygonal view of facial soft tissue deformity in orthognathic patients.

    Science.gov (United States)

    Shimomatsu, Kouta; Nozoe, Etsuro; Ishihata, Kiyohide; Okawachi, Takako; Nakamura, Norifumi

    2012-10-01

    In this study, we evaluated the three-dimensional (3D) soft tissue configuration of Japanese females with/without jaw deformity in order to establish the polygonal view of facial soft tissue deformity three-dimensionally. A polygonal chart was applied to assess the outcomes of orthognathic surgery for patients with mandibular hyperplasia with/without deviation. The study included 20 Japanese females with mandibular hyperplasia with/without deviation. All patients received mandibular setback surgery, and 3D measurements were carried out pre-operation, and at 1, 3 and 6 months postoperatively using a non-contact laser scanning system. Eighteen soft tissue landmarks were set on each 3D image and used to calculate a set of selected parameters. As controls, 20 Japanese females with class I occlusion were included. A polygonal chart was constructed based on the mean and S.D. of the control group. Patients with mandibular protrusion characteristically demonstrated significant variances in the items around the lower face. In asymmetric patients, deviation in the mental area disappeared postoperatively, but a small deviation remained when compared to the controls. The method used in this study seems to be a useful index for diagnosis and as a treatment plan for patients with mandibular hyperplasia with/without deviation.

  9. Journal of Tissue Engineering and Reconstructive Surgery%Botulinum Toxin Type A for Lower Facial Rejuvenation

    Institute of Scientific and Technical Information of China (English)

    潘本耘(综述); 王丹茹(审校)

    2016-01-01

    维持下面部的紧致轮廓,是东方女性面部年轻化的重点诉求,多数人倾向于选择微创、低风险的治疗方式。近20年来,无创注射A型肉毒毒素,因相对微创、保守及可逆化而广受青睐,被广泛用于上、中面部的年轻化。而为了追求整体面部轮廓的协调,A型肉毒毒素在下面部年轻化中的应用更是受到广泛关注。我们就A型肉毒毒素在下面部年轻化中的应用进展进行综述。%[Summary] How to keep the firm lower facial contour along with the gradually aging process is the major point that Asian women focus on. They are seeking for an minimally invasive and less risky approach, compared with the traditional surgery. The past two decades has seen the botulinum toxin type A (BTX-A) injection as a relatively noninvasive, conservative, and reversible preferred method for women who seek for beauty. The application of BTX-A in upper and mid face has been widely accepted. The use of BTX-A in the lower face has been attracting more and more attention for harmonious lineament. In this paper, the research progress of Botulinum toxin type A for lower facial rejuvenation was reviewed.

  10. Energy absorption buildup factors of human organs and tissues at energies and penetration depths relevant for radiotherapy and diagnostics.

    Science.gov (United States)

    Manohara, S R; Hanagodimath, S M; Gerward, L

    2011-11-15

    Energy absorption geometric progression (GP) fitting parameters and the corresponding buildup factors have been computed for human organs and tissues, such as adipose tissue, blood (whole), cortical bone, brain (grey/white matter), breast tissue, eye lens, lung tissue, skeletal muscle, ovary, testis, soft tissue, and soft tissue (4-component), for the photon energy range 0.015-15 MeV and for penetration depths up to 40 mfp (mean free path). The chemical composition of human organs and tissues is seen to influence the energy absorption buildup factors. It is also found that the buildup factor of human organs and tissues changes significantly with the change of incident photon energy and effective atomic number, Z(eff). These changes are due to the dominance of different photon interaction processes in different energy regions and different chemical compositions of human organs and tissues. With the proper knowledge of buildup factors of human organs and tissues, energy absorption in the human body can be carefully controlled. The present results will help in estimating safe dose levels for radiotherapy patients and also useful in diagnostics and dosimetry. The tissue-equivalent materials for skeletal muscle, adipose tissue, cortical bone, and lung tissue are also discussed. It is observed that water and MS20 are good tissue equivalent materials for skeletal muscle in the extended energy range.

  11. Anthropological facial approximation in three dimensions (AFA3D): computer-assisted estimation of the facial morphology using geometric morphometrics.

    Science.gov (United States)

    Guyomarc'h, Pierre; Dutailly, Bruno; Charton, Jérôme; Santos, Frédéric; Desbarats, Pascal; Coqueugniot, Hélène

    2014-11-01

    This study presents Anthropological Facial Approximation in Three Dimensions (AFA3D), a new computerized method for estimating face shape based on computed tomography (CT) scans of 500 French individuals. Facial soft tissue depths are estimated based on age, sex, corpulence, and craniometrics, and projected using reference planes to obtain the global facial appearance. Position and shape of the eyes, nose, mouth, and ears are inferred from cranial landmarks through geometric morphometrics. The 100 estimated cutaneous landmarks are then used to warp a generic face to the target facial approximation. A validation by re-sampling on a subsample demonstrated an average accuracy of c. 4 mm for the overall face. The resulting approximation is an objective probable facial shape, but is also synthetic (i.e., without texture), and therefore needs to be enhanced artistically prior to its use in forensic cases. AFA3D, integrated in the TIVMI software, is available freely for further testing.

  12. Development of stable peri-implant soft tissue and mentolabial sulcus depth with an implant-retained soft tissue conformer after osteocutaneous flap reconstruction.

    Science.gov (United States)

    Dhima, Matilda; Rieck, Kevin L; Arce, Kevin; Salinas, Thomas J

    2013-01-01

    Excessive soft tissue bulk, movement, chronic inflammation, and hypertrophy in periimplant areas pose challenges for long-term management of peri-implant soft tissues surrounding osteocutaneous flap reconstructions. A case history report is presented on the predictable establishment of stable peri-implant soft tissue and improved mentolabial sulcus depth in a patient treated for high-grade osteosarcoma of the mandible. Following surgical resection, reconstruction with osteocutaneous fibula free flap, and endosseous implant placement, a combined surgical and prosthetic approach was used through a lip switch vestibuloplasty and an implant-retained soft tissue conformer.

  13. Utilization of laser Doppler flowmetry and tissue spectrophotometry for burn depth assessment using a miniature swine model.

    Science.gov (United States)

    Lotter, Oliver; Held, Manuel; Schiefer, Jennifer; Werner, Ole; Medved, Fabian; Schaller, Hans-Eberhard; Rahmanian-Schwarz, Afshin; Jaminet, Patrick; Rothenberger, Jens

    2015-01-01

    Currently, the diagnosis of burn depth is primarily based on a visual assessment and can be dependent on the surgeons' experience. The goal of this study was to determine the ability of laser Doppler flowmeter combined with a tissue spectrophotometer to discriminate burn depth in a miniature swine burn model. Burn injuries of varying depth, including superficial-partial, deep-partial, and full thickness, were created in seven Göttingen minipigs using an aluminium bar (100 °C), which was applied to the abdominal skin for periods of 1, 3, 6, 12, 30, and 60 seconds with gravity alone. The depth of injury was evaluated histologically using hematoxylin and eosin staining. All burns were assessed 3 hours after injury using a device that combines a laser light and a white light to determine blood flow, hemoglobin oxygenation, and relative amount of hemoglobin. The blood flow (41 vs. 124 arbitrary units [AU]) and relative amount of hemoglobin (32 vs. 52 AU) were significantly lower in full thickness compared with superficial-partial thickness burns. However, no significant differences in hemoglobin oxygenation were observed between these depths of burns (61 vs. 60%). These results show the ability of laser Doppler flowmeter and tissue spectrophotometer in combination to discriminate between various depths of injury in the minipig model, suggesting that this device may offer a valuable tool for burn depth assessment influencing burn management. © 2014 by the Wound Healing Society.

  14. Fungal Malignant Otitis Externa with Facial Nerve Palsy: Tissue Biopsy Aids Diagnosis

    Directory of Open Access Journals (Sweden)

    Jenny Walton

    2014-01-01

    Full Text Available Fungal malignant otitis externa (FMOE is a serious and potentially life-threatening condition that is challenging to manage. Diagnosis is often delayed due to the low sensitivity of aural swabs and many antifungal drugs have significant side effects. We present a case of FMOE, where formal tissue sampling revealed the diagnosis and the patient was successfully treated with voriconazole, in addition to an up to date review of the current literature. We would recommend tissue biopsy of the external auditory canal in all patients with suspected FMOE in addition to routine microbiology swabs.

  15. Smile analysis in different facial patterns and its correlation with underlying hard tissues

    OpenAIRE

    Grover, Neha; Kapoor, DN; Verma, Santosh; Bharadwaj, Preeti

    2015-01-01

    Background The subject’s inherent growth pattern can be an effective factor in characteristics of smile. More vertical growth in the posterior maxilla than in the anterior maxilla could result in a changed relationship between the occlusal plane and the curvature of the lower lip upon smile. In order to broaden the understanding of how smile gets affected by growth pattern and the underlying hard tissues, the present study was undertaken to compare smile in various growth patterns, to determi...

  16. Damage of Facial Soft Tissues as a Result of Being Bitten by a Dog

    Directory of Open Access Journals (Sweden)

    Zielińska-Kaźmierska Bogna

    2014-08-01

    Full Text Available Being bitten by a dog can have serious health effects. That is why, never underestimate even the smallest soft tissue injuries inflicted by aggressive animals. This incident may have an impact on the further condition of a patient. From our first aid will also depend the aesthetic and functional effect of the scar on the face. We should pay attention to the use of antibiotic prophylaxis.

  17. Frequency of Minor Skin and Soft Tissue Complications in Facial and Periorbital Area after Septorhinoplasty

    Directory of Open Access Journals (Sweden)

    Shadman Nemati

    2012-03-01

    Full Text Available Introduction: High prevalence of rhinoplasty in the community and lack of structured studies about its minor skin and soft tissue complications, point out the necessity of performing precise and comprehensive studies. The aim of this study was to determine the frequency of minor cutaneous and soft tissue complications of rhinoplasty.  Materials and Methods: 110 patients (30 Male and 80 Female, Mean age: 26.3± 6.8 participated in this study. Before surgery all of them were checked for having each of intended complications, and 1 and 3 months after the surgery, they underwent serial visits for monitoring skin & soft tissue complications. The software used for data analysis was SPSS ver.16.  Results: Acne exacerbation was seen in 27% of cases in first post-surgical visit. Nasal tip paresthesia was the most frequent complication in both postsurgical visits (49.6% in first and 36.3% in second visit, followed by eyebrow loss (31.8%, complaint of increased yawning (31.8%, periorbital hyperpigmentation (21.8% in first visit, and, hyperpigmentation (19.1%, complaint of increased yawning (10% and surgical site scar (7.2% in second visit respectively. The frequency of complications was highest in younger than 25 year old age group.  Conclusion: Having knowledge about these complications helps us to know which of them needs prompt medical intervention and which of them will resolve with time and just needs giving reassurance to the patient.

  18. Photogrammetric Comparison of Facial Soft Tissue Profile before and after Protraction Facemask Therapy in Class III Children (6-11 Years Old)

    Science.gov (United States)

    Moshkelgosha, Vahid; Raoof, Arghavan; Sardarian, Ahmadreza; Salehi, Parisa

    2017-01-01

    Statement of the Problem: Achieving a normal soft tissue facial profile is considered to be the main concern of class III patients and the goal of most class III treatments. Purpose: The purpose of this study was to investigate the effects of facemask treatment on profile with photogrammetric method. Materials and Method: Before (T0) and after (T1) treatment photograms of 40 class III patients profiles (20 male and 20 female individuals) treated with protraction face mask that met the inclusion criteria were digitized and analyzed using Aesthetic Analyzer software. Selected linear and angular measurements were performed for each patient and the changes were noted. Results: An increase in inferior facial height (pface and consequent fullness in the soft-tissue profile can be achieved by using protraction face mask. The response to treatment is not different between males and females.

  19. 纸巾纸荧光增白剂可迁移性的快速预判%The anticipation of migration of FWA in facial tissue paper

    Institute of Scientific and Technical Information of China (English)

    郭盛; 傅星星; 黄德义; 林炳坤

    2015-01-01

    讨论用荧光白度预判纸巾纸荧光迁移性的方法,当荧光白度大于1.0%时,可以预判为有荧光增白剂迁移;但当荧光白度小于1.0%时,判定需谨慎,需用GB/T 27741的方法来判定其迁移性。%Fluorescent whiteness was applied to anticipate the migration of FWA in facial tissue paper. When the fluorescent whiteness was higher than 1.0%, the migration of fluorescent whitening agent in facial tissue paper can be predicated. Whereas when the value of fluorescent whiteness was lower than 1.0%, the judgments should be careful; some methods in GB/T 27741 should be applied to determine the migration of FWA.

  20. Comparison of the depth of tissue necrosis between double-freeze and single-freeze nitrous oxide-based cryotherapy

    Directory of Open Access Journals (Sweden)

    Akinfolarin Clement Adepiti

    2016-01-01

    Full Text Available Background: Cryotherapy is one the methods of treating cervical premalignant lesions. It is particularly suitable for low-resource countries because of it is relative cheaper, has low cost of maintenance, ease of use and that does not require electricity which is in short supply in many rural areas of developing countries where the incidence and mortality from cervical cancer is very high. In this study we compared single and double freezing on the cervices of women admitted for hysterectomy for benign conditions using Nitrous-based cryotherapy. Materials and Methods: Patients admitted for elective hysterectomy for benign gynaecological conditions were randomized into two arms. The first group had single freeze cryotherapy while the second arm received double freeze cryotherapy. The cervices were examined 24 hours later to determine the depth of tissue necrosis. Results: In this comparative study, the depth of tissue necrosis was deeper with double freeze compared with single freeze. Also in both arms, the depth of necrosis was deeper on anterior lips than on posterior lips of the cervix. Conclusion: Double freeze technique achieve more depth of tissue necrosis than single-freeze on both anterior and posterior lips of the cervix.

  1. Plastic Surgery for Repairing Facial Soft Tissue Injury%面部软组织损伤的整形美容修复

    Institute of Scientific and Technical Information of China (English)

    李咏红

    2014-01-01

    Objective:To investigate the effects and the application of cosmetic repair of patients with injury of facial soft tissue. Method:130 patients for surgery from February,2012 to December,2013 were selected,high-tech means and minimally invasive techniques was used,and plastic repair of facial soft tissue injury was adopted. Result:The repair effect is ideal with good functional recovery,without infection, hematoma and skin flap necrosis. After 1~12 months follow-up,rehabilitation effect was significant. Conclusion:The facial soft tissue injury of the situation is more complicated,and recovery effect is not ideal by using the traditional plastic method. The new technology and minimally invasive technique for facial repair is used with significant effect.%目的:探讨面部软组织损伤患者整形美容修复效果以及应用方法。方法:我所选取2012年2月至2013年12月间进行整容的130例患者,采用高科技手段与微创技术,进行面部软组织损伤的整形美容修复。结果:修复效果理想,功能恢复良好,且未出现感染、皮瓣坏死以及血肿等情况。随访1~12月后,康复效果显著。结论:面部软组织损伤的情况较为复杂,利用传统整形美容方法恢复效果不理想,我们采用新型科技手段与微创技术进行面部修复,效果显著。

  2. Waveguide and articulated arm for Er:YAG laser system: shape and depth of laser cavity in hard dental tissues

    Science.gov (United States)

    Jelinkova, Helena; Dostalova, Tatjana; Miyagi, Mitsunobu; Wang, You; Shi, Yi-Wei; Dolezalova, Libuse; Hamal, Karel; Krejsa, Otakar; Kubelka, Jiri; Prochazka, Stanislav

    1998-04-01

    The aim of our study was to verify the efficiency of delivery systems for Er:YAG laser radiation which could be used in dentistry. The influence of increasing energy and number of pulses on a profile and depth of drilled holes was investigated. Er:YAG laser was operating in a free-running mode, generating a length of pulses 200 microsecond with a maximum energy of 500 mJ. The delivery systems investigated were an articulated arm and a fluorocarbon polymer-coated silver hollow glass waveguide. The prepared hard tissues were a sliced part of enamel, dentine and ivory. The laser radiation was directed on them by focusing optics (CaF2 lens) together with the cooling water to ensure that the tissues will not be burned. For the evaluation of shapes, depth and profiles of the prepared cavities the metallographic microscope, x-ray microtomograph and scanning electron microscope were used. From the results it was observed that the profile and depth of the cavities prepared by the laser radiation delivered by the various systems (waveguide or articulated arm) are not the same. The laser radiation delivered by waveguide produces a larger diameter cavity with a lower depth. The holes are smoother and without side effects.

  3. Photogrammetric Comparison of Facial Soft Tissue Profile before and after Protraction Facemask Therapy in Class III Children (6-11 Years Old

    Directory of Open Access Journals (Sweden)

    Vahid Moshkelgosha

    2017-03-01

    Full Text Available Statement of the Problem: Achieving a normal soft tissue facial profile is considered to be the main concern of class III patients and the goal of most class III treatments. Purpose: The purpose of this study was to investigate the effects of facemask treatment on profile with photogrammetric method. Materials and Method: Before (T0 and after (T1 treatment photograms of 40 class III patients profiles (20 male and 20 female individuals treated with protraction face mask that met the inclusion criteria were digitized and analyzed using Aesthetic Analyzer software. Selected linear and angular measurements were performed for each patient and the changes were noted. Results: An increase in inferior facial height (p< 0.001 and inferior facial angle (p< 0.001 was observed. Nasal prominence and upper lip prominence also increased significantly (p< 0.001. Advancement of sub nasal area was observed to be significant in females (p< 0.05 in contrast to males. Conclusion: Remarkable advancement in the middle face and consequent fullness in the soft-tissue profile can be achieved by using protraction face mask. The response to treatment is not different between males and females.

  4. 面部软组织损伤的整形美容修复分析%Analysis of Plastic Surgery for Repairing Facial Soft Tissue Injury

    Institute of Scientific and Technical Information of China (English)

    牛兴红

    2014-01-01

    目的:探讨整形美容修复面部软组织损伤的效果。方法:选取本院整形科门诊与住院部在2012年3月~2013年1月间收治的100例面部软组织创伤患者,进行整形美容修复,观察治疗后效果。结果:经过修复治疗后,伤口在Ⅰ期的愈合率为90%。结论:整形美容修复对面部创面进行修复,能够有效的达到较佳的修复效果。%Objective:To study the effect of cosmetic surgery to repair facial soft tissue injuries. Methods:Selecting 100 patients with facial soft tissue trauma in plastic outpatient and inpatient deparments from March,2012 to January,doing cosmetic surgery repair,and observing the therapeutic effect after treatment. Results:After repair therapy,the wound in Ⅰ healing rate was 90%. Conclusion:Cosmetic surgery on facial wounds repair can effectively achieve the best effect.

  5. The surgical anatomy of the cervical distribution of the facial nerve.

    Science.gov (United States)

    Ziarah, H A; Atkinson, M E

    1981-09-01

    In an attempt to improve the safety of the submandibular approach to the mandible and submandibular anatomical dissections of 100 facial halves were undertaken. Observations were made on the course of the cervical branch of the facial nerve in relation to bony and soft tissue landmarks and fascial planes. The course of the nerve and its relation to the platysma muscle and investing fascia dictate the placement and depth of incision used for the submandibular approach.

  6. Changing the facial features of patients with Treacher Collins syndrome: protocol for 3-stage treatment of hard and soft tissue hypoplasia in the upper half of the face.

    Science.gov (United States)

    Mitsukawa, Nobuyuki; Saiga, Atsuomi; Satoh, Kaneshige

    2014-07-01

    Treacher Collins syndrome is a disorder characterized by various congenital soft tissue anomalies involving hypoplasia of the zygoma, maxilla, and mandible. A variety of treatments have been reported to date. These treatments can be classified into 2 major types. The first type involves osteotomy for hard tissue such as the zygoma and mandible. The second type involves plastic surgery using bone grafting in the malar region and soft tissue repair of eyelid deformities. We devised a new treatment to comprehensively correct hard and soft tissue deformities in the upper half of the face of Treacher Collins patients. The aim was to "change facial features and make it difficult to tell that the patients have this disorder." This innovative treatment strategy consists of 3 stages: (1) placement of dermal fat graft from the lower eyelid to the malar subcutaneous area, (2) custom-made synthetic zygomatic bone grafting, and (3) Z-plasty flap transposition from the upper to the lower eyelid and superior repositioning and fixation of the lateral canthal tendon using a Mitek anchor system. This method was used on 4 patients with Treacher Collins syndrome who had moderate to severe hypoplasia of the zygomas and the lower eyelids. Facial features of these patients were markedly improved and very good results were obtained. There were no major complications intraoperatively or postoperatively in any of the patients during the series of treatments. In synthetic bone grafting in the second stage, the implant in some patients was in the way of the infraorbital nerve. Thus, the nerve was detached and then sutured under the microscope. Postoperatively, patients had almost full restoration of sensory nerve torpor within 5 to 6 months. We devised a 3-stage treatment to "change facial features" of patients with hypoplasia of the upper half of the face due to Treacher Collins syndrome. The treatment protocol provided a very effective way to treat deformities of the upper half of the face

  7. Laser speckle contrast imaging with extended depth of field for in-vivo tissue imaging.

    Science.gov (United States)

    Sigal, Iliya; Gad, Raanan; Caravaca-Aguirre, Antonio M; Atchia, Yaaseen; Conkey, Donald B; Piestun, Rafael; Levi, Ofer

    2013-12-06

    This work presents, to our knowledge, the first demonstration of the Laser Speckle Contrast Imaging (LSCI) technique with extended depth of field (DOF). We employ wavefront coding on the detected beam to gain quantitative information on flow speeds through a DOF extended two-fold compared to the traditional system. We characterize the system in-vitro using controlled microfluidic experiments, and apply it in-vivo to imaging the somatosensory cortex of a rat, showing improved ability to image flow in a larger number of vessels simultaneously.

  8. Single-molecule RNA detection at depth by hybridization chain reaction and tissue hydrogel embedding and clearing

    Science.gov (United States)

    Shah, Sheel; Lubeck, Eric; Schwarzkopf, Maayan; He, Ting-Fang; Greenbaum, Alon; Sohn, Chang Ho; Lignell, Antti; Choi, Harry M. T.; Gradinaru, Viviana; Pierce, Niles A.

    2016-01-01

    Accurate and robust detection of mRNA molecules in thick tissue samples can reveal gene expression patterns in single cells within their native environment. Preserving spatial relationships while accessing the transcriptome of selected cells is a crucial feature for advancing many biological areas – from developmental biology to neuroscience. However, because of the high autofluorescence background of many tissue samples, it is difficult to detect single-molecule fluorescence in situ hybridization (smFISH) signals robustly in opaque thick samples. Here, we draw on principles from the emerging discipline of dynamic nucleic acid nanotechnology to develop a robust method for multi-color, multi-RNA imaging in deep tissues using single-molecule hybridization chain reaction (smHCR). Using this approach, single transcripts can be imaged using epifluorescence, confocal or selective plane illumination microscopy (SPIM) depending on the imaging depth required. We show that smHCR has high sensitivity in detecting mRNAs in cell culture and whole-mount zebrafish embryos, and that combined with SPIM and PACT (passive CLARITY technique) tissue hydrogel embedding and clearing, smHCR can detect single mRNAs deep within thick (0.5 mm) brain slices. By simultaneously achieving ∼20-fold signal amplification and diffraction-limited spatial resolution, smHCR offers a robust and versatile approach for detecting single mRNAs in situ, including in thick tissues where high background undermines the performance of unamplified smFISH. PMID:27342713

  9. Intervention of plastic surgery for emergency facial soft tissue injury%急诊面部软组织创伤的整形外科干预

    Institute of Scientific and Technical Information of China (English)

    孙秀锋; 郑妍丽; 姜涛; 王洪燕

    2011-01-01

    [目的]探讨应用整形外科原则和技术,处理急诊面部软组织创伤的方法和经验.[方法]选择急诊面部软组织创伤病例320例,采用整形外科原则和技术行清创及Ⅰ期缝合,观察治疗效果.[结果]伤口Ⅰ期愈合,无明显瘢痕增生,无功能障碍,不需要Ⅱ期修复,美容效果良好.[结论]应用整形外科基本原则和技术处理面部急性软组织创伤,可获得满意的美容效果,值得推广应用.%[Objective] To explore the clinical method of treating emergency facial soft tissue trauma with plastic surgical principles and techniques. [ Methods] The emergency facial soft tissue injuries of 320 patients were selected. They had been debrided and repaired primarily with plastic surgical principles and techniques. Healing effects were observed. [ Results] All cases were primary healing. There were no obvious hyperplasy scars and functional disturbance. Second stage reparation was not required. The cosmetic effect was perfect. [ Conclusion] It is a satisfactory and effective method to treat emergency facial soft tissue trauma with plastic surgical principles and techniques,which can be recommended to all the surgeons.

  10. [Clinical-morphological and histometric characteristics of soft tissue wounds in maxilla-facial region of patients in different terms after trauma].

    Science.gov (United States)

    Fedorina, T A; Braĭlovskaia, T V

    2009-01-01

    504 patients with open traumas of face soft tissues which were given primary surgical wounds treatment with reconstructive operations in maxilla-facial surgical clinics of Samara State Medical University in 2005-2008 also received detailed description. The results of statistical analysis of patients' surgical treatment for the previous 5 year period were listed. It was noted that in the majority of cases (75,5%) patients turned to stomatological aid in first hours or first day and night after receiving the injury, more often there were isolated soft tissue injuries (73,3%), tear-contused and cut wounds put together 80,5%. Morphological and histometric studies of operational-biopsy material let determine the character of changes of leucocyte infiltration and of epithelium - stromal interrelation in different zones of wound edges in patients incoming in different terms after trauma. Objective criteria of tissue excision volumes were received in the process of surgical wound treatment. During last 3 years esthetic results of patient treatment with maxilla-facial traumas improved, the postoperative complications frequency was reduced by 8,1% if compared with the previous 5-year period.

  11. Patient-specific modeling of facial soft tissue based on radial basis functions transformations of a standard three-dimensional finite element model

    Institute of Scientific and Technical Information of China (English)

    LOU Hang-di; CHEN Si; CHEN Gui; XU Tian-min; RONG Qi-guo

    2012-01-01

    Background An important purpose of orthodontic treatment is to gain the harmonic soft tissue profile.This article describes a novel way to build patient-specific models of facial soft tissues by transforming a standard finite element(FE)model into one that has two stages:a first transformation and a second transformation,so as to evaluate the facial soft tissue changes after orthodontic treatment for individual patients.Methods The radial basis functions(RBFs)interpolation method was used to transform the standard FE model into a patient-specific one based on landmark points.A combined strategy for selecting landmark points was developed in this study:manually for the first transformation and automatically for the second transformation.Four typical patients were chosen to validate the effectiveness of this transformation method.Results The results showed good similarity between the transformed FE models and the computed tomography(CT)models.The absolute values of average deviations were in the range of 0.375-0.700 mm at the lip-mouth region after the first transformation,and they decreased to a range of 0.116-0.286 mm after the second transformation.Conclusions The modeling results show that the second transformation resulted in enhanced accuracy compared to the first transformation.Because of these results,a third transformation is usually not necessary.

  12. 面巾纸自动包装机的改进设计%Improvement Design of Facial Tissues Automatic Packaging Machine

    Institute of Scientific and Technical Information of China (English)

    黄有恒

    2011-01-01

    Raises the fast complete machine vibration after the facial tissues packaging machine the question , has the reason using the cam gear follower lever law of motion analysis, the revision cam curve, enables it to achieve the anticipated effect.%针对面巾纸包装机提速后整机震动的问题,运用凸轮机构从动杆运动规律分析产生的原因,修改凸轮曲线,使之达到预期的效果.

  13. Establishment of a Reliable Horizontal Reference Plane for 3-Dimensional Facial Soft Tissue Evaluation Before and After Orthognathic Surgery.

    Science.gov (United States)

    Chortrakarnkij, Peerasak; Lonic, Daniel; Lin, Hsiu-Hsia; Lo, Lun-Jou

    2017-03-01

    This study aims to demonstrate the reliability of our proposed facial reference system in the horizontal axis using 3-dimensional photogrammetry and to find a correlation between this plane and the Frankfurt horizontal (FH) plane. Forty-one patients were enrolled. Three-dimensional facial images were taken before and 6 months after orthognathic surgery. Superimposition was carried out, and differences in landmark position were evaluated. Two constant landmarks were selected to construct a reference system within a standardized reference frame. Cone-beam computed tomography and 3-dimensional facial images were superimposed. Two reference lines were identified, and the angle between these lines was calculated. For landmark reliability, 5 landmarks [gnathion, nasion, exocanthion (Ex), endocanthion, and tragion (T)] were constant. Two landmarks (Ex and T) were selected to construct a reference system within a standardized reference frame. For angular measurement, the mean angle between this reference plane and the skeletal FH plane was 17.6 ± 2.0 degrees. There was no statistical difference between sex, side, and preoperative/postoperative timing of photography. Our proposed reference plane is constructed from reliable facial Ex and T landmarks. This plane is consistent and crosses the FH plane at 17.6 degrees.

  14. 颜面部筋膜蒂皮瓣修复颜面部皮肤软组织缺损的探讨%Discussion on facial soft tissue defects reparation with facial fascio-cutaneous flaps

    Institute of Scientific and Technical Information of China (English)

    王华; 关志广; 方建勇; 胡发明; 陈国威

    2014-01-01

    Objective To discuss clinical effect of facial skin soft tissue defects reparation with facial fascio-cutaneous flaps. Methods Out of 48 patients in our hospital, 20 cases of facial skin tumors, 8 cases of traumatic defects, 9 cases of pigmented nevus, 6 cases of anabrosis, 3 cases of scars, 2 cases of scars together with tissue depression. The minimum area of defect was 1.0 cmx1.0 cm and the maximum area was 4.0 cm x 3.0 cm. All of these cases were treated with facial fascio-cutaneous flaps for reparation. Results In these 48 cases, the maximum area of fascio-cutaneous flaps was 5.0×3.5cm, and the minimum area was 1.5 cm×1.2 cm. The width of the pedicle was 1.0~3.0 cm. All of the fascio-cutaneous flaps survived. 6~12 months of follow-up, the appearance of the faces were satisfied. Conclusion The advantages of this method are obvious, including the good aesthetic effects and the aesthetic facial appearance with hidden incision and small scar. The survival rate of fascio-cutaneous flaps is high. The material supply area can be more easily achieved from the operated patient nearby.%目的探讨颜面部筋膜蒂皮瓣修复颜面部皮肤软组织缺损的临床效果。方法48例患者,其中颜面部皮肤肿瘤20例,外伤缺损伤8例,色素痣9例,溃疡6例,瘢痕3例,瘢痕合并组织凹陷2例,缺损面积最小1.0 cm×1.0 cm,最大4.0 cm×3.0 cm,所有病例均应用颜面部筋膜蒂皮瓣进行修复。结果本组48例,皮瓣面积最大为5.0 cm×3.5 cm,最小为1.5 cm×1.2 cm,蒂宽1.0~3.0 cm,皮瓣全部成活。随访6~12个月,颜面部外观满意。结论本方法具有良好的美学效果,颜面部外形美观、皮瓣成活率高、供区就近取材、切口隐蔽且瘢痕小等优点。

  15. Facial paralysis

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/003028.htm Facial paralysis To use the sharing features on this page, please enable JavaScript. Facial paralysis occurs when a person is no longer able ...

  16. Imaging at depth in tissue with a single-pixel camera

    CERN Document Server

    Durán, V; Irles, E; Clemente, P; Tajahuerce, E; Andrés, P; Lancis, J

    2014-01-01

    One challenge that has long held the attention of scientists is that of clearly seeing objects hidden by turbid media, as smoke, fog or biological tissue, which has major implications in fields such as remote sensing or early diagnosis of diseases. Here, we combine structured incoherent illumination and bucket detection for imaging an object completely embedded in a turbid medium. A sequence of low-intensity microstructured light patterns is launched onto the object, whose image is accurately reconstructed through the light fluctuations measured by a single-pixel detector. Our technique is noninvasive, does not require coherent sources, raster scanning nor time-gated detection and benefits from the compressive sensing strategy. We experimentally retrieve the image at visible wavelengths of a transilluminated target embedded in a 6mm-thick sample of chicken breast.

  17. An empirical formula to obtain tissue-phantom ratios from percentage depth-dose curves for small fields

    Science.gov (United States)

    Ding, George X.; Krauss, Rob

    2013-07-01

    For small photon fields, accurate values of a tissue-phantom ratio (TPR) are difficult to obtain either by direct measurement or by the conventional method of converting from measured percentage depth doses (%dd). This study aims to develop an empirical method to accurately obtain TPRs from %dd curves for small radiosurgery beams. The Monte Carlo simulation codes BEAMnrc/DOSXYZnrc were used to simulate the accelerator head and small, collimated fields including the circular cone accessory. The Monte Carlo directly calculated TPR values as a function of depth were compared with TPRs converted from %dd curves in a water phantom for field sizes ranging from 4 mm diameter to 10 × 10 cm2 fields. Direct measurements of TPRs were performed with the detector remaining fixed at a SAD of 100 cm and increasing the detector depth by adding water. The %dd curves were measured at 100 cm SSD in a 50 × 50 × 50 cm3 water tank. Using the Monte Carlo values, we developed an empirical formula to obtain TPRs from %dd and validated its accuracy. The conventional method of obtaining TPRs from %dd underestimate TPR by 3.4% and 0.6% at a depth 1.5 cm and overestimate TPR by 6.4% and 1.7% at a depth of 25 cm for 4 mm and 30 mm diameter circular fields, respectively. The empirical formula is derived from realistic Monte Carlo simulations using field sizes ranging from 4 to 30 mm and depth ranging from 1.5 to 25 cm. TPRs calculated using this function deviate from TPRs directly calculated from Monte Carlo by less than 0.5%. The accuracy of this empirical formula is validated against the directly measured TPRs in water. The developed empirical method has the potential to greatly simply the work in obtaining TPRs from measured %dd curves for small fields. By using this developed empirical formula the uncertainties between directly measured TPRs and converted TPRs from measured %dd curves are within 1%.

  18. 成人骨性Ⅲ类不同垂直骨面型软组织侧貌特征比较%Comparison of characteristics among facial soft tissue profile in adult skeleton class Ⅲ vertical facial skeletal types

    Institute of Scientific and Technical Information of China (English)

    李娟; 丁寅; 叶艳艳; 惠雯婷; 黄曼

    2013-01-01

    目的 研究成人骨性Ⅲ类不同垂直骨面型软组织侧貌特征的差异,为临床诊断和治疗提供参考.方法 选择未治疗的成年骨性Ⅲ类男性患者60例,根据下颌平面角(SN-MP)分为高、中、低角3组,每组各20例,进行X线头颅侧位片的头影测量,进行单因素方差分析,比较各组间的差异性.结果 在成人骨性Ⅲ类不同垂直骨面型间,有10项指标具有统计学差异(P<0.05),且差异主要存在于高角组.与低角和均角组相比,高角组面下1/3的比例明显增大(Gl' - Sn/Sn-Me'、Sn-sto/sto-Me',P<0.01),面型凹陷程度加重(Gl'SnPog'、FH-N'Pog',P<0.05),上唇相对后缩(CotgSnLs、Sn-H line,P<0.01),下唇前突(Li-H line、Li-NsPog',P<0.05),颏唇沟变浅(Sm-H line、LiB'Pog',P<0.01).结论 成人骨性Ⅲ类患者不同垂直骨面型侧貌特征不同,在临床中要注意骨面型垂直向的差异,制定出更加合理的治疗方案.%Objective To study the differences of the facial soft tissue profile characteristics in adult skeleton class Ⅲ vertical facial skeletal types. Methods Sixty males patients with skeleton class Ⅲ malocclusion were selected. They were divided into three groups:low angle,medium angle,and high angle group based on their SN - MP angle with 20 ones in each group. The cephalometry was carried out by X ray skull lateral projection. One - factor analysis of variance was carried out, and the differences were compared among the groups. Results There were significant differences in 10 indexes among the adult skeleton class Ⅲ vertical facial skeletal types ( P<0. 05 ). And the main differences existed in the high angle group. The proportion of anterior lower 1/3 face in the high angle increased significantly compared with that in the low angle and the medium angle group( Gl'- Sn/Sn - Me', Sn - sto/sto - Me', P< 0.01 );its degree of the facial profile introcession increased significantly( Gl'SnPog', FH - NPog', P <0. 05 );the upper lip

  19. Identification of dendritic cells, B cell and T cell subsets in Tasmanian devil lymphoid tissue; evidence for poor immune cell infiltration into devil facial tumors.

    Science.gov (United States)

    Howson, Lauren J; Morris, Katrina M; Kobayashi, Takumi; Tovar, Cesar; Kreiss, Alexandre; Papenfuss, Anthony T; Corcoran, Lynn; Belov, Katherine; Woods, Gregory M

    2014-05-01

    The Tasmanian devil is under threat of extinction due to the transmissible devil facial tumor disease (DFTD). This fatal tumor is an allograft that does not induce an immune response, raising questions about the activity of Tasmanian devil immune cells. T and B cell analysis has been limited by a lack of antibodies, hence the need to produce such reagents. Amino acid sequence analysis revealed that CD4, CD8, IgM, and IgG were closely related to other marsupials. Monoclonal antibodies were produced against CD4, CD8, IgM, and IgG by generating bacterial fusion proteins. These, and commercial antibodies against CD1a and CD83, identified T cells, B cells and dendritic cells by immunohistochemistry. CD4(+) and CD8(+) T cells were identified in pouch young thymus, adult lymph nodes, spleen, bronchus- and gut-associated lymphoid tissue. Their anatomical distribution was characteristic of mammalian lymphoid tissues with more CD4(+) than CD8(+) cells in lymph nodes and splenic white pulp. IgM(+) and IgG(+) B cells were identified in adult lymph nodes, spleen, bronchus-associated lymphoid tissue and gut-associated lymphoid tissue, with more IgM(+) than IgG(+) cells. Dendritic cells were identified in lymph node, spleen and skin. This distribution is consistent with eutherian mammals and other marsupials, indicating they have the immune cell subsets for an anti-tumor immunity. Devil facial tumor disease tumors contained more CD8(+) than CD4(+) cells, but in low numbers. There were also low numbers of CD1a(+) and MHC class II(+) cells, but no CD83(+) IgM(+) or IgG(+) B cells, consistent with poor immune cell infiltration.

  20. Mosaicism in segmental darier disease: an in-depth molecular analysis quantifying proportions of mutated alleles in various tissues

    DEFF Research Database (Denmark)

    Harboe, Theresa Larriba; Willems, Patrick; Jespersgaard, Cathrine;

    2011-01-01

    Darier disease is an autosomal dominant genodermatosis caused by germline mutations in the ATP2A2 gene. Clinical expression is variable, including rare segmental phenotypes thought to be caused by postzygotic mosaicism. Genetic counseling of segmental Darier patients is complex, as risk...... of transmitting a nonsegmental phenotype to offspring is of unknown magnitude. We present the first in-depth molecular analysis of a mosaic patient with segmental disease, quantifying proportions of mutated and normal alleles in various tissues. Pyrosequence analysis of DNA from semen, affected and normal skin......, peripheral leukocytes and hair revealed an uneven distribution of the mutated allele, from 14% in semen to 37% in affected skin. We suggest a model for segmental manifestation expression where a threshold number of mutated cells is needed for manifestation development. We further recommend molecular analysis...

  1. [Facial palsy].

    Science.gov (United States)

    Cavoy, R

    2013-09-01

    Facial palsy is a daily challenge for the clinicians. Determining whether facial nerve palsy is peripheral or central is a key step in the diagnosis. Central nervous lesions can give facial palsy which may be easily differentiated from peripheral palsy. The next question is the peripheral facial paralysis idiopathic or symptomatic. A good knowledge of anatomy of facial nerve is helpful. A structure approach is given to identify additional features that distinguish symptomatic facial palsy from idiopathic one. The main cause of peripheral facial palsies is idiopathic one, or Bell's palsy, which remains a diagnosis of exclusion. The most common cause of symptomatic peripheral facial palsy is Ramsay-Hunt syndrome. Early identification of symptomatic facial palsy is important because of often worst outcome and different management. The prognosis of Bell's palsy is on the whole favorable and is improved with a prompt tapering course of prednisone. In Ramsay-Hunt syndrome, an antiviral therapy is added along with prednisone. We also discussed of current treatment recommendations. We will review short and long term complications of peripheral facial palsy.

  2. Three-dimensional imaging methods for quantitative analysis of facial soft tissues and skeletal morphology in patients with orofacial clefts: a systematic review.

    Directory of Open Access Journals (Sweden)

    Mette A R Kuijpers

    Full Text Available BACKGROUND: Current guidelines for evaluating cleft palate treatments are mostly based on two-dimensional (2D evaluation, but three-dimensional (3D imaging methods to assess treatment outcome are steadily rising. OBJECTIVE: To identify 3D imaging methods for quantitative assessment of soft tissue and skeletal morphology in patients with cleft lip and palate. DATA SOURCES: Literature was searched using PubMed (1948-2012, EMBASE (1980-2012, Scopus (2004-2012, Web of Science (1945-2012, and the Cochrane Library. The last search was performed September 30, 2012. Reference lists were hand searched for potentially eligible studies. There was no language restriction. STUDY SELECTION: We included publications using 3D imaging techniques to assess facial soft tissue or skeletal morphology in patients older than 5 years with a cleft lip with/or without cleft palate. We reviewed studies involving the facial region when at least 10 subjects in the sample size had at least one cleft type. Only primary publications were included. DATA EXTRACTION: Independent extraction of data and quality assessments were performed by two observers. RESULTS: Five hundred full text publications were retrieved, 144 met the inclusion criteria, with 63 high quality studies. There were differences in study designs, topics studied, patient characteristics, and success measurements; therefore, only a systematic review could be conducted. Main 3D-techniques that are used in cleft lip and palate patients are CT, CBCT, MRI, stereophotogrammetry, and laser surface scanning. These techniques are mainly used for soft tissue analysis, evaluation of bone grafting, and changes in the craniofacial skeleton. Digital dental casts are used to evaluate treatment and changes over time. CONCLUSION: Available evidence implies that 3D imaging methods can be used for documentation of CLP patients. No data are available yet showing that 3D methods are more informative than conventional 2D methods

  3. Three-dimensional Imaging Methods for Quantitative Analysis of Facial Soft Tissues and Skeletal Morphology in Patients with Orofacial Clefts: A Systematic Review

    Science.gov (United States)

    Kuijpers, Mette A. R.; Chiu, Yu-Ting; Nada, Rania M.; Carels, Carine E. L.; Fudalej, Piotr S.

    2014-01-01

    Background Current guidelines for evaluating cleft palate treatments are mostly based on two-dimensional (2D) evaluation, but three-dimensional (3D) imaging methods to assess treatment outcome are steadily rising. Objective To identify 3D imaging methods for quantitative assessment of soft tissue and skeletal morphology in patients with cleft lip and palate. Data sources Literature was searched using PubMed (1948–2012), EMBASE (1980–2012), Scopus (2004–2012), Web of Science (1945–2012), and the Cochrane Library. The last search was performed September 30, 2012. Reference lists were hand searched for potentially eligible studies. There was no language restriction. Study selection We included publications using 3D imaging techniques to assess facial soft tissue or skeletal morphology in patients older than 5 years with a cleft lip with/or without cleft palate. We reviewed studies involving the facial region when at least 10 subjects in the sample size had at least one cleft type. Only primary publications were included. Data extraction Independent extraction of data and quality assessments were performed by two observers. Results Five hundred full text publications were retrieved, 144 met the inclusion criteria, with 63 high quality studies. There were differences in study designs, topics studied, patient characteristics, and success measurements; therefore, only a systematic review could be conducted. Main 3D-techniques that are used in cleft lip and palate patients are CT, CBCT, MRI, stereophotogrammetry, and laser surface scanning. These techniques are mainly used for soft tissue analysis, evaluation of bone grafting, and changes in the craniofacial skeleton. Digital dental casts are used to evaluate treatment and changes over time. Conclusion Available evidence implies that 3D imaging methods can be used for documentation of CLP patients. No data are available yet showing that 3D methods are more informative than conventional 2D methods. Further research

  4. Pain threshold variations in somatic wall tissues as a function of menstrual cycle, segmental site and tissue depth in non-dysmenorrheic women, dysmenorrheic women and men.

    Science.gov (United States)

    Giamberardino, M A; Berkley, K J; Iezzi, S; de Bigontina, P; Vecchiet, L

    1997-06-01

    Pain symptoms of many disorders are reported to vary with menstrual stage. This study investigated how pain thresholds to electrical stimulation of the skin, subcutis and muscle tissue varied with menstrual stage in normal women and compared these variations with those in women with dysmenorrhea and in healthy men at matched intervals. Thresholds of the three tissues were measured four times during the course of one menstrual cycle at four sites. Two of the sites were on the abdomen within the uterine viscerotome (abdomen-rectus abdominis, left and right) and two were outside it on the limbs (leg-quadriceps, arm-deltoid). Calculated from the beginning of menstruation (day 0), the menstrual phases studied were menstrual (days 2-6), periovulatory (days 12-16), luteal (days 17-22) and premenstrual (days 25-28). Spontaneous pain associated with menstruation was measured from diary estimates on a VAS scale. Whereas the highest thresholds always occurred in the luteal phase regardless of segmental site or stimulus depth, the lowest thresholds occurred in the periovulatory stage for skin, whereas those for muscle/subcutis occurred perimenstrually. Dysmenorrhea accentuated the impact of menstrual phase. For non-dysmenorrheic women menstrual trends were significant only in abdominal muscle and subcutis, but for dysmenorrheic women the trends were also significant in abdominal skin and in limb muscle and subcutis. Dysmenorrhea also lowered thresholds mainly in muscle and sometimes in subcutis, but never in skin, with the greatest hyperalgesic effects in left abdominis muscle. Abdominal sites were more vulnerable to menstrual influences than limb sites. Muscle thresholds, but not skin or subcutis thresholds, were significantly lower in abdomen than in limbs, particularly in dysmenorrheic women. The amount of abdominal muscle hyperalgesia correlated significantly with the amount of spontaneous menstrual pain. Only minor sex differences were observed for pain thresholds of the

  5. Facial swelling

    Science.gov (United States)

    ... help reduce facial swelling. When to Contact a Medical Professional Call your health care provider if you have: Sudden, painful, or severe facial ... or if you have breathing problems. The health care provider will ask about your medical and personal history. This helps determine treatment or ...

  6. The Relationship of the Facial Nerve to the Condylar Process: A Cadaveric Study with Implications for Open Reduction Internal Fixation.

    Science.gov (United States)

    Barham, H P; Collister, P; Eusterman, V D; Terella, A M

    2015-01-01

    Introduction. The mandibular condyle is the most common site of mandibular fracture. Surgical treatment of condylar fractures by open reduction and internal fixation (ORIF) demands direct visualization of the fracture. This project aimed to investigate the anatomic relationship of the tragus to the facial nerve and condylar process. Materials and Methods. Twelve fresh hemicadavers heads were used. An extended retromandibular/preauricular approach was utilized, with the incision being based parallel to the posterior edge of the ramus. Measurements were obtained from the tragus to the facial nerve and condylar process. Results. The temporozygomatic division of the facial nerve was encountered during each approach, crossing the mandible at the condylar neck. The mean tissue depth separating the facial nerve from the condylar neck was 5.5 mm (range: 3.5 mm-7 mm, SD 1.2 mm). The upper division of the facial nerve crossed the posterior border of the condylar process on average 2.31 cm (SD 0.10 cm) anterior to the tragus. Conclusions. This study suggests that the temporozygomatic division of the facial nerve will be encountered in most approaches to the condylar process. As visualization of the relationship of the facial nerve to condyle is often limited, recognition that, on average, 5.5 mm of tissue separates condylar process from nerve should help reduce the incidence of facial nerve injury during this procedure.

  7. The Relationship of the Facial Nerve to the Condylar Process: A Cadaveric Study with Implications for Open Reduction Internal Fixation

    Directory of Open Access Journals (Sweden)

    H. P. Barham

    2015-01-01

    Full Text Available Introduction. The mandibular condyle is the most common site of mandibular fracture. Surgical treatment of condylar fractures by open reduction and internal fixation (ORIF demands direct visualization of the fracture. This project aimed to investigate the anatomic relationship of the tragus to the facial nerve and condylar process. Materials and Methods. Twelve fresh hemicadavers heads were used. An extended retromandibular/preauricular approach was utilized, with the incision being based parallel to the posterior edge of the ramus. Measurements were obtained from the tragus to the facial nerve and condylar process. Results. The temporozygomatic division of the facial nerve was encountered during each approach, crossing the mandible at the condylar neck. The mean tissue depth separating the facial nerve from the condylar neck was 5.5 mm (range: 3.5 mm–7 mm, SD 1.2 mm. The upper division of the facial nerve crossed the posterior border of the condylar process on average 2.31 cm (SD 0.10 cm anterior to the tragus. Conclusions. This study suggests that the temporozygomatic division of the facial nerve will be encountered in most approaches to the condylar process. As visualization of the relationship of the facial nerve to condyle is often limited, recognition that, on average, 5.5 mm of tissue separates condylar process from nerve should help reduce the incidence of facial nerve injury during this procedure.

  8. Estudo comparativo entre a Análise Facial Subjetiva e a Análise Cefalométrica de Tecidos Moles no diagnóstico ortodôntico Comparative study between the Subjective Facial Analysis and the Soft Tissue Cephalometric Analysis on the orthodontic diagnosis

    Directory of Open Access Journals (Sweden)

    Renata Feres

    2009-04-01

    Full Text Available OBJETIVO: avaliar a concordância entre a Análise Facial Subjetiva, proposta por Capelozza Filho, e a Análise Cefalométrica de Tecidos Moles, de Arnett e McLaughlin. MÉTODOS: fotografias de frente e de perfil e telerradiografias em norma lateral padronizadas de 50 indivíduos, com média de idade de 24 anos e 1 mês, foram utilizadas para essa avaliação. Verificou-se, também, nos indivíduos classificados como Padrão I, a correspondência dos valores médios e desvios-padrão das medidas obtidas com os valores normativos da Análise Cefalométrica de Tecidos Moles para os indivíduos com harmonia facial. RESULTADOS: constatou-se, em indivíduos do Padrão I, que os lábios sempre se encontram à frente da Linha Vertical Verdadeira e que, apesar de grandes variações do ponto pogônio, o equilíbrio facial ainda se mantinha. CONCLUSÃO: os resultados demonstraram que a Análise Facial Subjetiva é um método eficiente na classificação do padrão facial.AIM: To evaluate the agreement between the Subjective Facial Analysis, proposed by Capelozza Filho, and the Soft Tissue Cephalometric Analysis, proposed by Arnett and McLaughlin. METHODS: Fifty standardized frontal and lateral photographs and fifty cephalometric x-rays were used, in a sample with a mean age of 24 years and 1 month. After that it was verified, on the Pattern I patients, the correspondence of the values found on this sample with the ones proposed by the Soft Tissue Cephalometric Analysis normative values. RESULTS: It was demonstrated that the lips are always positioned ahead the True Vertical Line, and that, despite the variation of the pogonion point, the facial equilibrium is still maintained. CONCLUSION: The results related to the Subjective Facial Analysis showed that this is a valid and efficient method of Facial Pattern classification.

  9. The Science and Theory behind Facial Aging

    OpenAIRE

    Jordan P. Farkas, MD; Joel E. Pessa, MD; Bradley Hubbard, MD; Rod J. Rohrich, MD, FACS

    2013-01-01

    Summary: The etiology of age-related facial changes has many layers. Multiple theories have been presented over the past 50–100 years with an evolution of understanding regarding facial changes related to skin, soft tissue, muscle, and bone. This special topic will provide an overview of the current literature and evidence and theories of facial changes of the skeleton, soft tissues, and skin over time.

  10. Facial anatomy.

    Science.gov (United States)

    Marur, Tania; Tuna, Yakup; Demirci, Selman

    2014-01-01

    Dermatologic problems of the face affect both function and aesthetics, which are based on complex anatomical features. Treating dermatologic problems while preserving the aesthetics and functions of the face requires knowledge of normal anatomy. When performing successfully invasive procedures of the face, it is essential to understand its underlying topographic anatomy. This chapter presents the anatomy of the facial musculature and neurovascular structures in a systematic way with some clinically important aspects. We describe the attachments of the mimetic and masticatory muscles and emphasize their functions and nerve supply. We highlight clinically relevant facial topographic anatomy by explaining the course and location of the sensory and motor nerves of the face and facial vasculature with their relations. Additionally, this chapter reviews the recent nomenclature of the branching pattern of the facial artery.

  11. Facial tics

    Science.gov (United States)

    Tic - facial; Mimic spasm ... Tics may involve repeated, uncontrolled spasm-like muscle movements, such as: Eye blinking Grimacing Mouth twitching Nose wrinkling Squinting Repeated throat clearing or grunting may also be ...

  12. Facial Recognition

    National Research Council Canada - National Science Library

    Mihalache Sergiu; Stoica Mihaela-Zoica

    2014-01-01

    .... From birth, faces are important in the individual's social interaction. Face perceptions are very complex as the recognition of facial expressions involves extensive and diverse areas in the brain...

  13. Energy absorption buildup factors of human organs and tissues at energies and penetration depths relevant for radiotherapy and diagnostics

    DEFF Research Database (Denmark)

    Manohara, S. R.; Hanagodimath, S. M.; Gerward, Leif

    2011-01-01

    Energy absorption geometric progression (GP) fitting parameters and the corresponding buildup factors have been computed for human organs and tissues, such as adipose tissue, blood (whole), cortical bone, brain (grey/white matter), breast tissue, eye lens, lung tissue, skeletal muscle, ovary...

  14. 浅表肌腱膜系统悬吊联合脂肪颗粒移植除皱术%Combined surgery of facial fat tissue remodel with SMAS-suspended rhytidectomy

    Institute of Scientific and Technical Information of China (English)

    杨明勇; 金骥; 李斌斌; 房林; 侯典举

    2012-01-01

    目的 探讨通过浅表肌腱膜系统(SMAS)悬吊,并行面部脂肪抽吸和面部脂肪颗粒移植将面部脂肪组织移位、塑形的面部除皱术的效果.方法 对12例面部老化者,先用脂肪抽吸术将面部脂肪提取,并行SMAS悬吊除皱术后,再将游离的脂肪颗粒重新移植于提升术后的面部其他区域,以达到对面部软组织年轻化重塑.结果 术后随访6个月至2年,面部软组织提升,并且面部因老化流失的软组织量得到补充,获得显著的面部年轻化效果,12例受术者均较满意,无并发症发生.结论 脂肪组织重塑结合SMAS悬吊的面部提升术,在提升松弛软组织的同时,还针对面部流失的软组织量进行修复,解除了导致面部老化的多种因素,是面部除皱比较满意的方法.%Objective To evaluate the effect of facial fat tissue grafting and remodeling with SMAS suspension in facial rejuvenation.Methods The treatment process of 12 patients with facial fat tissue grafting and SMAS-suspended rhytidectomy were reviewed retrospectively,the surgical operative procedure and treatment results of facial liposuction and autologous fat grafting with SMAS-suspended rhytidectomy were analyzed and evaluated.Results 12 patients underwent facial liposuction,SMAS-suspended rhytidectomy and autologous free fat tissue grafting and remodeling.All the followed-up cases obtained good results without complications.Conclusions Combined surgery of facial fat tissue remodel with SMAS-suspended rhytidectomy not only corrects the soft tissue laxity,but also modifies the faical volume loss.It solves the aging problems in different angles through soft tissue lift and volume restoration.It is a relatively ideal surgical method of facialplasty for those aged patients.

  15. Facial Sports Injuries

    Science.gov (United States)

    ... Find an ENT Doctor Near You Facial Sports Injuries Facial Sports Injuries Patient Health Information News media interested in ... should receive immediate medical attention. Prevention Of Facial Sports Injuries The best way to treat facial sports injuries ...

  16. Children and Facial Trauma

    Science.gov (United States)

    ... an ENT Doctor Near You Children and Facial Trauma Children and Facial Trauma Patient Health Information News ... staff at newsroom@entnet.org . What is facial trauma? The term facial trauma means any injury to ...

  17. Facial Cosmetic Surgery

    Science.gov (United States)

    ... to find out more. Facial Cosmetic Surgery Facial Cosmetic Surgery Extensive education and training in surgical procedures ... to find out more. Facial Cosmetic Surgery Facial Cosmetic Surgery Extensive education and training in surgical procedures ...

  18. Comparação das dimensões de tecido mole entre padrões faciais distintos Comparison of soft tissue size between different facial patterns

    Directory of Open Access Journals (Sweden)

    Murilo Fernando Neuppmann Feres

    2010-08-01

    Full Text Available OBJETIVO: o presente estudo destinou-se a comparar a morfologia tegumentar de indivíduos segundo a tipologia facial. MÉTODOS: foram utilizadas 90 telerradiografias de pacientes de ambos os sexos, de 12 a 16 anos de idade, divididas em três grupos distintos, referentes a cada padrão morfológico: mesofacial, dolicofacial e braquifacial. Os grupos foram comparados no que se refere às medidas de espessura e altura do lábio superior e inferior, além da espessura do mento mole. Ainda, foi apurada a presença de correlações entre as variáveis de tecido mole avaliadas e medidas cefalométricas de natureza dentária e esquelética. RESULTADOS E CONCLUSÕES: os lábios superiores e inferiores, assim como o mento mole, não apresentaram diferenças em relação às suas espessuras em todos os grupos morfológicos. Porém, as alturas do lábio superior e inferior foram significativamente maiores para os dolicofaciais quando esses foram comparados aos demais grupos. Braquifaciais apresentaram menor altura do lábio superior quando comparados aos mesofaciais, embora ambos não tenham se diferenciado significativamente no que se refere à altura do lábio inferior. A análise das correlações estabelecidas entre as variáveis dos tecidos moles e duros indicou evidências de um desenvolvimento vertical dos lábios superior e inferior em acompanhamento ao desenvolvimento vertical do esqueleto. O posicionamento vertical do incisivo superior se correlacionou significativamente aos mesmos parâmetros labiais, o que garantiu um nível de exposição semelhante desse elemento dentário em todos os grupos.OBJECTIVE: This study was designed to compare the soft tissue morphology of individuals according to their facial patterns. METHODS: Were used cephalograms of 90 patients of both genders, aged 12 to 16 years, which were divided into three distinct groups, according to their morphological patterns, i.e., mesofacials, dolichofacials and brachyfacials. The

  19. Facial blindsight

    Directory of Open Access Journals (Sweden)

    Marco eSolcà

    2015-09-01

    Full Text Available Blindsight denotes unconscious residual visual capacities in the context of an inability to consciously recollect or identify visual information. It has been described for color and shape discrimination, movement or facial emotion recognition. The present study investigates a patient suffering from cortical blindness whilst maintaining select residual abilities in face detection. Our patient presented the capacity to distinguish between jumbled/normal faces, known/unknown faces or famous people’s categories although he failed to explicitly recognize or describe them. Conversely, performance was at chance level when asked to categorize non-facial stimuli. Our results provide clinical evidence for the notion that some aspects of facial processing can occur without perceptual awareness, possibly using direct tracts from the thalamus to associative visual cortex, bypassing the primary visual cortex.

  20. Congenital Facial Teratoma

    OpenAIRE

    Rai, Manjunath; Hegde, Padmaraj; Devaraju, Umesh M.

    2011-01-01

    Teratomas are neoplasm composed of three germinal layers of the embryo that form tissues not normally found in the organ in which they arise. These are most common in the sacrococcygeal region and are rare in the head and neck, which account for less than 6%. An unusual case of facial teratoma in a new born, managed successfully is described here with postoperative follow up of 2 years without any recurrence.

  1. Guide to Understanding Facial Palsy

    Science.gov (United States)

    ... in a significant loss of tone in the tissues and considerable facial sagging. One of the most important functions of ... involve proce- dures in which a patient’s own tissue is used to ele- vate the sagging portions of the face. These slings may be applied to the portion ...

  2. Rejuvenecimiento facial

    Directory of Open Access Journals (Sweden)

    L. Daniel Jacubovsky, Dr.

    2010-01-01

    Full Text Available El envejecimiento facial es un proceso único y particular a cada individuo y está regido en especial por su carga genética. El lifting facial es una compleja técnica desarrollada en nuestra especialidad desde principios de siglo, para revertir los principales signos de este proceso. Los factores secundarios que gravitan en el envejecimiento facial son múltiples y por ello las ritidectomías o lifting cérvico faciales descritas han buscado corregir los cambios fisonómicos del envejecimiento excursionando, como se describe, en todos los planos tisulares involucrados. Esta cirugía por lo tanto, exige conocimiento cabal de la anatomía quirúrgica, pericia y experiencia para reducir las complicaciones, estigmas quirúrgicos y revisiones secundarias. La ridectomía facial ha evolucionado hacia un procedimiento más simple, de incisiones más cortas y disecciones menos extensas. Las suspensiones musculares han variado en su ejecución y los vectores de montaje y resección cutánea son cruciales en los resultados estéticos de la cirugía cérvico facial. Hoy estos vectores son de tracción más vertical. La corrección de la flaccidez va acompañada de un interés en reponer el volumen de la superficie del rostro, en especial el tercio medio. Las técnicas quirúrgicas de rejuvenecimiento, en especial el lifting facial, exigen una planificación para cada paciente. Las técnicas adjuntas al lifting, como blefaroplastias, mentoplastía, lipoaspiración de cuello, implantes faciales y otras, también han tenido una positiva evolución hacia la reducción de riesgos y mejor éxito estético.

  3. Current methods of assessing the accuracy of three-dimensional soft tissue facial predictions: technical and clinical considerations.

    Science.gov (United States)

    Khambay, B; Ullah, R

    2015-01-01

    Since the introduction of three-dimensional (3D) orthognathic planning software, studies have reported on their predictive ability. The aim of this study was to highlight the limitations of the current methods of analysis. The predicted 3D soft tissue image was compared to the postoperative soft tissue. For the full face, the maximum and 95th and 90th percentiles, the percentage of 3D mesh points ≤ 2 mm, and the root mean square (RMS) error, were calculated. For specific anatomical regions, the percentage of 3D mesh points ≤ 2 mm and the distance between the two meshes at 10 landmarks were determined. For the 95th and 90th percentiles, the maximum difference ranged from 7.7 mm to 2.2 mm and from 3.7 mm to 1.5 mm, respectively. The absolute mean distance ranged from 0.98 mm to 0.56 mm and from 0.91 mm to 0.50 mm, respectively. The percentage of mesh with ≤ 2 mm for the full face was 94.4-85.2% and 100-31.3% for anatomical regions. The RMS error ranged from 2.49 mm to 0.94 mm. The majority of mean linear distances between the surfaces were ≤ 0.8 mm, but increased for the mean absolute distance. At present the use of specific anatomical regions is more clinically meaningful than the full face. It is crucial to understand these and adopt a protocol for conducting such studies.

  4. Three-dimensional cranio-facial reconstruction in forensic identification: latest progress and new tendencies in the 21st century.

    Science.gov (United States)

    De Greef, Sven; Willems, Guy

    2005-01-01

    Three-dimensional (3D) cranio-facial reconstruction can be useful in the identification of an unknown body. The progress in computer science and the improvement of medical imaging technologies during recent years had significant repercussions on this domain. New facial soft tissue depth data for children and adults have been obtained using ultrasound, CT-scans and radiographies. New guidelines for facial feature properties such as nose projection, eye protrusion or mouth width, have been suggested, but also older theories and "rules of thumbs" have been critically evaluated based on digital technology. New fast, flexible and objective 3D reconstruction computer programs are in full development. The research on craniofacial reconstruction since the beginning of the 21st century is presented, highlighting computer-aided 3D facial reconstruction. Employing the newer technologies and permanently evaluating and (re)questioning the obtained results will hopefully lead to more accurate reconstructions.

  5. 整形外科技术在面部软组织损伤急诊处理中的应用%Clinical application of plastic surgery techniques in emergency treatment of facial soft tissue injuries

    Institute of Scientific and Technical Information of China (English)

    师军涛; 秦宏伟; 王新征

    2013-01-01

    目的 探讨整形外科技术在面部软组织损伤急诊处理中应用的临床效果,以及最大限度地恢复患者面部形态及功能的整形外科方法.方法 回顾性分析2009年6月至2011年6月收治的798例面部软组织创伤患者,采用整形外科技术,根据具体伤情设计不同修复方法,严格遵守无菌无创原则,进行清创、创面修复、皮瓣修复等治疗.结果 790例患者术后Ⅰ期愈合,8例伴有轻微瘢痕,随访6个月至1年,无感染、坏死、明显瘢痕等并发症发生,面部形态及功能恢复良好.结论 在面部软组织损伤急诊处理时,尽早应用整形外科技术进行Ⅰ期修复,避免创面自然愈合后发生畸形及功能障碍,无需Ⅱ期手术整形.%Objective To evaluate the clinical application and effect of plastic surgery in emergency treatment of facial soft tissue injuries,and to explore the better plastic surgery method for facial soft tissue injuries in order to regain the patient facial morphology and function maximally.Methods The clinical data of 798 patients with facial soft tissue injuries from June 2009 to June 2011 were analyzed retrospectively.And plastic surgical techniques were applied to the early treatment of facial soft tissue injuries in this group cases,according to the size of defect and the degree of deformity of the patient,different plastic surgery treatment was chosen,such as skin flap or skin graft to repair wound surfaces.In this process,one must follow sterile noninvasive principle strictly with emphasis on the technique of plastic surgery such as entire debridement,wound healing application of skin flap and so on.Results 790 cases of facial soft tissue injuries were healed by first intention without significant complications,while 8 cases of them had mild scars.During 6 to 12 months of follow-up,neither scar,nor infections and necrosis of the wound region occurred,and the morphology and function of patients' face recovered well without the

  6. Reconstruction of facial soft tissue defects with pedicled expanded flaps%固定血管分支蒂扩张皮瓣修复面部软组织缺损

    Institute of Scientific and Technical Information of China (English)

    李养群; 唐勇; 陈文; 杨喆; 赵穆欣; 许砾思; 胡春梅; 刘媛媛; 马宁

    2014-01-01

    Objective To investigate the application of pedicled expanded flaps for the reconstruction of facial soft tissue defects.Methods The expanded skin flaps,pedicled with orbicularis oculi muscle,submental artery,the branch of facial artery,superficial temporal artery,interior upper arm artery,had similar texture and color as facial soft tissue.The pedicled expanded flaps have repaired the facial soft tissue defects.Results Between Jan.2003 to Dec.2013,157 cases with facial soft tissue defects were reconstructed by pedicled expanded flaps.Epidermal necrosis happened at the distal end of 8 expanded flaps,pedicled with interior upper arm artery(4 cases),orbicularis oculi muscle (3 cases) and submental artery(1 case),which healed spontaneously after dressing.All the other flaps survived completely with similar color and inconspicuous scar.112 cases were followed up for 8 months to 8 years.Satisfactory results were achieved in 75 cases.37 cases with hypertrophic scar at incisions need secondary operation.Conclusions Island pedicled expanded flap with similar texture and color as facial soft tissue is suitable for facial soft tissue defects.The facial extra-incision and large dog-ear deformity could be avoided.%目的 探讨面部软组织缺损的修复方法和固定血管分支扩张皮瓣的临床应用.方法 选择与面部组织质地、色泽相近部位进行扩张,以眼轮匝肌、颏动脉分支、面动脉分支、颞浅血管、上臂内侧血管等固定血管分支为蒂,形成带蒂扩张皮瓣,转移修复面部软组织缺损.结果 2003年1月至2013年12月,于临床应用157例,其中有4例上臂内侧扩张皮瓣发生远端血运障碍,表皮坏死,换药2~4周后愈合;3例眼轮匝肌蒂扩张皮瓣及1例颏部扩张皮瓣远端出现表皮坏死,均换药后自愈;其余皮瓣均成活良好,皮肤色泽接近,继发切口瘢痕隐蔽.电子邮箱及电话随访112例,时间为8个月至8年,外形满意者75例,有37例切口瘢痕增生明

  7. Lateral facial cleft associated with accessory mandible having teeth, absent parotid gland and peripheral facial weakness.

    Science.gov (United States)

    Ozçelik, D; Toplu, G; Türkseven, A; Senses, D A; Yiğit, B

    2014-07-01

    Transverse facial cleft is a very rare malformation. The Tessier no. 7 cleft is a lateral facial cleft which emanates from oral cavity and extends towards the tragus, involving both soft tissue and skeletal components. Here, we present a case having transverse facial cleft, accessory mandible having teeth, absent parotid gland and ipsilateral peripheral facial nerve weakness. After surgical repair of the cleft in 2-month of age, improvement of the facial nerve function was detected in 3-year of age. Resection of the accessory mandible was planned in 5-6 years of age.

  8. Large destructive facial hemangioma in PHACE syndrome

    Directory of Open Access Journals (Sweden)

    Nagdeve N

    2009-01-01

    Full Text Available We report an infant who presented with large facial hemangioma associated with Dandy-Walker cyst and atrial septal defect. This case is peculiar in that the large facial hemangioma in posterior fossa malformations, hemangiomas, arterial anomalies, coarctation of aorta and other cardiac defects (PHACE syndrome resulted in massive tissue destruction.

  9. High prevalence and impact on the quality of life of facial lipoatrophy and other abnormalities in fat tissue distribution in HIV-infected patients treated with antiretroviral therapy.

    Science.gov (United States)

    Leclercq, Pascale; Goujard, Cecile; Duracinsky, Martin; Allaert, François; L'henaff, Marianne; Hellet, Maeva; Meunier, Jean Pierre; Carret, Sophie; Thevenon, Jacques; Ngo Van, Philippe; Pialoux, Gilles

    2013-05-01

    Few data report the prevalence in actual clinical settings of lipodystrophy (LD), and in particular of facial lipoatrophy (LA), in HIV-infected patients treated with long-term antiretroviral therapy (ART). A French, multicenter, cross-sectional, observational study was conducted in HIV-infected patients on continuous ART for more than 12 months. The main objective was to assess the prevalence of facial LA in this population. Additional objectives were to make the same assessments for nonfacial LA and lipohypertrophy. The presence of LD signs, type, and severity was assessed by clinicians and compared with patient self-evaluations through two questionnaires. A total of 2,131 assessable patients had a median age of 46 years and a median time on ART of 10 years. Physicians diagnosed facial LA in 54% of patients and these subjects had received ART for a longer duration than those without LA. Thymidine analog usage was associated with an increased likelihood of facial LA, but 28% of patients recently treatment-initiated (1-5 years) were also affected. At other sites, LA and lipohypertrophy were diagnosed in 59% and 57% of cases, respectively. The concordance between physician and patient assessments was good for facial and buttocks LA. In this study, facial LA affects more than half of the subjects and is frequent even among the most recently treated patients. The prevalence of facial LA significantly increases with the duration of ART, with male gender, hepatitis C virus (HCV) coinfection, and non-African origin being independent risk factors. Lipohypertrophy is frequent and appears early after ART initiation.

  10. Pediatric facial burns: Is facial transplantation the new reconstructive psychosurgery?

    Science.gov (United States)

    Hanson, Mark D; Zuker, Ronald M; Shaul, Randi Zlotnik

    2008-01-01

    INTRODUCTION: Current pediatric burn care has resulted in survival being the expectation for most children. Composite tissue allotransplantation in the form of face or hand transplantation may present opportunities for reconstructive surgery of patients with burns. The present paper addresses the question “Could facial transplantation be of therapeutic benefit in the treatment of pediatric burns associated with facial disfigurement?” METHODS: Therapeutic benefit of facial transplantation was defined in terms of psychiatric adjustment and quality of life (QOL). To ascertain therapeutic benefit, studies of pediatric burn injury and associated psychiatric adjustment and QOL in children, adolescents and adults with pediatric burns, were reviewed. RESULTS: Pediatric burn injury is associated with anxiety disorders, including post-traumatic stress disorder and depressive disorders. Many patients with pediatric burns do not routinely access psychiatric care for these disorders, including those for psychiatric assessment of suicidal risk. A range of QOL outcomes were reported; four were predominantly satisfactory and one was predominantly unsatisfactory. DISCUSSION: Facial transplantation may reduce the risk of depressive and anxiety disorders other than post-traumatic stress disorder. Facial transplantation promises to be the new reconstructive psychosurgery, because it may be a surgical intervention with the potential to reduce the psychiatric suffering associated with pediatric burns. Furthermore, patients with pediatric burns may experience the stigma of disfigurement and psychiatric conditions. The potential for improved appearance with facial transplantation may reduce this ‘dual stigmata’. Studies combining surgical and psychiatric research are warranted. PMID:19949498

  11. Anatomical considerations to prevent facial nerve injury.

    Science.gov (United States)

    Roostaeian, Jason; Rohrich, Rod J; Stuzin, James M

    2015-05-01

    Injury to the facial nerve during a face lift is a relatively rare but serious complication. A large body of literature has been dedicated toward bettering the understanding of the anatomical course of the facial nerve and the relative danger zones. Most of these prior reports, however, have focused on identifying the location of facial nerve branches based on their trajectory mostly in two dimensions and rarely in three dimensions. Unfortunately, the exact location of the facial nerve relative to palpable or visible facial landmarks is quite variable. Although the precise location of facial nerve branches is variable, its relationship to soft-tissue planes is relatively constant. The focus of this report is to improve understanding of facial soft-tissue anatomy so that safe planes of dissection during surgical undermining may be identified for each branch of the facial nerve. Certain anatomical locations more prone to injury and high-risk patient parameters are further emphasized to help minimize the risk of facial nerve injury during rhytidectomy.

  12. Comparison between measured tissue phantom ratio values and calculated from percent depth doses with and without peak scatter correction factor in a 6 MV beam

    Directory of Open Access Journals (Sweden)

    Ganesh Narayanasamy

    2015-01-01

    Full Text Available The purpose of this study is to examine the accuracy of calculated tissue phantom ratio (TPR data with measured TPR values of a 6MV photon beam. TPR was calculated from the measured percent depth dose (PDD values using 2 methods – with and without correcting for the differences in peak scatter fraction (PSF. Mean error less than 1% was observed between the measured and calculated TPR values with the PSF correction, for all clinically relevant field sizes and depths. When not accounting for the PSF correction, mean difference between the measured and calculated TPR values was larger than 1% for square field sizes ranging from 3 cm to 10 cm.

  13. Freestyle Local Perforator Flaps for Facial Reconstruction

    Directory of Open Access Journals (Sweden)

    Jun Yong Lee

    2015-01-01

    Full Text Available For the successful reconstruction of facial defects, various perforator flaps have been used in single-stage surgery, where tissues are moved to adjacent defect sites. Our group successfully performed perforator flap surgery on 17 patients with small to moderate facial defects that affected the functional and aesthetic features of their faces. Of four complicated cases, three developed venous congestion, which resolved in the subacute postoperative period, and one patient with partial necrosis underwent minor revision. We reviewed the literature on freestyle perforator flaps for facial defect reconstruction and focused on English articles published in the last five years. With the advance of knowledge regarding the vascular anatomy of pedicled perforator flaps in the face, we found that some perforator flaps can improve functional and aesthetic reconstruction for the facial defects. We suggest that freestyle facial perforator flaps can serve as alternative, safe, and versatile treatment modalities for covering small to moderate facial defects.

  14. Freestyle Local Perforator Flaps for Facial Reconstruction.

    Science.gov (United States)

    Lee, Jun Yong; Kim, Ji Min; Kwon, Ho; Jung, Sung-No; Shim, Hyung Sup; Kim, Sang Wha

    2015-01-01

    For the successful reconstruction of facial defects, various perforator flaps have been used in single-stage surgery, where tissues are moved to adjacent defect sites. Our group successfully performed perforator flap surgery on 17 patients with small to moderate facial defects that affected the functional and aesthetic features of their faces. Of four complicated cases, three developed venous congestion, which resolved in the subacute postoperative period, and one patient with partial necrosis underwent minor revision. We reviewed the literature on freestyle perforator flaps for facial defect reconstruction and focused on English articles published in the last five years. With the advance of knowledge regarding the vascular anatomy of pedicled perforator flaps in the face, we found that some perforator flaps can improve functional and aesthetic reconstruction for the facial defects. We suggest that freestyle facial perforator flaps can serve as alternative, safe, and versatile treatment modalities for covering small to moderate facial defects.

  15. Angular Photogrammetric Analysis of the Soft tissue Facial Profile of Attractive Uygur Females in Xinjiang%新疆维吾尔族美貌女性侧貌软组织形态角度测量分析

    Institute of Scientific and Technical Information of China (English)

    姬晓炜; 梁学萍; 葛菲

    2012-01-01

    Objective; To obtain objective angular measurements of the soft tissue facial profile of the attractive Uygur female in Xinjiang to use them as a guide for aesthetic clinicians and explore the relationship between angular analysis and facial profile. Methods: Thirty one attractive Uygur women were selected. Standardized facial photographic records were taken in the natural head position(NHP) and 13 standard anthropometric marks were determined, then 15 measurements were performed by photoshopCS software. The reliability of the method was analysed using Dahlberg's formula. Result: The objective average measurements of the soft tissue facial profile of the attractive Uygur female in Xinjiang were obtained. Wide individual variations existed in nasolabial. mentolabial and ethnic pyramid angles. Conclusion: Angular analysis plays a significant role in the measurement of the soft tissue facial profile. Aesthetic triangles could be used as standard screening values for profile analysis and that ethnic pyramid could be used to consider ethnicity.%目的:建立新疆维吾尔族美貌女性侧貌软组织角度参考值并分析角度与侧貌特征的关系,为口腔颌面相关学科医生提供临床参考数据.方法:按标准选取31名新疆维吾尔族美貌女性,在自然头位摄取其侧面数码照片,在计算机上用photoshopCS软件选择13个软组织标志点,测量15个角度值,应用SPSS13.0统计软件包对数据进行处理,使用Dahlberg's公式计算测量方法误差.结果:新疆维吾尔族美貌女性侧貌软组织角度测量值范围.方法误差显示了测量方法的可靠性和可重复性.结论:所测角度在侧貌软组织特征分析中具有重要作用,“美学三角”可以作为侧貌美学分析的参考平面,“种族金字塔”中的3个角度可用于分析种族的差异性.

  16. Multi-harmonic Imaging in the Second Near-Infrared Window of Nanoparticle-Labeled Stem Cells as a Monitoring Tool in Tissue Depth.

    Science.gov (United States)

    Dubreil, Laurence; Leroux, Isabelle; Ledevin, Mireille; Schleder, Cindy; Lagalice, Lydie; Lovo, Claire; Fleurisson, Romain; Passemard, Solene; Kilin, Vasyl; Gerber-Lemaire, Sandrine; Colle, Marie-Anne; Bonacina, Luigi; Rouger, Karl

    2017-07-25

    In order to assess the therapeutic potential of cell-based strategies, it is of paramount importance to elaborate and validate tools for monitoring the behavior of injected cells in terms of tissue dissemination and engraftment properties. Here, we apply bismuth ferrite harmonic nanoparticles (BFO HNPs) to in vitro expanded human skeletal muscle-derived stem cells (hMuStem cells), an attractive therapeutic avenue for patients suffering from Duchenne muscular dystrophy (DMD). We demonstrate the possibility of stem cell labeling with HNPs. We also show that the simultaneous acquisition of second- and third-harmonic generation (SHG and THG) from BFO HNPs helps separate their response from tissue background, with a net increase in imaging selectivity, which could be particularly important in pathologic context that is defined by a highly remodelling tissue. We demonstrate the possibility of identifying tissue at more than 1 mm from the surface, taking full advantage of the extended imaging penetration depth allowed by multiphoton microscopy in the second near-infrared window (NIR-II). Based on this successful assessment, we monitor over 14 days any modification on proliferation and morphology features of hMuStem cells upon exposure to PEG-coated BFO HNPs at different concentrations, revealing their high biocompatibility. Successively, we succeed in detecting individual HNP-labeled hMuStem cells in skeletal muscle tissue after their intramuscular injection.

  17. Adaptation of a Cell-Based High Content Screening System for the In-Depth Analysis of Celiac Biopsy Tissue.

    Science.gov (United States)

    Cooper, Sarah E J; Mohamed, Bashir M; Elliott, Louise; Davies, Anthony Mitchell; Feighery, Conleth F; Kelly, Jacinta; Dunne, Jean

    2015-01-01

    The IN Cell Analyzer 1000 possesses several distinguishing features that make it a valuable tool in research today. This fully automated high content screening (HCS) system introduced quantitative fluorescent microscopy with computerized image analysis for use in cell-based analysis. Previous studies have focused on live cell assays, where it has proven to be a powerful and robust method capable of providing reproducible, quantitative data. Using HCS as a tool to investigate antigen expression in duodenal biopsies, we developed a novel approach to tissue positioning and mapping. We adapted IN Cell Analyzer 1000's image acquisition and analysis software for the investigation of tissue transglutaminase (tTG) and smooth muscle alpha-actin (SM α-actin) staining in paraffin-embedded duodenal tissue sections from celiac patients and healthy controls. These innovations allowed a quantitative analysis of cellular structure and protein expression. The results from routine biopsy material indicated the intensity of protein expression was altered in celiac disease compared to normal biopsy material.

  18. Engineering zonal cartilaginous tissue by modulating oxygen levels and mechanical cues through the depth of infrapatellar fat pad stem cell laden hydrogels.

    Science.gov (United States)

    Luo, Lu; O'Reilly, Adam R; Thorpe, Stephen D; Buckley, Conor T; Kelly, Daniel J

    2016-05-03

    Engineering tissues with a structure and spatial composition mimicking those of native articular cartilage (AC) remains a challenge. This study examined if infrapatellar fat pad-derived stem cells (FPSCs) can be used to engineer cartilage grafts with a bulk composition and a spatial distribution of matrix similar to the native tissue. In an attempt to mimic the oxygen gradients and mechanical environment within AC, FPSC-laden hydrogels (either 2 mm or 4 mm in height) were confined to half of their thickness and/or subjected to dynamic compression (DC). Confining FPSC-laden hydrogels was predicted to accentuate the gradient in oxygen tension through the depth of the constructs (higher in the top and lower in the bottom), leading to enhanced glycosaminoglycan (GAG) and collagen synthesis in 2 mm high tissues. When subjected to DC alone, both GAG and collagen accumulation increased within 2 mm high unconfined constructs. Furthermore, the dynamic modulus of constructs increased from 0.96 MPa to 1.45 MPa following the application of DC. There was no synergistic benefit of coupling confinement and DC on overall levels of matrix accumulation; however in all constructs, irrespective of their height, the combination of these boundary conditions led to the development of engineered tissues that spatially best resembled native AC. The superficial region of these constructs mimicked that of native tissue, staining weakly for GAG, strongly for type II collagen, and in 4 mm high tissues more intensely for proteoglycan 4 (lubricin). This study demonstrated that FPSCs respond to joint-like environmental conditions by producing cartilage tissues mimicking native AC. Copyright © 2016 John Wiley & Sons, Ltd.

  19. Pediatric facial nerve rehabilitation.

    Science.gov (United States)

    Banks, Caroline A; Hadlock, Tessa A

    2014-11-01

    Facial paralysis is a rare but severe condition in the pediatric population. Impaired facial movement has multiple causes and varied presentations, therefore individualized treatment plans are essential for optimal results. Advances in facial reanimation over the past 4 decades have given rise to new treatments designed to restore balance and function in pediatric patients with facial paralysis. This article provides a comprehensive review of pediatric facial rehabilitation and describes a zone-based approach to assessment and treatment of impaired facial movement.

  20. The role of facial skeletal augmentation and dental restoration in facial rejuvenation.

    Science.gov (United States)

    Bains, J W; Elia, J P

    1994-01-01

    Facial aging is almost exclusively a result of soft tissue changes in patients with full dentition. Loss of teeth can hasten facial aging and make aging more pronounced as a result of bony erosion of the alveolar ridges. This article describes these changes and demonstrates that properly selected oral implants and precisely placed hydroxyapatite implants can integrate with facelifts to produce superior facial rejuvenation in edentulous patients.

  1. Measurement and analysis of the facial soft tissue in adults laterognathism%成人偏突颌畸形颜面软组织形态测量分析

    Institute of Scientific and Technical Information of China (English)

    张兰成; 侯敏; 张锡忠; 宋大立; 杜清香

    2011-01-01

    目的 对偏突颌畸形患者面部软组织形态进行测量分析,以便为正颌手术及畸形整复提供参考.方法 对实验组42例偏突颌畸形成人患者,对照组48例颜面对称、咬牙合关系正常的成人,进行颜面软组织相关的线距及角度测量,并对测量值进行统计分析.结果 偏突颌畸形的患者,上、下唇部都有移位,最突出表现在口角区、下唇与颏部.结论正颌手术应充分考虑偏突颌畸形患者的口唇及颜面软组织的位置形态.%Objective To study the morphological characters of facial soft tissue in adults with laterogn-athism of the mandible. Methods Forty-two patients with laterognathism of the mandible and 48 adults with symmetrical face and normal dental articulation were collected. The line distance and angles related with facial soft tissue were measured and the results was analyzed statistically. Results Patients with laterognathism of the mandible showed that there was malposition on both the upper and lower lips, especially in cheilion, lower lip and chin. Conclusion The morphological characters of oral lip and the facial soft tissue should be considered in patients with laterognathism of the mandible undergoing orthognathic surgery.

  2. 超12小时面部软组织创伤Ⅰ期修复临床观察%clinical observation of repairing primarily for over 12-houred facial soft tissue injury

    Institute of Scientific and Technical Information of China (English)

    孙秀锋; 王洪燕; 郑妍丽; 姜涛

    2012-01-01

    目的:探讨Ⅰ期整形修复超12小时面部软组织创伤的方法和经验.方法:选择我院急诊面部软组织创伤超过12h病例17例,采用积极扩创和整形外科技术Ⅰ期修复,观察治疗效果.结果:伤口均甲级愈合,无明显瘢痕增生,无功能障碍,不需要Ⅱ期修复,美容效果良好.结论:超12h面部软组织创伤,采用积极扩创和整形缝合,可获Ⅰ期修复和满意的美容效果,值得临床应用和深入研究.%Objective To explore the clinical method and experience of repairing over 12-houred emergency facial soft tissue trauma primarily with plastic surgical techniques. Methods The over 12-houred emergency facial soft tissue injuries of 17 patients were selected. They had been expanded debrided and repaired primarily with plastic surgical techniques. Healing effects were observed and compared. Results All cases were primary healing.There were no obvious scar formative or function problems.Second stage reconstruction was not needed, the cosmetic effect was perfect. Conclusion The facial soft tissue injury of over 12-hours can require primary healing and- satisfactory cosmetic result with active expanded debride and plastic surgical techniques. It is worth clinical applying and deeply researching.

  3. Facial Scar Revision: Understanding Facial Scar Treatment

    Science.gov (United States)

    ... more to fully heal and achieve maximum improved appearance. Facial plastic surgery makes it possible to correct facial flaws that can undermine self-confidence. Changing how your scar looks can help change ...

  4. Facial attractiveness: General patterns of facial preferences

    National Research Council Canada - National Science Library

    Kościński, Krzysztof

    2007-01-01

    This review covers universal patterns in facial preferences. Facial attractiveness has fascinated thinkers since antiquity, but has been the subject of intense scientific study for only the last quarter of a century...

  5. In-depth evaluation of commercially available human vascular smooth muscle cells phenotype: Implications for vascular tissue engineering.

    Science.gov (United States)

    Timraz, Sara B H; Farhat, Ilyas A H; Alhussein, Ghada; Christoforou, Nicolas; Teo, Jeremy C M

    2016-05-01

    In vitro research on vascular tissue engineering has extensively used isolated primary human or animal smooth muscle cells (SMC). Research programs that lack such facilities tend towards commercially available primary cells sources. Here, we aim to evaluate the capacity of commercially available human SMC to maintain their contractile phenotype, and determine if dedifferentiation towards the synthetic phenotype occurs in response to conventional cell culture and passaging without any external biochemical or mechanical stimuli. Lower passage SMC adopted a contractile phenotype marked by a relatively slower proliferation rate, higher expression of proteins of the contractile apparatus and smoothelin, elongated morphology, and reduced deposition of collagen types I and III. As the passage number increased, migratory capacity was enhanced, average cell speed, total distance and net distance travelled increased up to passage 8. Through the various assays, corroborative evidence pinpoints SMC at passage 7 as the transition point between the contractile and synthetic phenotypes, while passage 8 distinctly and consistently exhibited characteristics of synthetic phenotype. This knowledge is particularly useful in selecting SMC of appropriate passage number for the target vascular tissue engineering application, for example, a homeostatic vascular graft for blood vessel replacement versus recreating atherosclerotic blood vessel model in vitro. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Facial animation on an anatomy-based hierarchical face model

    Science.gov (United States)

    Zhang, Yu; Prakash, Edmond C.; Sung, Eric

    2003-04-01

    In this paper we propose a new hierarchical 3D facial model based on anatomical knowledge that provides high fidelity for realistic facial expression animation. Like real human face, the facial model has a hierarchical biomechanical structure, incorporating a physically-based approximation to facial skin tissue, a set of anatomically-motivated facial muscle actuators and underlying skull structure. The deformable skin model has multi-layer structure to approximate different types of soft tissue. It takes into account the nonlinear stress-strain relationship of the skin and the fact that soft tissue is almost incompressible. Different types of muscle models have been developed to simulate distribution of the muscle force on the skin due to muscle contraction. By the presence of the skull model, our facial model takes advantage of both more accurate facial deformation and the consideration of facial anatomy during the interactive definition of facial muscles. Under the muscular force, the deformation of the facial skin is evaluated using numerical integration of the governing dynamic equations. The dynamic facial animation algorithm runs at interactive rate with flexible and realistic facial expressions to be generated.

  7. [Surgical facial reanimation after persisting facial paralysis].

    Science.gov (United States)

    Pasche, Philippe

    2011-10-01

    Facial reanimation following persistent facial paralysis can be managed with surgical procedures of varying complexity. The choice of the technique is mainly determined by the cause of facial paralysis, the age and desires of the patient. The techniques most commonly used are the nerve grafts (VII-VII, XII-VII, cross facial graft), dynamic muscle transfers (temporal myoplasty, free muscle transfert) and static suspensions. An intensive rehabilitation through specific exercises after all procedures is essential to archieve good results.

  8. Facial porokeratosis.

    Science.gov (United States)

    Carranza, Dafnis C; Haley, Jennifer C; Chiu, Melvin

    2008-01-01

    A 34-year-old man from El Salvador was referred to our clinic with a 10-year history of a pruritic erythematous facial eruption. He reported increased pruritus and scaling of lesions when exposed to the sun. He worked as a construction worker and admitted to frequent sun exposure. Physical examination revealed well-circumscribed erythematous to violaceous papules with raised borders and atrophic centers localized to the nose (Figure 1). He did not have lesions on the arms or legs. He did not report a family history of similar lesions. A biopsy specimen was obtained from the edge of a lesion on the right ala. Histologic examination of the biopsy specimen showed acanthosis of the epidermis with focal invagination of the corneal layer and a homogeneous column of parakeratosis in the center of that layer consistent with a cornoid lamella (Figure 2). Furthermore, the granular layer was absent at the cornoid lamella base. The superficial dermis contained a sparse, perivascular lymphocytic infiltrate. No evidence of dysplasia or malignancy was seen. These findings supported a diagnosis of porokeratosis. The patient underwent a trial of cryotherapy with moderate improvement of the facial lesions.

  9. Effect of Whole-abdominal Irradiation on Penetration Depth of Doxorubicin in Normal Tissue After Pressurized Intraperitoneal Aerosol Chemotherapy (PIPAC) in a Post-mortem Swine Model.

    Science.gov (United States)

    Khosrawipour, Veria; Khosrawipour, Tanja; Hedayat-Pour, Yousef; Diaz-Carballo, David; Bellendorf, Alexander; Böse-Ribeiro, Hugo; Mücke, Ralph; Mohanaraja, Nirushika; Adamietz, Irenäus Anton; Fakhrian, Khashayar

    2017-04-01

    This study was performed to evaluate the impact of whole-abdominal irradiation on local penetration of doxorubicin into the peritoneum and the abdominal organs in a post-mortem swine model. Doxorubicin was aerosolized into the abdominal cavity of swine at a pressure of 12 mmHg CO2 at room temperature (25°). One swine was subjected to pressurized intraperitoneal aerosol chemotherapy (PIPAC) using Micropump(©) without irradiation; the second one received 2 Gy and the third one 7 Gy whole-abdominal irradiation, 15 min prior to PIPAC application. Samples of the peritoneal surface were extracted at different positions from within the abdominal cavity. In-tissue doxorubicin penetration was measured using fluorescence microscopy on frozen thin sections. The depth of penetration of doxorubicin was found to be wide-ranging, between 17 μm on the surface of the stomach and 348 μm in the small intestine. The penetration depth into the small intestine was 348 μm, 312 μm and 265 μm for PIPAC alone, PIPAC with 2 Gy irradiation and PIPAC with 7 Gy irradiation, respectively (pdoxorubicin penetration into normal tissue in the post-mortem swine model. A reduction of doxorubicin penetration was observed after application of higher irradiation doses. Further studies are warranted to determine if irradiation can be used safely as chemopotentiating agent for patients with peritoneal metastases treated with PIPAC. Copyright© 2017, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

  10. Spectra from 2.5-15 {mu}m of tissue phantom materials, optical clearing agents and ex vivo human skin: implications for depth profiling of human skin

    Energy Technology Data Exchange (ETDEWEB)

    Viator, John A [Beckman Laser Institute, University of California, 1002 Health Sciences Road East, Irvine, CA (United States); Choi, Bernard [Beckman Laser Institute, University of California, 1002 Health Sciences Road East, Irvine, CA (United States); Peavy, George M [Beckman Laser Institute, University of California, 1002 Health Sciences Road East, Irvine, CA (United States); Kimel, Sol [Beckman Laser Institute, University of California, 1002 Health Sciences Road East, Irvine, CA (United States); Nelson, J Stuart [Beckman Laser Institute, University of California, 1002 Health Sciences Road East, Irvine, CA (United States)

    2003-01-21

    Infrared measurements have been used to profile or image biological tissue, including human skin. Usually, analysis of such measurements has assumed that infrared absorption is due to water and collagen. Such an assumption may be reasonable for soft tissue, but introduction of exogenous agents into skin or the measurement of tissue phantoms has raised the question of their infrared absorption spectrum. We used Fourier transform infrared spectroscopy in attenuated total reflection mode to measure the infrared absorption spectra, in the range of 2-15 {mu}m, of water, polyacrylamide, Intralipid, collagen gels, four hyperosmotic clearing agents (glycerol, 1,3-butylene glycol, trimethylolpropane, Topicare{sup TM}), and ex vivo human stratum corneum and dermis. The absorption spectra of the phantom materials were similar to that of water, although additional structure was noted in the range of 6-10 {mu}m. The absorption spectra of the clearing agents were more complex, with molecular absorption bands dominating between 6 and 12 {mu}m. Dermis was similar to water, with collagen structure evident in the 6-10 {mu}m range. Stratum corneum had a significantly lower absorption than dermis due to a lower content of water. These results suggest that the assumption of water-dominated absorption in the 2.5-6 {mu}m range is valid. At longer wavelengths, clearing agent absorption spectra differ significantly from the water spectrum. This spectral information can be used in pulsed photothermal radiometry or utilized in the interpretation of reconstructions in which a constant {mu}{sub ir} is used. In such cases, overestimating {mu}{sub ir} will underestimate chromophore depth and vice versa, although the effect is dependent on actual chromophore depth. (note)

  11. 颏下动脉岛状瓣在颜面部软组织缺损修复中的应用%Application of the Submental Artery Island Flap for Repairing Facial Soft Tissue Defect

    Institute of Scientific and Technical Information of China (English)

    王贺红; 汪春兰; 赵宇

    2015-01-01

    Objective To explore the application of the submental artery island flap in repairing facial soft tissue defect. Methods From July 2007 to 2014, 10 cases with facial soft tissue defect were admitted in this study. Primary lesions in-cluded trauma (2 cases), buccal mucosa squamous cell carcinoma (SCC, 4 cases), buccal basal cell carcinoma (BCC, 1 case), and scar hyperplasia caused by burning or scalding (3 cases). Flaps ranging from 3 cm ×6 cm to 4 cm×10 cm were designed according to the size and location of the facial defects to repair facial soft tissue defects. Results Pale, swell and/or conges-tion were observed in all flaps postoperative, but the situation improved 5 days later. Partial necrosis was observed in 1 case but healed by dressing. All the patients were followed up for 3-12 months, full thickness skin which was used to cover the donor-site in 3 cases shrank inordinately during followed-up. Appearance and functions of the recipient site were satisfacto-ry. The scar of the donor-sites was not conspicuous. Conclusion The submental artery island flap is similar with the facial soft tissue on color and texture, and it offers the advantages of simplicity, reliability and aesthetic result, so it is an excellent choice for repairing facial defects and deformity.%目的:探讨颏下动脉岛状瓣在修复颜面部软组织缺损中的应用。方法2007年7月至2014年3月,收治颜面部软组织缺损患者10例,其中外伤2例,面部鳞癌4例,面部基底细胞癌1例,烫伤或烧伤后瘢痕增生3例。根据缺损位置及大小设计颏下动脉岛状瓣进行修复,最小为3 cm×6 cm,最大为4 cm×10 cm。结果术后皮瓣存在不同程度的肿胀苍白及淤血,5 d后逐渐改善。1例皮瓣远端出现坏死,经换药处理愈合。术后随访3~12个月,3例供皮区采用全厚皮覆盖创面,随访期间发现皮片不同程度收缩。其余受区外观及功能均较满意,供区瘢痕隐蔽。结论颏下

  12. Influence of gravity upon some facial signs.

    Science.gov (United States)

    Flament, F; Bazin, R; Piot, B

    2015-06-01

    Facial clinical signs and their integration are the basis of perception than others could have from ourselves, noticeably the age they imagine we are. Facial modifications in motion and their objective measurements before and after application of skin regimen are essential to go further in evaluation capacities to describe efficacy in facial dynamics. Quantification of facial modifications vis à vis gravity will allow us to answer about 'control' of facial shape in daily activities. Standardized photographs of the faces of 30 Caucasian female subjects of various ages (24-73 year) were successively taken at upright and supine positions within a short time interval. All these pictures were therefore reframed - any bias due to facial features was avoided when evaluating one single sign - for clinical quotation by trained experts of several facial signs regarding published standardized photographic scales. For all subjects, the supine position increased facial width but not height, giving a more fuller appearance to the face. More importantly, the supine position changed the severity of facial ageing features (e.g. wrinkles) compared to an upright position and whether these features were attenuated or exacerbated depended on their facial location. Supine station mostly modifies signs of the lower half of the face whereas those of the upper half appear unchanged or slightly accentuated. These changes appear much more marked in the older groups, where some deep labial folds almost vanish. These alterations decreased the perceived ages of the subjects by an average of 3.8 years. Although preliminary, this study suggests that a 90° rotation of the facial skin vis à vis gravity induces rapid rearrangements among which changes in tensional forces within and across the face, motility of interstitial free water among underlying skin tissue and/or alterations of facial Langer lines, likely play a significant role. © 2015 Society of Cosmetic Scientists and the Société Fran

  13. Aesthetic applications of random pattern skin flap in repair of facial soft tissue defects%随意型皮瓣在面部软组织缺损美学修复中的应用

    Institute of Scientific and Technical Information of China (English)

    王淑琴; 谭谦; 郑东风; 许澎; 葛华强; 林樾; 燕辛

    2016-01-01

    Objective To discuss the effects of random pattern skin flap on the repair of facial soft tissue defects as well as its aesthetic applications.Methods In view of the facial soft tissue defects caused by various reasons,36 cases of patients were repaired according to the defect location,size,design such as "the kite" flap,adjacent pedicle flap or V-Y glide flaps.Results After operation,all flaps were survived;Incisions were healed at stage Ⅰ;follow-up for 2 to 12 months,the cosmetic results were satisfactory.Conclusions The random pattern skin flap can be applied to repair facial soft tissue defects with aesthetic effects.The flap's texture and color have no obvious difference from nor mal skin;postoperative incision scar is slightly,and it can retains the facial appearance and function to the maximum limit.%目的 探讨随意型皮瓣在修复面部软组织缺损中的美学效果.方法 针对各种原因所致的面部软组织缺损,根据缺损部位所处的面部美学亚单位、缺损形态及缺损面积等设计随意型皮瓣,如旋转皮瓣、推进皮瓣、易位皮瓣、“风筝”皮瓣等,对36例患者进行修复.切口设计顺皮纹方向,切口无张力缝合.结果 术后36例患者的皮瓣全部成活,切口均Ⅰ期愈合,切口瘢痕轻微,随访2~1 2个月,美学效果满意.结论 应用随意型皮瓣修复面部软组织缺损,皮瓣质地柔软,色泽无明显差异,能最大限度地保留面部美观及功能.

  14. 自体脂肪颗粒移植在面部凹陷畸形中的应用%Clinical application of fat granule auto-graft in facial soft tissue depression

    Institute of Scientific and Technical Information of China (English)

    张连波; 王冰; 高庆国; 张广; 尹维田

    2008-01-01

    Objective To evaluate the clinical application of fat granule auto-graft in facial soft tissue depression reconstruction.Methods Autologous subcutaneous fat granules were obtained by syringe aspiration from donating site.then washed with normal saline.Small amounts of fat granules were injected into the facial sites with soft tissue depression by means of multiple passes immediately.Results We performed such fat iniection in a total of 18 cases,all of the procedures were safe and successful.In most cases,single injection were enough,only one underwent two sessions of fat iniection.All members were followed-up for 1.5 months to 24months,the average were 14 months.All facial tissue depression were reconstructed for difierent degrees.The rate of fullness and symmetry.fullness and pretty symmetry and fullness with little asymmetry were 77.8%,16.7%and 5.5%.respectively.No infection,fat necrosis or liquefaction occured.Conclusion Being satisfled in correction of deformity of facial depression.the implantation of autologous fat globules iS safe and effective with less side-effects.%目的 探讨自体脂肪颗粒移植在面部软组织凹陷畸形矫正中的作用.方法 采用注射器法从供区皮下抽吸脂肪颗粒,经过冲洗后少量多层次的注射移植到面部凹陷部位.结果 18例患者均进行了随访,最短者1.5个月,最长者2年,平均14个月,全部患者面部凹陷畸形得到不同程度的矫正,充填后丰满平坦,双侧对称者占77.8%;凹陷术后较丰满,双侧基本对称占16.7%;凹陷较丰满双侧轻度不对称者占5.5%.无1例出现血肿、脂肪液化、感染等并发症,效果比较满意.结论 自体脂肪颗粒注射游离移植对面部凹陷畸形的矫正可取得较好的临床效果,副作用最小,不失为一种安全、有效的方法.

  15. Measuring Facial Movement

    Science.gov (United States)

    Ekman, Paul; Friesen, Wallace V.

    1976-01-01

    The Facial Action Code (FAC) was derived from an analysis of the anatomical basis of facial movement. The development of the method is explained, contrasting it to other methods of measuring facial behavior. An example of how facial behavior is measured is provided, and ideas about research applications are discussed. (Author)

  16. 面部软组织外伤中西医结合美容修复%Emergency Cosmetic Repair of Facial Soft Tissue Trauma with the Combination of Traditional Chinese Medicine and Western Medicine

    Institute of Scientific and Technical Information of China (English)

    张威; 王雪山; 刘明珠; 马艳

    2014-01-01

    目的:研究面部软组织外伤中西医结合修复效果,总结治疗经验。方法:选取86例面部软组织外伤患者作为研究对象,行急诊手术治疗后,给予对照组患者术后西医护理,给予观察组患者术后中西医结合护理,对比两组患者对治疗效果满意程度。结果:对照组患者总满意率79.69%,观察组患者总满意率94.59%,差异具有统计学意义(P<0.05)。结论:采用中西医结合护理方式对面部软组织创伤修复具有良好的促进作用,值得临床推广。%Objective:To study the facial soft tissue trauma Integrative repair effect,and summarize the treatment experience. Methods:86 cases with facial soft tissue trauma were research subjects. After emergency surgery,the control group were given Western postoperative care,and the observation group were given integrative care. Then ttreatment satisfaction in two groups was compared. Results:The overall satisfaction rate of the control group was 79.69%,and that of the observation group was 94.59%,with statistically significant difference(P<0.05). Conclusion:Integrative care for facial soft way is to promote wound healing with good effect,and is worthy of promotion.

  17. 颜面部软组织创伤的急诊美容修复与护理%Plastic surgery and nursing for repairing of facial soft tissue injury

    Institute of Scientific and Technical Information of China (English)

    朱瑜; 李琳

    2015-01-01

    目的:探讨颜面部外伤的急诊美容修复与护理。方法:根据伤情,细心清创,对创面的处理方法做出正确的设计,采用肿胀麻醉,解剖对位,分层缝合,深层用0/5可吸收线减张缝合,皮肤用0/6单丝尼龙线缝合,缺损创面用带真皮下毛细血管网的皮肤或邻近皮瓣修复。结果:本组197处受伤部位,除了3例因皮肤挫伤缺损严重,待二期行肉芽创面植皮,其余病例均一期愈合。结论:颜面部软组织伤的急诊处理应遵循整形外科原则,术后精心护理,预防感染,减少颜面部的瘢痕、畸形、外伤性灰尘文身等医源性毁容。%Objective To observe the nursing and technique of plastic surgical repair in facial soft tissue trauma. Methods We repaired the wounds of emergency traumaticcases with aesthetic surgery methods and technique. Results The 197 wounds of emergency traumatic cases healed perfectly except the 3 cases with serious bruise were grafted skin on the granulation burn wounds. Conclusion Injury of facial superficial soft tissue might be repaired with cosmetic surgical operation on emergency and intensive perioperative nursing and we applied aesthetic surgery methods to repair the facial trauma can reduce postoperative scar abnormality and iatrogenic disfigure effectively.

  18. Clinical application of expanded submental island flap in facial soft tissue defect%颏下动脉颈部岛状扩张皮瓣修复面部软组织缺损

    Institute of Scientific and Technical Information of China (English)

    李峰永; 李养群; 陈文; 李强; 周传德; 唐勇; 杨喆; 赵穆欣

    2009-01-01

    目的 探讨以颏下动脉为蒂的颈部扩张皮瓣在面部软组织缺损修复中的临床应用效果.方法 2004年9月至2008年9月,应用以颏下血管为蒂的颈部岛状扩张皮瓣修复面部软组织缺损12例.手术分两期进行,一期行颈部扩张器植入术,二期以一侧颏下动脉为蒂,设计岛状皮瓣转移修复面部软组织缺损.皮瓣的最大面积16 cm×9 cm.结果 12例皮瓣全部成活,其中1例因静脉回流不畅而出现皮瓣远端表皮坏死,经换药等治疗后愈合.4例获得远期随访,随访时间为6个月至2年,皮瓣质地及色泽均接近面部正常组织,外形满意,颈部供区瘢痕隐蔽、活动无明显受限.结论 颏下动脉走行恒定,颈部扩张后可以提供较大面积高质量的皮肤组织,以颏下动脉为蒂的颈部岛状扩张皮瓣是修复面部损伤后瘢痕挛缩及面部浅表肿瘤切除后组织缺损的较好的方法.%Objective To investigate the application of the expanded submental island flap in facial soft tissue defect. Method 12 patients with facial soft tissue defects were treated with the expanded submental island flaps during September 2004 to September 2008. At the first stage, soft tissue expander was implanted in the neck. At the second stage, the submental island flap was designed to repair the facial soft tissue defect. The largest size of the flap was about 16 cm×9 cm. Result All flaps survived well except for one case of partial epidermal necrosis at the distal part of the flap. The wound healed with dressing. 4 patients were followed up for 6~24 months with satisfactory results. Conclusion The submental artery was a constant branch of facial artery.Large cervical flap with high quality tissue can be provided after expansion. The expanded submental island flap is a good choice for repairing the facial soft tissue defect.

  19. Facial Recognition

    Directory of Open Access Journals (Sweden)

    Mihalache Sergiu

    2014-05-01

    Full Text Available During their lifetime, people learn to recognize thousands of faces that they interact with. Face perception refers to an individual's understanding and interpretation of the face, particularly the human face, especially in relation to the associated information processing in the brain. The proportions and expressions of the human face are important to identify origin, emotional tendencies, health qualities, and some social information. From birth, faces are important in the individual's social interaction. Face perceptions are very complex as the recognition of facial expressions involves extensive and diverse areas in the brain. Our main goal is to put emphasis on presenting human faces specialized studies, and also to highlight the importance of attractiviness in their retention. We will see that there are many factors that influence face recognition.

  20. [Peripheral facial nerve palsy].

    Science.gov (United States)

    Pons, Y; Ukkola-Pons, E; Ballivet de Régloix, S; Champagne, C; Raynal, M; Lepage, P; Kossowski, M

    2013-06-01

    Facial palsy can be defined as a decrease in function of the facial nerve, the primary motor nerve of the facial muscles. When the facial palsy is peripheral, it affects both the superior and inferior areas of the face as opposed to central palsies, which affect only the inferior portion. The main cause of peripheral facial palsies is Bell's palsy, which remains a diagnosis of exclusion. The prognosis is good in most cases. In cases with significant cosmetic sequelae, a variety of surgical procedures are available (such as hypoglossal-facial anastomosis, temporalis myoplasty and Tenzel external canthopexy) to rehabilitate facial aesthetics and function.

  1. Application of Nasolabial sulcus flap in facial soft tissue defect’s repair%鼻唇沟皮瓣在面部软组织缺损修复中的应用

    Institute of Scientific and Technical Information of China (English)

    孙明亮; 潘实; 董贤平; 殷佳鹏; 樊树强; 廖立新

    2014-01-01

    目的:探讨鼻唇沟皮瓣在颜面部软组织缺损修复中的应用。方法:应用鼻唇沟瓣修复因肿瘤、外伤等原因所致颜面部软组织缺损25例,缺损部位包括鼻部、唇部、颊部等。结果:25例患者手术全部成功,皮瓣均成活,效果满意。结论:鼻唇沟皮瓣用于鼻及口腔颌面部缺损或畸形的修复不失为一个实用而有效的方法。%Objective:To investigate the Application of Nasolabial sulcus flap in facial soft tissue defect’s repair. Methods:25 patients with facial soft tissue defects caused by tumor or trauma were repaired by nasolabial sulcus flaps. All defects were located in the nasal,oral or maxillofacial areas. Results:All the nasolabial sulcus flaps of 25 patients had survived. All patients were satisfied with the postoperative appearance and function. Conclusions:These data confirmed that using a nasolabial sulcus flap was a simple, effective method for repair of defects in the nose,Oral and maxillofacial region.

  2. Facial asymmetry: a case report of localized linear scleroderma patient with muscular strain and spasm

    OpenAIRE

    Kim, Jae-Hyung; Lee, Suck-Chul; Kim, Chul-Hoon; Kim, Bok-Joo

    2015-01-01

    Facial asymmetry is found in patients with or without cosmetic facial alterations. Some patients have facial asymmetry that manifests underlying skeletal problems, while others have only limited soft-tissue facial asymmetry. Orthognathic surgery brings about a dermatic change, as soft tissue covers underlying bones. Limited soft-tissue asymmetry, meanwhile, is difficult to correct. The treatment modalities for the creation or restoration of an esthetically pleasing appearance were autogenous ...

  3. Deep plane facelifting for facial rejuvenation.

    Science.gov (United States)

    Gordon, Neil; Adam, Stewart

    2014-08-01

    The purpose of this article is to provide the facial plastic surgeon with anatomical and embryologic evidence to support the use of the deep plane technique for optimal treatment of facial aging. A detailed description of the procedure is provided to allow safe and consistent performance. Insights into anatomical landmarks, technical nuances, and alternative approaches for facial variations are presented. The following points will be further elucidated in the article. The platysma muscle/submuscular aponeurotic system/galea are the continuous superficial cervical fascia encompassing the majority of facial fat, and this superficial soft tissue envelope is poorly anchored to the face. The deep cervical fascia binds the structural aspects of the face and covers the facial nerve and buccal fat pad. Facial aging is mainly due to gravity's long-term effects on the superficial soft tissue envelope, with more subtle effects on the deeper structural compartments. The deep plane is the embryologic cleavage plane between these fascial layers, and is the logical place for facial dissection. The deep plane allows access to the buccal fat pad for treatment of jowling. Soft tissue mobilization is maximized in deep plane dissections and requires careful hairline planning. Flap advancement creates tension only at the fascia level allowing natural, tension-free skin closure, and long-lasting outcomes. The deep plane advancement flap is well vascularized and resistant to complications.

  4. Emergency repair of the facial soft tissue injuries with plastic surgery%应用整形美容技术修复面部软组织损伤的临床效果

    Institute of Scientific and Technical Information of China (English)

    徐传岗; 陈艳; 赵静

    2015-01-01

    Objective To investigate the effect of cosmetic surgery on the facial soft tissue injuries.Methods The clinical data of 52 patients with facial soft tissue injuries from June 2013 to June 2014 were analyzed retrospectively.And plastic surgical techniques were applied to the early treatment of facial soft tissue injuries in patients,according to the size of defect and the degree of deformity of the patients,different plastic surgery treatment was chosen,such as skin flap or skin graft to repair wound surfaces.In this process,one must follow sterile noninvasive principle strictly with emphasis on the technique of plastic surgery such as entire debridement,wound healing application of skin flap and so on.Results Total 49 cases of facial soft tissue injuries were healed by first intention without significant complications,while 4 cases of them had mild scars.Absorbable suture exposition appeared in 3 patients after primary healing.Those sutures were romoved after disinfected and no sequelaes were happened.All patients were recovered with good appearances and functions to the most exent.Conclusions The treatment of facial soft tissue injuries,by applying plastic and aesthetic surgery,could reduce scar and postoperative deformity,and secondary corrective procedures can be avoided in most patients.%目的 探讨应用整形美容技术修复面部软组织损伤的方法及临床效果.方法 回顾性分析52例面部软组织创伤患者,采用整形外科技术,根据具体伤情设计不同修复方法,严格遵守无菌、无创原则,进行清创、创面修复、皮瓣修复等治疗.结果 49例患者术后Ⅰ期愈合,4例伴有轻微瘢痕,3例患者Ⅰ期愈合后出现局部皮下可吸收线头外露,予以消毒后拆除,无并发症发生.随访6~12个月,无感染、无坏死、无明显瘢痕等并发症发生.52例患者面部功能及形态均达到了最大限度的修复,患者均较满意.结论 应用整形美容技术修复面部软组织损伤,

  5. Methods and clinical study of plastic surgery technology treatment for fa-cial ministry skin soft tissue defects%颜面部皮肤软组织缺损整形治疗的方法与探讨

    Institute of Scientific and Technical Information of China (English)

    蒋初云

    2015-01-01

    Objective:To compare the curative effects of different parts of the skin flap transplantation for facial ministry differ-ent types of skin and soft tissue defects. Methods:From January 2012 to December 2012,87 cases had skin soft tissue expansion tech-nique and skin flap transplantation in our hospital to treat facial skin and soft tissue defects. 44 cases with Type I defects had facial skin soft tissue dilatation and skin flap transplantation, while 43 cases with Type II defects had chest skin soft tissue expansion and flap transplantation. General postoperative condition of graft site and the incidence of complications were compared. Results:Two groups of patients had no significant difference in postoperative graft site appearance color, muscle contraction, phase I recovery rate and hair growth (P>0. 05). Two groups of patients with postoperative bleeding,infection,skin necrosis,ecchymos and incision dehiscence com-plications had no significant difference (P>0. 05). Patients with above mentioned complications were treated with emergency debride-ment,drainage,antibiotics and secondary operation. All patients with secondary surgery had no complications again. Conclusion:Based on the different types of facial soft tissue defects,reasonably choosing and taking different operation schemes can effectively improve the prognosis and had no significant difference in clinical curative effect.%目的::比较不同部位皮瓣移植对于颜面部不同类型皮肤软组织缺损的治疗疗效。方法:选取我科2012年1月至2013年12月因颜面部皮肤软组织缺损而进行皮肤软组织扩张术+皮瓣移植的患者共87例。其中I型缺损44例,进行面部皮肤软组织扩张术+皮瓣移植;II型缺损43例,进行胸部皮肤软组织扩张术+皮瓣移植。比较两组患者术后移植部位一般情况和并发症发生率。结果:两组患者在术后移植部位外观色泽、肌肉收缩、I期修复创面率和毛发生长情况方

  6. Avaliação da proporção facial vertical: relação entre as alturas tegumentar e esquelética Evaluation of facial proportions in the vertical plane to investigate the relationship between skeletal and soft tissue dimensions

    Directory of Open Access Journals (Sweden)

    Márcia Cristina Cunha Costa

    2011-02-01

    Full Text Available OBJETIVO: determinar a relação entre as alturas faciais obtidas na avaliação do tegumento e do esqueleto subjacente, na análise da proporção facial vertical, na região anterior. MÉTODOS: foram utilizadas 24 radiografias cefalométricas de perfil e 48 fotografias da face, sendo 24 de perfil e 24 frontais, pertencentes a 24 indivíduos brasileiros, 7 do sexo masculino e 17 do feminino, na faixa etária de 19 a 38 anos. Foram realizados traçados cefalométricos e, sobre esses, obtidas medidas lineares, segundo as análises preconizadas por Schudy, Wylie e Johnson e Thompson e Brodie. Sobre as fotografias faciais, foram demarcados os pontos glabela, subnasal e mento, o que permitiu a medição das distâncias lineares entre os mesmos. Os dados obtidos foram, então, tratados estatisticamente. RESULTADOS E CONCLUSÕES: encontrou-se correlação positiva entre as avaliações do tegumento e do esqueleto subjacente, com base nas análises de Schudy (r=0,619, pOBJECTIVE: To determine the relationship between facial heights by evaluating the soft tissues and underlying skeleton and by analyzing vertical facial proportions in the anterior region. METHODS: The study used 24 lateral cephalometric x-rays and 48 photographs of the face, 24 in profile view and 24 in front view, belonging to 24 Brazilian individuals, 7 men and 17 women whose ages ranged from 19 to 38 years. Cephalometric tracings were performed and linear measurements obtained according to the analyses suggested by Schudy, Wylie & Johnson, and Thompson & Brodie. The anatomical landmarks glabella, subnasal and menton were identified on the photographs, which allowed the measurement of linear distances between these points. The data were then statistically analyzed. RESULTS AND CONCLUSIONS: A positive correlation was found between evaluations of the soft tissues and underlying skeleton based on the analyses advanced by Schudy (r=0.619, p<0.001, Wylie & Johnson (r=0.595, p<0.002 and

  7. Facial three-dimensional morphometry.

    Science.gov (United States)

    Ferrario, V F; Sforza, C; Poggio, C E; Serrao, G

    1996-01-01

    Three-dimensional facial morphometry was investigated in a sample of 40 men and 40 women, with a new noninvasive computerized method. Subjects ranged in age between 19 and 32 years, had sound dentitions, and no craniocervical disorders. For each subject, 16 cutaneous facial landmarks were automatically collected by a system consisting of two infrared camera coupled device (CCD) cameras, real time hardware for the recognition of markers, and software for the three-dimensional reconstruction of landmarks' x, y, z coordinates. From these landmarks, 15 linear and 10 angular measurements, and four linear distance ratios were computed and averaged for sex. For all angular values, both samples showed a narrow variability and no significant gender differences were demonstrated. Conversely, all the linear measurements were significantly higher in men than in women. The highest intersample variability was observed for the measurements of facial height (prevalent vertical dimension), and the lowest for the measurements of facial depth (prevalent horizontal dimension). The proportions of upper and lower face height relative to the anterior face height showed a significant sex difference. Mean values were in good agreement with literature data collected with traditional methods. The described method allowed the direct and noninvasive calculation of three-dimensional linear and angular measurements that would be usefully applied in clinics as a supplement to the classic x-ray cephalometric analyses.

  8. Topical management of facial burns.

    Science.gov (United States)

    Leon-Villapalos, Jorge; Jeschke, Marc G; Herndon, David N

    2008-11-01

    The face is the central point of the physical features of the human being. It transmits expressions and emotions, communicates feelings and allows for individual identity. It contains complex musculature and a pliable and unique skin envelope that reacts to the environment through a vast network of nerve endings. The face hosts vital areas that make phonation, feeding, and vision possible. Facial burns disrupt these anatomical and functional structures creating pain, deformity, swelling, and contractures that may lead to lasting physical and psychological sequelae. The management of facial burns may include operative and non-operative treatment or both, depending on the depth and extent of the burn. This paper intends to provide a review of the available options for topical management of facial burns. Topical agents will be defined as any agent applied to the surface of the skin that alters the outcome of the facial burn. Therefore, the classic concept of topical therapy will be expanded and developed within two major stages: acute and rehabilitation. Comparison of the effectiveness of the different treatments and relevant literature will be discussed.

  9. Bullous leukemia cutis mimicking facial cellulitis*

    Science.gov (United States)

    Caldato, Luciana de Sales; Britto, Juliana de Sousa; Niero-Melo, Ligia; Miot, Hélio Amante

    2016-01-01

    Bullous leukemia cutis is an uncommon clinical manifestation of cutaneous infiltration by leukemic cells, from B-cell chronic lymphocytic leukemia. We present the case of a 67-year-old, female, chronic lymphocytic leukemia patient. She was taking chlorambucil and developed facial edema with erythema and warmth, misjudged as facial cellulitis. Two days later, she developed bullous lesions in the arms, legs, neck and face. The histopathology of facial and bullous lesions confirmed leukemia cutis. All lesions disappeared following the administration of rituximab combined with cycles of fludarabine and cyclophosphamide. Although soft tissue infections are common complications in patients undergoing chemotherapy, leukemia cutis can also resemble cellulitis. PMID:27192532

  10. 神经组织工程支架或异种神经移植在面神经缺损中的应用%Nerve tissue engineering scaffolds or heterologous nerve grafts in facial nerve defects

    Institute of Scientific and Technical Information of China (English)

    宁丽娜; 熊杰

    2011-01-01

    背景:了解面神经损伤的修复方法,以及各种组织支架的特性与优势,对于修复方法与材料的合理选择是十分必要的.目的:总结神经组织工程支架或异种神经移植在面神经缺损中的应用进展.方法:应用计算机检索PubMed数据库及CNKI数据库,在标题和摘要中以"组织工程支架,神经移植,面神经,修复"或"tissue engineering scaffolds,nerve transplantation,facial,repair"为检索词进行检索.根据纳入标准选择21篇文献进行综述.结果与结论:面神经缺损后立即直接缝合神经的断端是最好的修复方法.自体神经移植受神经移植体来源之限,常造成供区失神经支配;以及产生束外有髓和无髓轴突无规则生长会导致神经纤维错向再生,造成严重的联带运动的不足.异体或异种神经移植法虽然取得了一定的效果,但仍处于动物实验的研究阶段,尚难以应用于临床.%BACKGROUND: It is necessary for proper selection of repair methods and scaffold materials to understand repair methods of facial nerve injury and features and benefits of various scaffolds.OBJECTIVE: To summarize the progress in nerve tissue engineering scaffolds or heterologous nerve grafts for repair of facial nerve defects.METHODS: A computer search of PubMed and CNKI databases were performed using keyword of “tissue engineering scaffold, nerve transplantation, facial, repair” in Chinese and English. Totally 21 articles were reviewed.RESULTS AND CONCLUSION: It is the best method to directly suture nerve stump immediately after facial nerve defects. Autologous nerve grafting is limited by implant sources, which often result in denervation of the donor site. Irregular growth of extrapyramidal myelinated and non-myelinated axons can lead to the fault regeneration of nerve fibers, causing serious shortcomings associated with the movement. Allogeneic or xenogeneic neural transplantation has yielded some results, but it is still used in

  11. Binary pattern analysis for 3D facial action unit detection

    NARCIS (Netherlands)

    Sandbach, Georgia; Zafeiriou, Stefanos; Pantic, Maja

    2012-01-01

    In this paper we propose new binary pattern features for use in the problem of 3D facial action unit (AU) detection. Two representations of 3D facial geometries are employed, the depth map and the Azimuthal Projection Distance Image (APDI). To these the traditional Local Binary Pattern is applied,

  12. Freestyle Local Perforator Flaps for Facial Reconstruction

    OpenAIRE

    Jun Yong Lee; Ji Min Kim; Ho Kwon; Sung-No Jung; Hyung Sup Shim; Sang Wha Kim

    2015-01-01

    For the successful reconstruction of facial defects, various perforator flaps have been used in single-stage surgery, where tissues are moved to adjacent defect sites. Our group successfully performed perforator flap surgery on 17 patients with small to moderate facial defects that affected the functional and aesthetic features of their faces. Of four complicated cases, three developed venous congestion, which resolved in the subacute postoperative period, and one patient with partial necrosi...

  13. Analysis of facial characteristics in spectropolarimetric imagery

    Science.gov (United States)

    Zhao, Yongqiang; Zhang, Lei; Yang, Tieheng; Wei, Peifen; Yang, Hongfang

    2007-11-01

    Spectropolarimetric imaging can provide useful discriminating information for human face recognition that cannot be obtained by other imaging methods. This paper examines the ability of face recognition by using spectropolarimetric images. The Spectropolarimetric images were collected by using a CCD camera equipped with a liquid crystal tunable filter, which could capture 32 bands of images over the visible and near-infrared light (0.4μm-0.72μm). Since polarization techniques have better contrast mechanisms for tissue imaging and spectroscopy, and can also provide additional information about the structure of tissues, it is expected that better discriminate performance can be obtained by using polarimetric and spectral information than just using spectral information. An algorithm for facial characteristics analysis is presented to exploit only the spectropolarimetric information from different types of facial tissues. Experiments demonstrate that the proposed algorithm can distinguish efficiently the different facial tissues.

  14. Facial Injuries and Disorders

    Science.gov (United States)

    Face injuries and disorders can cause pain and affect how you look. In severe cases, they can affect sight, ... your nose, cheekbone and jaw, are common facial injuries. Certain diseases also lead to facial disorders. For ...

  15. Variation of kQclin,Qmsrfclin,fmsr for the small-field dosimetric parameters percentage depth dose, tissue-maximum ratio, and off-axis ratio

    Science.gov (United States)

    Francescon, Paolo; Beddar, Sam; Satariano, Ninfa; Das, Indra J.

    2014-01-01

    Purpose: Evaluate the ability of different dosimeters to correctly measure the dosimetric parameters percentage depth dose (PDD), tissue-maximum ratio (TMR), and off-axis ratio (OAR) in water for small fields. Methods: Monte Carlo (MC) simulations were used to estimate the variation of kQclin,Qmsrfclin,fmsr for several types of microdetectors as a function of depth and distance from the central axis for PDD, TMR, and OAR measurements. The variation of kQclin,Qmsrfclin,fmsr enables one to evaluate the ability of a detector to reproduce the PDD, TMR, and OAR in water and consequently determine whether it is necessary to apply correction factors. The correctness of the simulations was verified by assessing the ratios between the PDDs and OARs of 5- and 25-mm circular collimators used with a linear accelerator measured with two different types of dosimeters (the PTW 60012 diode and PTW PinPoint 31014 microchamber) and the PDDs and the OARs measured with the Exradin W1 plastic scintillator detector (PSD) and comparing those ratios with the corresponding ratios predicted by the MC simulations. Results: MC simulations reproduced results with acceptable accuracy compared to the experimental results; therefore, MC simulations can be used to successfully predict the behavior of different dosimeters in small fields. The Exradin W1 PSD was the only dosimeter that reproduced the PDDs, TMRs, and OARs in water with high accuracy. With the exception of the EDGE diode, the stereotactic diodes reproduced the PDDs and the TMRs in water with a systematic error of less than 2% at depths of up to 25 cm; however, they produced OAR values that were significantly different from those in water, especially in the tail region (lower than 20% in some cases). The microchambers could be used for PDD measurements for fields greater than those produced using a 10-mm collimator. However, with the detector stem parallel to the beam axis, the microchambers could be used for TMR measurements for all

  16. A patient care program for adjusting the autoinjector needle depth according to subcutaneous tissue thickness in patients with multiple sclerosis receiving subcutaneous injections of glatiramer acetate.

    Science.gov (United States)

    Masid, Maria Luisa Sánchez; Ocaña, Rosalía Horno; Gil, María Jesús Díaz; Ramos, Maria Concepción Ramírez; Roig, Matilde Escutia; Carreño, Maria Rosario Coll; Morales, Jaime Cordero; Carrasco, Maria Luisa Vergara; Hidalgo, Leonor Mariana Rubio; Felices, Ana Maria Bernad; Castaño, Adela Harto; Romero, Purificación Castañeda; Martinez, Pablo Francoli; Sánchez-De la Rosa, Rainel

    2015-02-01

    The perceived pain on injection site caused by subcutaneous (SC) self-injection may negatively affect acceptance and adherence to treatment in patients with multiple sclerosis (MS). Pain on injection may be caused by inaccurate injection technique, inadequate needle length adjustment, or repeated use of the same injection body area. However, information is lacking concerning the optimal needle depth to minimize the injection pain. The purpose of this program was to characterize the perceived injection-site pain associated with the use of various injection depths of the autoinjector of glatiramer acetate (GA) based on SC tissue thickness (SCT) of the injection site. This was a pilot program performed by MS-specialized nurses in patients with MS new to GA. Patients were trained by MS nurses on the preparation and administration of SC injection and on an eight-site rotation (left and right arms, thighs, abdomen, and upper quadrant of the buttock). The needle length setting was selected based on SCT measures as follows: 4 or 6 mm for SCT 50 mm. Injection pain was rated using a visual analog scale (VAS) at 5- and 40-minute postinjection and during two 24-day treatment periods. Thirty-eight patients with MS were evaluated. The mean SCT ranged from 15.5 mm in the upper outer quadrant of the buttocks to 29.2 mm in the thighs. The mean perceived pain on injection was below 3 for all the injection sites, at both time points (5 and 40 minutes) and during both 24-day evaluation periods. The mean VAS scores were significantly greater after 5 minutes of injection compared with that reported 40-minute postinjection during both 24-day treatment periods and for all the injection areas. Mean VAS measures at 5- and 40-minute postinjection significantly decreased during the second 24-day treatment period with respect to that reported during the first 24 SC injections for all injection sites. Our findings suggest that the adjustment of injection depth of SC GA autoinjector according to

  17. Facial Expression Analysis

    NARCIS (Netherlands)

    Pantic, Maja; Li, S.; Jain, A.

    2009-01-01

    Facial expression recognition is a process performed by humans or computers, which consists of: 1. Locating faces in the scene (e.g., in an image; this step is also referred to as face detection), 2. Extracting facial features from the detected face region (e.g., detecting the shape of facial compon

  18. Facial Expression Recognition

    NARCIS (Netherlands)

    Pantic, Maja; Li, S.; Jain, A.

    2009-01-01

    Facial expression recognition is a process performed by humans or computers, which consists of: 1. Locating faces in the scene (e.g., in an image; this step is also referred to as face detection), 2. Extracting facial features from the detected face region (e.g., detecting the shape of facial

  19. Facial paralysis in children.

    Science.gov (United States)

    Reddy, Sashank; Redett, Richard

    2015-04-01

    Facial paralysis can have devastating physical and psychosocial consequences. These are particularly severe in children in whom loss of emotional expressiveness can impair social development and integration. The etiologies of facial paralysis, prospects for spontaneous recovery, and functions requiring restoration differ in children as compared with adults. Here we review contemporary management of facial paralysis with a focus on special considerations for pediatric patients.

  20. Facial-paralysis diagnostic system based on 3D reconstruction

    Science.gov (United States)

    Khairunnisaa, Aida; Basah, Shafriza Nisha; Yazid, Haniza; Basri, Hassrizal Hassan; Yaacob, Sazali; Chin, Lim Chee

    2015-05-01

    The diagnostic process of facial paralysis requires qualitative assessment for the classification and treatment planning. This result is inconsistent assessment that potential affect treatment planning. We developed a facial-paralysis diagnostic system based on 3D reconstruction of RGB and depth data using a standard structured-light camera - Kinect 360 - and implementation of Active Appearance Models (AAM). We also proposed a quantitative assessment for facial paralysis based on triangular model. In this paper, we report on the design and development process, including preliminary experimental results. Our preliminary experimental results demonstrate the feasibility of our quantitative assessment system to diagnose facial paralysis.

  1. Determining the Depth of Injury in Bioengineered Tissue Models of Cornea and Conjunctiva for the Prediction of All Three Ocular GHS Categories.

    Directory of Open Access Journals (Sweden)

    Michaela Zorn-Kruppa

    Full Text Available The depth of injury (DOI is a mechanistic correlate to the ocular irritation response. Attempts to quantitatively determine the DOI in alternative tests have been limited to ex vivo animal eyes by fluorescent staining for biomarkers of cell death and viability in histological cross sections. It was the purpose of this study to assess whether DOI could also be measured by means of cell viability detected by the MTT assay using 3-dimensional (3D reconstructed models of cornea and conjunctiva. The formazan-free area of metabolically inactive cells in the tissue after topical substance application is used as the visible correlate of the DOI. Areas of metabolically active or inactive cells are quantitatively analyzed on cryosection images with ImageJ software analysis tools. By incorporating the total tissue thickness, the relative MTT-DOI (rMTT-DOI was calculated. Using the rMTT-DOI and human reconstructed cornea equivalents, we developed a prediction model based on suitable viability cut-off values. We tested 25 chemicals that cover the whole range of eye irritation potential based on the globally harmonized system of classification and labelling of chemicals (GHS. Principally, the MTT-DOI test method allows distinguishing between the cytotoxic effects of the different chemicals in accordance with all 3 GHS categories for eye irritation. Although the prediction model is slightly over-predictive with respect to non-irritants, it promises to be highly valuable to discriminate between severe irritants (Cat. 1, and mild to moderate irritants (Cat. 2. We also tested 3D conjunctiva models with the aim to specifically address conjunctiva-damaging substances. Using the MTT-DOI method in this model delivers comparable results as the cornea model, but does not add additional information. However, the MTT-DOI method using reconstructed cornea models already provided good predictability that was superior to the already existing established in vitro/ex vivo

  2. Treatment of Head and Facial Neurofibroma with Combined Skin Overlapping Tissue Expansion and Tumescent Technique%皮肤重叠扩张联合肿胀麻醉技术治疗头面部神经纤维瘤

    Institute of Scientific and Technical Information of China (English)

    褚国华; 崔国胜; 巩祥胜; 郭文哲; 姚金英; 毕文倩; 胡冬梅

    2011-01-01

    Objective To study effective method of decreasing operative trauma and accelerating wound surface repair after resection of head and facial large neurofibroma.Methods Seven patients with head and facial neurofibroma were embedded with 2 expanders in the same stripping cavity.Expanders were placed overlapped, and expansion was gradually performed from shallow to deep until 1.5 times of rated volume.At the same time,assisted tumescent technique was used to reduce operative trauma and bleeding.Results All transferred flaps after overlapping tissue expansion lived well.Operative bleeding was 100 to 500 ml.All patients had excellent operative results.Conclusion Combined skin overlapping expansion and swelling anesthetic technique can effectively repair soft tissue defect after resection of head and facial large neurofibroma.Operative bleeding, trauma and complications was significantly decreased.%目的探讨提高头面部巨大神经纤维瘤切除后创面的修复以及减小手术创伤的有效方法.方法对7例头部神经纤维瘤患者在同一剥离腔隙内埋置2个扩张器,若是重叠放置的扩张器则按照先浅后深的顺序逐步扩张至额定容积的1.5倍,同时辅助肿胀麻醉技术减少手术创伤以及术中出血,观察手术效果.结果所有皮肤重叠扩张后的皮瓣转移成活良好,同时术中出血100 ~500 mL,均获得良好的手术效果.结论皮肤重叠扩张联合肿胀麻醉技术可以有效地修复头面部巨大神经纤维瘤切除后的缺损,同时降低了术中出血,减轻了手术的创伤,降低了并发症的产生.

  3. The Angle at Which the Facial Nerve Leaves the Mastoid

    OpenAIRE

    Holt, James J.

    1991-01-01

    Some skull base procedures require extensive dissection of the facial nerve. This can be difficult at the mastoid tip, where the nerve is approximated to soft tissues. The nerve was dissected in this area in 15 cadaver specimens. The mean angle at which the facial nerve leaves the mastoid tip in 117°. This information should aid the skull base surgeon in the identification of the facial nerve at the mastoid tip.

  4. 改良组织胶水黏合法在治疗面部创伤中的应用%Application of modified tissue adhesive in clinical treatment of facial trauma

    Institute of Scientific and Technical Information of China (English)

    刘金玲; 周忠友; 刘欢; 江新利; 苗慧鹏; 张晓融

    2015-01-01

    目的 探讨改良N-丁基-2-氰基丙烯酸酯组织胶水黏合法在面部创伤中的应用效果.方法 回顾性分析687例单纯组织胶水手法复位或单纯缝线缝合难以达到解剖复位的面部创伤患者,采用改良组织胶水黏合法(点涂法、分解法、胶线结合法)对位黏合面部创伤伤口,并评介临床治疗效果和并发症.结果 687例采用改良组织胶水黏合法治疗面部伤口均解剖对位黏合.除2例(0.29%)出现创面感染外.其余685例均未出现感染、开裂及其他并发症.术后随访3个月,临床效果满意.结论 改良组织胶水黏合法进行面部创伤的处理,具有术后并发症少、美观满意度高、经济、安全可靠等优点.%Objective To analyze the clinical results of modified N-butyl 2-cyanoacrylate skin adhesive in the application of facial trauma.Methods A total of 687 patients had been analyzed retrospectively from August 2009 to July 2014,and all the wounds of these patients had not obtained the anatomical repositioning after pure manual reduction with tissue glue or pure stitches.Improved tissue adhesive method was as follows:point coating,decomposition and glue with stitches.Results Anatomical repositioning was obtained in 685 wounds of 687 cases with improved tissue adhesive method.Infection occurred in the wounds of 2 cases (0.29%),but no other complications occurred in all patients.During postoperative 3 months of follow-up,clinical results were satisfactory for all patients.Conclusions The improved method of tissue glue has fewer postoperative complications,beautiful and more satisfatory appearance,economic,safer and reliable in the application of facial trauma.

  5. The application of comprehensive physicotherapeutics in the facial soft tissue injury%综合物理治疗在面部软组织挫伤后的应用

    Institute of Scientific and Technical Information of China (English)

    杨青; 刘剑毅; 曹川; 李世荣

    2011-01-01

    目的 探讨综合物理治疗在促进面部软组织挫伤恢复、防治并发症等方面的作用.方法 将56例面部软组织挫伤患者分成综合物理治疗组29例和非物理治疗组27例,综合物理治疗组应用微波、等幅中频正弦电(音频)、超声波、手法按摩等物理治疗并配戴低温热塑板材成型的面部支具进行局部压迫.非物理治疗组伤后不进行任何物理治疗,待其自然恢复.结果 综合物理治疗组面部软组织挫伤处局部淤血、肿痛、感觉障碍、皮下组织粘连4周恢复率为97%,非物理治疗组伤后4周恢复率为74%,显著低于综合物理治疗组.结论 面部软组织挫伤后物理治疗联合低温热塑板材加压的综合治疗能迅速消除面部软组织挫伤后的肿痛、促进淤血吸收、减少面部软组织挫伤引起的感觉障碍、皮下组织粘连引起的面部凹陷或动力性凹陷等并发症,是面部软组织挫伤后良好的治疗手段.%Objective To explore the method of treating the facial soft tissue injury with comprehensive physicotherapeutics and preventing the complication. Methods Altogether 56 facial soft tissue injury outpatients were divided into comprehensive physico therapeutics group(29) and non-comprehensive physicotherapeutics group (27). Micrewave therapy, acoustic frequency therapy, ultrasonic therapy,maneuver massage therapy and hypothermia forming board for pression were used in the comprehensive physico therapeutics group. No therapy were used for non-comprehensive physicotherapeutics group. Results The recovery rate of local haemostasis,pain,sensation disorder and subcutaneous tissue conglutination after 30 days was 97% in the comprehensive physicotherapeutics group. However, the recovery rate of those in non-comprehensive physicotherapeutics group was 74%. Conclusion Comprehensive physicotherapeutics combined with hypothermia forming board for pression can quickly eliminate the local haemostasis, pain

  6. Facial cystic lymphangioma in adults.

    Science.gov (United States)

    Biasotto, Matteo; Clozza, Emanuele; Tirelli, Giancarlo

    2012-07-01

    Lymphangiomas are uncommon congenital malformations of the lymphatic system, generally diagnosed during childhood. These malformations are rarely seen in adults, and the literature provides poor guidelines for treatment options that must be carefully applied to the facial region. Diagnosis in adult subjects is difficult to achieve, and also management of these conditions is still challenging because they tend to infiltrate adjacent tissues, causing frequent relapses. Radical surgery is the main form of treatment, avoiding the sacrifice of function or aesthetics of the patient. Two cases of cystic lymphangioma of the facial region found in adults are described from a clinical and pathologic point of view. The aim of this article was to point out that an early recognition of cystic lymphangioma is a crucial goal to initiate a prompt treatment avoiding serious complication.

  7. Surgical treatment of facial paralysis.

    Science.gov (United States)

    Mehta, Ritvik P

    2009-03-01

    The management of facial paralysis is one of the most complex areas of reconstructive surgery. Given the wide variety of functional and cosmetic deficits in the facial paralysis patient, the reconstructive surgeon requires a thorough understanding of the surgical techniques available to treat this condition. This review article will focus on surgical management of facial paralysis and the treatment options available for acute facial paralysis (facial paralysis (3 weeks to 2 yr) and chronic facial paralysis (>2 yr). For acute facial paralysis, the main surgical therapies are facial nerve decompression and facial nerve repair. For facial paralysis of intermediate duration, nerve transfer procedures are appropriate. For chronic facial paralysis, treatment typically requires regional or free muscle transfer. Static techniques of facial reanimation can be used for acute, intermediate, or chronic facial paralysis as these techniques are often important adjuncts to the overall management strategy.

  8. Morcellized Omental Transfer for Severe HIV Facial Wasting

    Directory of Open Access Journals (Sweden)

    David Teplica, MD, MFA

    2013-11-01

    Conclusions: Mechanically morcellized omental fat transfer provides a safe option to restore facial volume in those unusual patients with severe wasting and no available subcutaneous tissue for transfer. Consistent anatomic progression of facial wasting permits preoperative classification, counseling of patients, and postoperative evaluation of surgical improvement.

  9. Rejuvenecimiento facial en "doble sigma" "Double ogee" facial rejuvenation

    Directory of Open Access Journals (Sweden)

    O. M. Ramírez

    2007-03-01

    . Este arco conecta con la convexidad superior del tercio medio facial que se une con la concavidad de la porción inferior del tercio medio (arco inferior. Los paciente con un considerable envejecimiento y ptosis de las estructuras centrales faciales se pueden beneficiar en la mayoría de los casos de nuestro abordaje endoscópico. Las cejas, las comisuras de los párpados, de los tejidos blandos nasoglaberlares, los surcos nasolabiales, la nariz, las mejillas, el ángulo de la boca y los "jowls" (mejillas de bulldog se pueden tratar con eficacia mediante este abordaje. También las ojeras y los hundimientos orbitarios inferiores. Es eficaz también en ritidectomías secundarias o terciarias que requieren rejuvenecimiento cutáneo simultaneo y para cuando se precisa aumento de los tejidos blandos así como en las desproporciones esqueléticas y de los tejidos blandos. Las estructuras óseas expuestas pueden ser aumentadas o reducidas según convenga. Recomendamos este abordaje cuando hay que cambiar o extirpar implantes faciales aloplásticos. Los procedimientos endoscópicos de la frente y del tercio medio facial permiten la reconstrucción del "Doble Sigma" que se asocia a un aspecto juvenil.Subperiosteal techniques describes by Tessier have revolutionized the treatment of the aging face advocating this approach to treat early signs of aging in young and middleage patients. Psillakis refines the technique further and Ramirez describes a safer and more effective method of subperiosteal lifting, so that this technique could be applied across the full spectrum of facial aging. The introduction of the endoscope in the treatment of facial rejuvenation ushered in a new era in Aesthetic Surgery. Today, endoscopically assisted subperiosteal undermining of the upper, middle and lower face can provide a means for repositioning the sagging facial soft tissues in addition to augmentation of the craniofacial skeleton, with a reduced preoperative facial edema, minimal injury to the

  10. Contemporary facial reanimation.

    Science.gov (United States)

    Bhama, Prabhat K; Hadlock, Tessa A

    2014-04-01

    The facial nerve is the most commonly paralyzed nerve in the human body. Facial paralysis affects aesthetic appearance, and it has a profound effect on function and quality of life. Management of patients with facial paralysis requires a multidisciplinary approach, including otolaryngologists, plastic surgeons, ophthalmologists, and physical therapists. Regardless of etiology, patients with facial paralysis should be evaluated systematically, with initial efforts focused upon establishing proper diagnosis. Management should proceed with attention to facial zones, including the brow and periocular region, the midface and oral commissure, the lower lip and chin, and the neck. To effectively compare contemporary facial reanimation strategies, it is essential to employ objective intake assessment methods, and standard reassessment schemas during the entire management period.

  11. Depth statistics

    OpenAIRE

    2012-01-01

    In 1975 John Tukey proposed a multivariate median which is the 'deepest' point in a given data cloud in R^d. Later, in measuring the depth of an arbitrary point z with respect to the data, David Donoho and Miriam Gasko considered hyperplanes through z and determined its 'depth' by the smallest portion of data that are separated by such a hyperplane. Since then, these ideas has proved extremely fruitful. A rich statistical methodology has developed that is based on data depth and, more general...

  12. Facial Reconstruction and Rehabilitation.

    Science.gov (United States)

    Guntinas-Lichius, Orlando; Genther, Dane J; Byrne, Patrick J

    2016-01-01

    Extracranial infiltration of the facial nerve by salivary gland tumors is the most frequent cause of facial palsy secondary to malignancy. Nevertheless, facial palsy related to salivary gland cancer is uncommon. Therefore, reconstructive facial reanimation surgery is not a routine undertaking for most head and neck surgeons. The primary aims of facial reanimation are to restore tone, symmetry, and movement to the paralyzed face. Such restoration should improve the patient's objective motor function and subjective quality of life. The surgical procedures for facial reanimation rely heavily on long-established techniques, but many advances and improvements have been made in recent years. In the past, published experiences on strategies for optimizing functional outcomes in facial paralysis patients were primarily based on small case series and described a wide variety of surgical techniques. However, in the recent years, larger series have been published from high-volume centers with significant and specialized experience in surgical and nonsurgical reanimation of the paralyzed face that have informed modern treatment. This chapter reviews the most important diagnostic methods used for the evaluation of facial paralysis to optimize the planning of each individual's treatment and discusses surgical and nonsurgical techniques for facial rehabilitation based on the contemporary literature.

  13. [Facial tics and spasms].

    Science.gov (United States)

    Potgieser, Adriaan R E; van Dijk, J Marc C; Elting, Jan Willem J; de Koning-Tijssen, Marina A J

    2014-01-01

    Facial tics and spasms are socially incapacitating, but effective treatment is often available. The clinical picture is sufficient for distinguishing between the different diseases that cause this affliction.We describe three cases of patients with facial tics or spasms: one case of tics, which are familiar to many physicians; one case of blepharospasms; and one case of hemifacial spasms. We discuss the differential diagnosis and the treatment possibilities for facial tics and spasms. Early diagnosis and treatment is important, because of the associated social incapacitation. Botulin toxin should be considered as a treatment option for facial tics and a curative neurosurgical intervention should be considered for hemifacial spasms.

  14. 面部软组织厚度测量及其在面貌复原中的应用%Facial Soft Tissue Thickness Measurement and Its Application in Craniofacial Reconstruction

    Institute of Scientific and Technical Information of China (English)

    税午阳; 周明全; 纪元; 殷荣超

    2013-01-01

    软组织厚度作为颅骨面貌复原的基础,具有重要的应用价值.本文借助计算机技术对西安地区132例成年人颅面数据样本开展软组织测量、分析及应用研究,结果表明,1)通过分析特征点处软组织厚度和面部软组织分布图,发现面部软组织分布具有一定的规律,额头区域软组织厚度薄且样本间差异小,脸颊区域软组织厚且样本间差异大;2)通过比较不同年龄段男性软组织厚度的均值,发现20~30岁阶段软组织厚度均值最小,50~60岁阶段软组织厚度均值其次,30~40岁阶段软组织厚度均值最大,但30~40岁和40~50岁两个年龄段的软组织厚度近似;通过比较不同年龄段女性软组织厚度的均值,发现20~30岁阶段软组织厚度均值最小,30~40岁阶段软组织厚度均值其次,40~50岁阶段的软组织厚度均值最大;3)特征点处软组织厚度标准差可以反映面貌体态的差异,因此根据10个脸颊特征点的软组织厚度均值和标准差实现面貌体态分类;4)根据不同性别、年龄、体态对应的软组织平均厚度,应用计算机技术实现给定颅骨的三维面貌复原,复原结果相比于传统手工复原的结果更加科学.%As a fundamental part of craniofacial reconstruction,soft tissue thickness is key.This paper,based on 132 adult craniofacial samples,with the aid of computer technology,explores measurement,analysis and application of soft tissue.The results are as follows:l) By analyzing the soft tissue thickness of landmarks and facial soft tissue distribution,it has been shown that the arrangement of facial soft tissues has some rules:the forehead is thin with small differences between various samples,while the cheek is thick with large differences between various samples.2) By comparing soft tissue thickness averages of males of different ages,it has been shown that these averages between 20 and 30 are the lowest,the next are between 50 and 60

  15. Three-dimensional Imaging Methods for Quantitative Analysis of Facial Soft Tissues and Skeletal Morphology in Patients with Orofacial Clefts: A Systematic Review

    NARCIS (Netherlands)

    Kuijpers, M.A.R.; Chiu, Y.T.; Nada, R.M.; Carels, C.E.L.; Fudalej, P.S.

    2014-01-01

    BACKGROUND: Current guidelines for evaluating cleft palate treatments are mostly based on two-dimensional (2D) evaluation, but three-dimensional (3D) imaging methods to assess treatment outcome are steadily rising. OBJECTIVE: To identify 3D imaging methods for quantitative assessment of soft tissue

  16. History of facial pain diagnosis

    DEFF Research Database (Denmark)

    Zakrzewska, Joanna M; Jensen, Troels S

    2017-01-01

    Premise Facial pain refers to a heterogeneous group of clinically and etiologically different conditions with the common clinical feature of pain in the facial area. Among these conditions, trigeminal neuralgia (TN), persistent idiopathic facial pain, temporomandibular joint pain, and trigeminal...

  17. Avaliação da profundidade do palato e das dimensões do arco dentário superior em indivíduos com má oclusão e diferentes tipos faciais Evaluation of palatine depth and dimensions of the upper dental arch in patients with malocclusion and different facial types

    Directory of Open Access Journals (Sweden)

    Andrea Esteves

    2007-01-01

    evaluate palatine depth and dimensions of the upper dental arch in patients with malocclusion and different facial types. METHODS: The sample was constituted of profile cephalograms and dental casts of 135 individuals, 67 females and 68 males, with age between 12 to 21 years and malocclusions: Class I (n = 45, Class II (n = 45 and Class III (n = 45, Angle. The sample was divided in three groups, according to the facial type: brachyfacial (n = 45, mesofacial (n = 45 and dolichofacial (n = 45. The transversal dimensions (intercuspids and inter-first molars distances and upper dental arch length were obtained with auxiliary of digital caliper. In order, to obtain palatine depth measurement was used a special equipment developed and adapted to the digital caliper. RESULTS AND CONCLUSION: Based on our results, we concluded that: (1 no statistically significant differences between these measurements were found considering the facial types, except for the palatine depth, that was smaller in brachyfacial group (18.18mm than dolichofacial group (19.52mm; (2 according to sex, only two variables, the depth palatine and inter-first molar distance, demonstrated statistically significant differences, that appeared to be bigger in males than females; (3 according to the malocclusion, statistically significant differences between these measurements were found only to the upper dental arch length, that was bigger in Class II group (31.23mm than Class III group (29.64mm.

  18. 女性下颌角截骨术后面部软组织变化的回顾性研究%The Change of the Female Facial Soft Tissue after Mandibular Angle Osteotomy

    Institute of Scientific and Technical Information of China (English)

    许祐荣; 柴岗; 张艳; 侯亦康; 曲淼; 沈聪聪

    2014-01-01

    目的:观察女性下颌角截骨术后面部软组织的变化情况。方法将130例行下颌角截骨术(口内切口)的女性下颌角肥大患者纳入本次研究,通过CT、成像软件测量术前及术后6个月面部软组织①耳垂点至下颌角高度与下面高度的比值②正位双下颌角间距与双颧间距比值③软组织下颌角角度,观察手术前后中下面部软组织的变化。结果术前耳垂至下颌角高度与下面高度比值为1∶(1.5±0.12),术后为1∶(1.92±0.15);术前正位双下颌角间距与双颧间距比值为1∶(1.03±0.11),术后为1∶(1.2±0.21);术前下颌角角度为(109±1.7)°,截骨术后下颌角角度为(121±2.1)°。结论下颌角肥大患者行下颌角截骨术约6个月后,中下面部软组织外形改善明显。%Objective To observe the change of facial soft tissue after mandibular angle osteotomy. Methods Comuterized tomography (CT) examination was performed on 130 patients treated by mandibular angle ostemomy before operation and 6 months after operation, respectively. Intra-oral incision were used for correcting prominent mandibular angle (PMA).①ratio of the height from lobule to mandibular angle&the height of lower face, ②ratio of the distance between the two sides of mandibular angle&the distance between the two sides of zygometic arch and ③the degree of mandibular angle were all calculated pre-and postoperatively to evaluate the change of facial soft tissue. Results The preoperative ratio of the height from lobule to mandibular angle&the height of lower face was 1∶(1.5±0.12), while the postoperative was 1∶(1.92±0.15);The preoperative ratio of the distance between the two sides of mandibular angle & the distance between the two sides of zygometic arch was 1∶(1.03±0.11), while the postoperative was 1∶(1.2±0.21);The preoperative mandibular angle was (109±1.7) °, while the postoperative was (121 ±2.1) ° . Conclusion

  19. Facial expression and sarcasm.

    Science.gov (United States)

    Rockwell, P

    2001-08-01

    This study examined facial expression in the presentation of sarcasm. 60 responses (sarcastic responses = 30, nonsarcastic responses = 30) from 40 different speakers were coded by two trained coders. Expressions in three facial areas--eyebrow, eyes, and mouth--were evaluated. Only movement in the mouth area significantly differentiated ratings of sarcasm from nonsarcasm.

  20. Holistic facial expression classification

    Science.gov (United States)

    Ghent, John; McDonald, J.

    2005-06-01

    This paper details a procedure for classifying facial expressions. This is a growing and relatively new type of problem within computer vision. One of the fundamental problems when classifying facial expressions in previous approaches is the lack of a consistent method of measuring expression. This paper solves this problem by the computation of the Facial Expression Shape Model (FESM). This statistical model of facial expression is based on an anatomical analysis of facial expression called the Facial Action Coding System (FACS). We use the term Action Unit (AU) to describe a movement of one or more muscles of the face and all expressions can be described using the AU's described by FACS. The shape model is calculated by marking the face with 122 landmark points. We use Principal Component Analysis (PCA) to analyse how the landmark points move with respect to each other and to lower the dimensionality of the problem. Using the FESM in conjunction with Support Vector Machines (SVM) we classify facial expressions. SVMs are a powerful machine learning technique based on optimisation theory. This project is largely concerned with statistical models, machine learning techniques and psychological tools used in the classification of facial expression. This holistic approach to expression classification provides a means for a level of interaction with a computer that is a significant step forward in human-computer interaction.

  1. Facial talon cusps.

    LENUS (Irish Health Repository)

    McNamara, T

    1997-12-01

    This is a report of two patients with isolated facial talon cusps. One occurred on a permanent mandibular central incisor; the other on a permanent maxillary canine. The locations of these talon cusps suggests that the definition of a talon cusp include teeth in addition to the incisor group and be extended to include the facial aspect of teeth.

  2. Depth relief

    NARCIS (Netherlands)

    Kappers, A.M.L.; Koenderink, J.J.; Doorn, A.J. van

    1995-01-01

    A study is reported of the depth relief in a simple three-dimensional scene consisting of a white, rough sphere on a planar support, illuminated in a natural manner. Viewing conditions included monocular and binocular as well as 'synoptical' viewing. In the synoptical condition the eyes are

  3. SU-E-T-499: Comparison of Measured Tissue Phantom Ratios (TPR) Against Calculated From Percent Depth Doses (PDD) with and Without Peak Scatter Factor (PSF) in 6MV Open Beam

    Energy Technology Data Exchange (ETDEWEB)

    Narayanasamy, G; Cruz, W; Gutierrez, Alonso; Mavroidis, Panayiotis; Papanikolaou, N; Stathakis, S [Department of Radiation Oncology, University of Texas HSC SA, San Antonio, TX (United States); Breton, C [Hospital Universitario de Canarias, Tenerife (Spain)

    2014-06-01

    Purpose: To examine the accuracy of measured tissue phantom ratios (TPR) values with TPR calculated from percentage depth dose (PDD) with and without peak scatter fraction (PSF) correction. Methods: For 6MV open beam, TPR and PDD values were measured using PTW Semiflex (31010) ionization field and reference chambers (0.125cc volume) in a PTW MP3-M water tank. PDD curves were measured at SSD of 100cm for 7 square fields from 3cm to 30cm. The TPR values were measured up to 22cm depth for the same fields by continuous water draining method with ionization chamber static at 100cm from source. A comparison study was performed between the (a) measured TPR, (b) TPR calculated from PDD without PSF, (c) TPR calculated from PDD with PSF and (d) clinical TPR from RadCalc (ver 6.2, Sun Nuclear Corp). Results: There is a field size, depth dependence on TPR values. For 10cmx10cm, the differences in surface dose (DDs), dose at 10cm depth (DD10) <0.5%; differences in dmax (Ddmax) <2mm for the 4 methods. The corresponding values for 30cmx30cm are DDs, DD10 <0.2% and Ddmax<3mm. Even though for 3cmx3cm field, DDs and DD10 <1% and Ddmax<1mm, the calculated TPR values with and without PSF correction differed by 2% at >20cm depth. In all field sizes at depths>28cm, (d) clinical TPR values are larger than that from (b) and (c) by >3%. Conclusion: Measured TPR in method (a) differ from calculated TPR in methods (b) and (c) to within 1% for depths < 28cm in all 7 fields in open 6MV beam. The dmax values are within 3mm of each other. The largest deviation of >3% was observed in clinical TPR values in method (d) for all fields at depths < 28cm.

  4. Facial Transplants in Xenopus laevis Embryos

    OpenAIRE

    Jacox, Laura A.; Dickinson, Amanda J.; Sive, Hazel

    2014-01-01

    Craniofacial birth defects occur in 1 out of every 700 live births, but etiology is rarely known due to limited understanding of craniofacial development. To identify where signaling pathways and tissues act during patterning of the developing face, a 'face transplant' technique has been developed in embryos of the frog Xenopus laevis. A region of presumptive facial tissue (the "Extreme Anterior Domain" (EAD)) is removed from a donor embryo at tailbud stage, and transplanted to a host embryo ...

  5. Spontaneous Facial Mimicry in Response to Dynamic Facial Expressions

    Science.gov (United States)

    Sato, Wataru; Yoshikawa, Sakiko

    2007-01-01

    Based on previous neuroscientific evidence indicating activation of the mirror neuron system in response to dynamic facial actions, we hypothesized that facial mimicry would occur while subjects viewed dynamic facial expressions. To test this hypothesis, dynamic/static facial expressions of anger/happiness were presented using computer-morphing…

  6. Sound-induced facial synkinesis following facial nerve paralysis

    NARCIS (Netherlands)

    Ma, Ming-San; van der Hoeven, Johannes H.; Nicolai, Jean-Philippe A.; Meek, Marcel F.

    2009-01-01

    Facial synkinesis (or synkinesia) (FS) occurs frequently after paresis or paralysis of the facial nerve and is in most cases due to aberrant regeneration of (branches of) the facial nerve. Patients suffer from inappropriate and involuntary synchronous facial muscle contractions. Here we describe two

  7. Cranio-facial clefts in pre-hispanic America.

    Science.gov (United States)

    Marius-Nunez, A L; Wasiak, D T

    2015-10-01

    Among the representations of congenital malformations in Moche ceramic art, cranio-facial clefts have been portrayed in pottery found in Moche burials. These pottery vessels were used as domestic items during lifetime and funerary offerings upon death. The aim of this study was to examine archeological evidence for representations of cranio-facial cleft malformations in Moche vessels. Pottery depicting malformations of the midface in Moche collections in Lima-Peru were studied. The malformations portrayed on pottery were analyzed using the Tessier classification. Photographs were authorized by the Larco Museo.Three vessels were observed to have median cranio-facial dysraphia in association with midline cleft of the lower lip with cleft of the mandible. ML001489 portrays a median cranio-facial dysraphia with an orbital cleft and a midline cleft of the lower lip extending to the mandible. ML001514 represents a median facial dysraphia in association with an orbital facial cleft and a vertical orbital dystopia. ML001491 illustrates a median facial cleft with a soft tissue cleft. Three cases of midline, orbital and lateral facial clefts have been portrayed in Moche full-figure portrait vessels. They represent the earliest registries of congenital cranio-facial malformations in ancient Peru.

  8. Clinical observation of" skin tissue cell extractor" repair of facial depression scar face%“皮肤组织细胞提取器”修复脸面部凹陷疤痕的临床观察

    Institute of Scientific and Technical Information of China (English)

    陈金西; 陈梁梁; 金响响; 陈东方

    2015-01-01

    Objective Study on the extraction of skin cells with autogenous prepared polymers to repair thefacial depression scar. Methods:the skin tissue cell extractor, extracting the scararound the autologous normal skin tissue cells, preparation of " skin tissue cell polymer", wound plant them in the face of the concave scar. Through the treatment of 104 cases of depression scar, including acne 36 cases, 12 cases ofchicken pox scars;female 68 cases, age 13 to 43 years old, average 28 years old;32 cases of male, age 20~42 year old, average 31 years old. Results: the extracted by skin tissue cell extractor autologousnormal skin tissue cells, tissue cell polymer preparation to the survival in the scar on thewound, after 1~15 years of follow-up found that ultimately results in the treatment can achieve near normal skin appearance effect. A treatment of patients satisfaction rate of 70%, two times of treatment in patients with satisfactory rate was 98%, without obvious complications. Conclusion: the use of skin tissue cell extractor, extracting cells andautologous normal skin tissue for scar around the prepared polymer planting technique applicable to sag scar facial acne and skin infection after operation, left can achieve good results, it is worthy of popularization and application.%目的:研究用提取自体的皮肤组织细胞制备成聚合物来修复脸面部凹陷疤痕。方法:用皮肤组织细胞提取器,提取疤痕周围自体正常皮肤组织细胞,制备成“皮肤组织细胞聚合物”,将其种植于脸面部凹陷疤痕的创面上。通过104例凹陷疤痕的治疗,其中痤疮36例,水痘疤痕12例;女68例,年龄13~43岁,平均28岁;男2例,年龄20~42岁,平均31岁。结果:用皮肤组织细胞提取器提取出来的自体正常皮肤组织细胞,制备完成的组织细胞聚合物可在疤痕创面上成活,经1~15年的随访后发现治疗的最终结果可以达到接近正常皮肤外观的效果。

  9. Live facial feature extraction

    Institute of Scientific and Technical Information of China (English)

    ZHAO JieYu

    2008-01-01

    Precise facial feature extraction is essential to the high-level face recognition and expression analysis. This paper presents a novel method for the real-time geomet-ric facial feature extraction from live video. In this paper, the input image is viewed as a weighted graph. The segmentation of the pixels corresponding to the edges of facial components of the mouth, eyes, brows, and nose is implemented by means of random walks on the weighted graph. The graph has an 8-connected lattice structure and the weight value associated with each edge reflects the likelihood that a random walker will cross that edge. The random walks simulate an anisot-ropic diffusion process that filters out the noise while preserving the facial expres-sion pixels. The seeds for the segmentation are obtained from a color and motion detector. The segmented facial pixels are represented with linked lists in the origi-nal geometric form and grouped into different parts corresponding to facial com-ponents. For the convenience of implementing high-level vision, the geometric description of facial component pixels is further decomposed into shape and reg-istration information. Shape is defined as the geometric information that is invari-ant under the registration transformation, such as translation, rotation, and iso-tropic scale. Statistical shape analysis is carried out to capture global facial fea-tures where the Procrustes shape distance measure is adopted. A Bayesian ap-proach is used to incorporate high-level prior knowledge of face structure. Ex-perimental results show that the proposed method is capable of real-time extraction of precise geometric facial features from live video. The feature extraction is robust against the illumination changes, scale variation, head rotations, and hand inter-ference.

  10. PCA facial expression recognition

    Science.gov (United States)

    El-Hori, Inas H.; El-Momen, Zahraa K.; Ganoun, Ali

    2013-12-01

    This paper explores and compares techniques for automatically recognizing facial actions in sequences of images. The comparative study of Facial Expression Recognition (FER) techniques namely Principal Component's analysis (PCA) and PCA with Gabor filters (GF) is done. The objective of this research is to show that PCA with Gabor filters is superior to the first technique in terms of recognition rate. To test and evaluates their performance, experiments are performed using real database by both techniques. The universally accepted five principal emotions to be recognized are: Happy, Sad, Disgust and Angry along with Neutral. The recognition rates are obtained on all the facial expressions.

  11. Evaluation of healthy muscle tissue by strain and shear wave elastography – Dependency on depth and ROI position in relation to underlying bone

    DEFF Research Database (Denmark)

    Ewertsen, Caroline; Carlsen, Jonathan Frederik; Christiansen, Iben Riishede

    2016-01-01

    and methods: Ten healthy volunteers (five males and five females) had their biceps brachii, gastrocnemius, and quadriceps muscle examined with strain- and shear wave elastography at three different depths and in regions located above bone and beside bone. Strain ratios were averaged from cine-loops of 10 s...

  12. Management of Facial Paralysis due to Extracranial Tumors.

    Science.gov (United States)

    Fritz, Michael; Rolfes, Bryan N

    2015-04-01

    Treatment of advanced parotid or cutaneous malignancies often requires sacrifice of the facial nerve as well as resection of the parotid gland and surrounding structures. In addition to considerations regarding reinnervation and dynamic reanimation, reconstruction in this setting must take into account unique factors such as soft tissue volume deficits and the high likelihood of adjunctive radiation therapy. Furthermore, considerations of patient comorbidities including advanced age and poor long-term prognosis often influence reconstructive modality. The optimal reconstructive technique would provide potential for restoration of facial tone and voluntary movement as well as immediate restoration of facial support and function. Beyond considerations of facial movement and rest position, restoration of lost soft tissue volume is critical to obtain facial symmetry. To control long-term volume in the setting of adjunctive radiation therapy, vascularized tissue is required. In this chapter, we describe a comprehensive approach to the management of radical parotidectomy and similar facial defects that addresses these concerns and also describes management strategies over time. Specific techniques employed include anterolateral thigh free flaps, nerve grafting utilizing motor nerves to the vastus lateralis muscle, and orthodromic temporalis tendon transfer. Further considerations relative to the eye, forehead, and long-term facial refinement are also discussed.

  13. Surgical Treatment of Facial Paralysis

    OpenAIRE

    Mehta, Ritvik P.

    2009-01-01

    The management of facial paralysis is one of the most complex areas of reconstructive surgery. Given the wide variety of functional and cosmetic deficits in the facial paralysis patient, the reconstructive surgeon requires a thorough understanding of the surgical techniques available to treat this condition. This review article will focus on surgical management of facial paralysis and the treatment options available for acute facial paralysis (2 yr). For acute facial paralysis, the main surgi...

  14. 医用胶在急诊外科处置颜面部皮肤裂伤中的应用%The application of tissue adhesive in treatment of facial skin lacerations in emergency surgical practice

    Institute of Scientific and Technical Information of China (English)

    贾亿卿; 林朱森; 黄立嵩; 王立秋; 陈瑞丰; 郑吉波

    2013-01-01

    目的 探讨急诊外科处置颜面部皮肤裂伤的治疗经验,总结采用医用胶对伤口清创粘合处置的临床应用价值.方法 将自2011年6月至2012年1月海军总医院急诊外科救诊的208例颜面部皮肤裂伤患者随机分成两组.医用胶组为106例应用医用胶清创粘合伤口;缝合组为102例常规的清创缝合伤口.对手术时间、疼痛指数及伤口愈合外观满意指数进行比较.结果 医用胶组手术时间较缝合组明显缩短(经x2检验,P<0.001);医用胶组疼痛指数为(4.24±0.96),缝合组疼痛指数为(7.08+1.12);医用胶组术后伤口愈合满意度:优良为66.03%,满意为31.13%,不满意为2.83%,缝合组术后伤口愈合满意度:优良为11.77%,满意为56.86%,不满意为31.37%,患者对清创粘合术后的伤口愈合满意指数明显高于传统的清创缝合术(经x2检验,P< 0.05).结论 采用医用胶清创粘合伤口操作简便,缩短了手术时间,无需拆线,减轻了患者的痛苦和烦恼,也减少患者就诊次数.避免了皮肤裂伤因清创缝合产生的针线反应红斑、硬结及瘢痕增生,达到了外伤美容修复,特别深受儿童和女性患者的欢迎,清创粘合术在急诊外科处置颜面部皮肤裂伤时易于推广使用.%Objective To explore the advantages of tissue adhesive in wound debridement and closure based on the cases analyzed in emergency surgical treatment of facial skin lacerations. Methods 208 cases of facial skin laceration collected in between June 2011 and January 2012 were randomly divided into two groups, the tissue adhesive (TA) group with 106 cases and routine suturing (RS) group with 102 cases. The operation duration, the pain and healing satisfaction index were documented. Results The operation duration in TA group was markedly decreased compared with the RS group (P< 0.001); the pain index in the TA group was lower than the RS group (4.24±0.96 vs 7.08±1.12); the wound healing satisfaction

  15. Persistent facial pain conditions

    DEFF Research Database (Denmark)

    Forssell, Heli; Alstergren, Per; Bakke, Merete

    2016-01-01

    , clinical features, consequences, central and peripheral mechanisms, diagnostic criteria (DC/TMD), and principles of management. For each of the neuropathic facial pain entities, the definitions, prevalence, clinical features, and diagnostics are described. The current understanding of the pathophysiology......Persistent facial pains, especially temporomandibular disorders (TMD), are common conditions. As dentists are responsible for the treatment of most of these disorders, up-to date knowledge on the latest advances in the field is essential for successful diagnosis and management. The review covers...... TMD, and different neuropathic or putative neuropathic facial pains such as persistent idiopathic facial pain and atypical odontalgia, trigeminal neuralgia and painful posttraumatic trigeminal neuropathy. The article presents an overview of TMD pain as a biopsychosocial condition, its prevalence...

  16. Persistent facial pain conditions

    DEFF Research Database (Denmark)

    Forssell, Heli; Alstergren, Per; Bakke, Merete

    2016-01-01

    TMD, and different neuropathic or putative neuropathic facial pains such as persistent idiopathic facial pain and atypical odontalgia, trigeminal neuralgia and painful posttraumatic trigeminal neuropathy. The article presents an overview of TMD pain as a biopsychosocial condition, its prevalence......Persistent facial pains, especially temporomandibular disorders (TMD), are common conditions. As dentists are responsible for the treatment of most of these disorders, up-to date knowledge on the latest advances in the field is essential for successful diagnosis and management. The review covers......, clinical features, consequences, central and peripheral mechanisms, diagnostic criteria (DC/TMD), and principles of management. For each of the neuropathic facial pain entities, the definitions, prevalence, clinical features, and diagnostics are described. The current understanding of the pathophysiology...

  17. Persistent facial pain conditions

    DEFF Research Database (Denmark)

    Forssell, Heli; Alstergren, Per; Bakke, Merete;

    2016-01-01

    , clinical features, consequences, central and peripheral mechanisms, diagnostic criteria (DC/TMD), and principles of management. For each of the neuropathic facial pain entities, the definitions, prevalence, clinical features, and diagnostics are described. The current understanding of the pathophysiology...

  18. 改进的基于特征点软组织厚度的颅面复原方法%Improved method for 3 D craniofacial reconstruction based on soft tissue depths of landmarks

    Institute of Scientific and Technical Information of China (English)

    热孜万古丽·夏米西丁; 耿国华; 邓擎琼; 赵万荣; 郑磊

    2016-01-01

    现有的三维颅面复原技术大多依据颅骨特征点的软组织厚度统计值。针对现有统计值指标涵盖的年龄、胖瘦等属性段较宽泛导致复原面貌缺乏个性的缺点,提出了一种改进方法。首先通过CT扫描仪获得颅面样本数据,并通过图像重构获得三维颅骨和人脸模型;然后采用一种半自动特征点标定方法对三维颅骨样本进行特征点标定,并求解特征点软组织厚度;之后采用支持向量回归方法构建特征点软组织厚度与属性之间的函数关系;最后根据待复原颅骨的属性以及回归函数计算特征点软组织厚度,在此基础上采用薄板样条函数对参考人脸模型进行变形获得复原面貌。实验结果表明,相比于已有方法,该方法能获得更准确的软组织厚度,提高颅面复原的准确度。%Most of the 3D craniofacial reconstruction methods rely on the statistical data of soft tissue depths of sparse land-marks located on the skull.The classical statistical method for tissue depth is to classify samples into several clusters accor-ding to the properties (gender,age and BMI)of the samples,and then calculates the mean tissue depths for each cluster. However,each cluster covers a wide range of properties,for example,and BMI,leading to a result that are insensitive to the slight changes of properties.This paper proposed an improved method to solve this problem.The method first constructed a head database from CT images,and located 80 landmarks for each skull of the database by using a semi-automatic landmarking method.Then,it calculated the tissue depths of the 80 landmarks for all the skulls,and analyzed the relationship between tis-sue depth and properties,such as gender,age and BMI,for each landmark through support vector regression.When recon-structing the face for a given skull,it first calculated the tissue depths of landmarks according to the regression function and the properties of the

  19. Management of facial blushing

    DEFF Research Database (Denmark)

    Licht, Peter B; Pilegaard, Hans K

    2008-01-01

    people. Side effects are frequent, but most patients are satisfied with the operation. In the short term, the key to success in sympathetic surgery for facial blushing lies in a meticulous and critical patient selection and in ensuring that the patient is thoroughly informed about the high risk of side...... effects. In the long term, the key to success in sympathetic surgery for facial blushing lies in more quality research comparing surgical, pharmacologic, and psychotherapeutic treatments....

  20. The influence of yield surface shape and damage in the depth-dependent response of bone tissue to nanoindentation using spherical and Berkovich indenters.

    Science.gov (United States)

    Schwiedrzik, Johann Jakob; Zysset, Philippe Kurt

    2015-01-01

    Prevention and treatment of osteoporosis rely on understanding of the micromechanical behaviour of bone and its influence on fracture toughness and cell-mediated adaptation processes. Postyield properties may be assessed by nonlinear finite element simulations of nanoindentation using elastoplastic and damage models. This computational study aims at determining the influence of yield surface shape and damage on the depth-dependent response of bone to nanoindentation using spherical and conical tips. Yield surface shape and damage were shown to have a major impact on the indentation curves. Their influence on indentation modulus, hardness, their ratio as well as the elastic-to-total work ratio is well described by multilinear regressions for both tip shapes. For conical tips, indentation depth was not statistically significant (p damage was not a significant parameter (p < 0.0001). The gained knowledge can be used for developing an inverse method for identification of postelastic properties of bone from nanoindentation.

  1. Simultaneous facial feature tracking and facial expression recognition.

    Science.gov (United States)

    Li, Yongqiang; Wang, Shangfei; Zhao, Yongping; Ji, Qiang

    2013-07-01

    The tracking and recognition of facial activities from images or videos have attracted great attention in computer vision field. Facial activities are characterized by three levels. First, in the bottom level, facial feature points around each facial component, i.e., eyebrow, mouth, etc., capture the detailed face shape information. Second, in the middle level, facial action units, defined in the facial action coding system, represent the contraction of a specific set of facial muscles, i.e., lid tightener, eyebrow raiser, etc. Finally, in the top level, six prototypical facial expressions represent the global facial muscle movement and are commonly used to describe the human emotion states. In contrast to the mainstream approaches, which usually only focus on one or two levels of facial activities, and track (or recognize) them separately, this paper introduces a unified probabilistic framework based on the dynamic Bayesian network to simultaneously and coherently represent the facial evolvement in different levels, their interactions and their observations. Advanced machine learning methods are introduced to learn the model based on both training data and subjective prior knowledge. Given the model and the measurements of facial motions, all three levels of facial activities are simultaneously recognized through a probabilistic inference. Extensive experiments are performed to illustrate the feasibility and effectiveness of the proposed model on all three level facial activities.

  2. Profil jaringan lunak wajah kasus borderline maloklusi klas I pada perawatan ortodonti dengan dan tanpa pencabutan gigi (Facial soft tissue profile on borderline class I malocclusion in orthodontic treatment with or without teeth extraction

    Directory of Open Access Journals (Sweden)

    Pinandi Sri Pudyani

    2013-12-01

    Full Text Available Background: Determination of orthodontic treatment plan with or without teeth extraction remains controversial, especially in borderline cases, so it requires more data and information to establish appropriate treatment plans in order to obtain optimal treatment results. Purpose: The study was aimed to determine the facial soft tissue changes in the borderline class I cases treated with and without tooth extraction on post-orthodontic treatment. Methods: The study was conducted on 28 lateral cephalograms, divided into two groups; 13 cases with tooth extraction, and 15 cases without tooth extraction. The subject criterias were as follows; class I malocclusion treated with straightwire technique, skeletal class I, in range of age between 18 to 30 years old, normal overjet 2-4 mm, arch length discrepancy between 2.5 to 5 mm, Index of Fossa Canine (IFC between 37% to 44%, did not using extraoral devices, and treated with teeth extraction of 4 second premolars or without tooth extraction. The measurement of nasolabial angle, labiomental angle, and linear position of the upper and lower lip to E-Ricketts line were done on each cephalogram before and after orthodontic treatment. Results: In teeth extraction cases, there was a change on upper and lower lips positions (p<0.05, but there were no changes on nasolabial angle and labiomental angle (p>0.05. In non teeth extraction cases, there were no changes in nasolabial angle, labiomental angle, and lips positions (p>0.05. Both of groups also have indicated that there were no changes on linear position of the upper and lower lip (p>0.05. Post-orthodontic treatment indicated a significant differences between extraction and nonextraction cases on nasolabial and labiomental angle, and lips position (p<0.05. Conclusion: The facial soft tissue profile changes on teeth extraction case was more retruded than non- teeth extraction case.Latar belakang: Penentuan rencana perawatan ortodonti dengan pencabutan atau

  3. Classifying Facial Actions

    Science.gov (United States)

    Donato, Gianluca; Bartlett, Marian Stewart; Hager, Joseph C.; Ekman, Paul; Sejnowski, Terrence J.

    2010-01-01

    The Facial Action Coding System (FACS) [23] is an objective method for quantifying facial movement in terms of component actions. This system is widely used in behavioral investigations of emotion, cognitive processes, and social interaction. The coding is presently performed by highly trained human experts. This paper explores and compares techniques for automatically recognizing facial actions in sequences of images. These techniques include analysis of facial motion through estimation of optical flow; holistic spatial analysis, such as principal component analysis, independent component analysis, local feature analysis, and linear discriminant analysis; and methods based on the outputs of local filters, such as Gabor wavelet representations and local principal components. Performance of these systems is compared to naive and expert human subjects. Best performances were obtained using the Gabor wavelet representation and the independent component representation, both of which achieved 96 percent accuracy for classifying 12 facial actions of the upper and lower face. The results provide converging evidence for the importance of using local filters, high spatial frequencies, and statistical independence for classifying facial actions. PMID:21188284

  4. Facial nerve regeneration after facial allotransplantation: A longitudinal clinical and electromyographic follow-up of lip movements during speech.

    Science.gov (United States)

    De Letter, Miet; Vanhoutte, Sarah; Aerts, Annelies; Santens, Patrick; Vermeersch, Hubert; Roche, Nathalie; Stillaert, Filip; Blondeel, Philip; Van Lierde, Kristiane

    2017-06-01

    Facial allotransplantation constitutes a reconstructive option after extensive damage to facial structures. Functional recovery has been reported but remains an issue. A patient underwent facial allotransplantation after a ballistic injury with extensive facial tissue damage. Speech motor function was sequentially assessed clinically, along with repeated electromyography of lip movements during a follow-up of 3 years. Facial nerve recovery could be demonstrated within the first month, followed by a gradual increase in electromyographic amplitude and decrease in reaction times. These were accompanied by gradual improvement of clinical assessments. Axonal recovery starts early after transplantation. Electromyographic testing is sensitive in demonstrating this early recovery, which ultimately results in clinical improvements. Copyright © 2017 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  5. Facial expression recognition based on improved local ternary pattern and stacked auto-encoder

    Science.gov (United States)

    Wu, Yao; Qiu, Weigen

    2017-08-01

    In order to enhance the robustness of facial expression recognition, we propose a method of facial expression recognition based on improved Local Ternary Pattern (LTP) combined with Stacked Auto-Encoder (SAE). This method uses the improved LTP extraction feature, and then uses the improved depth belief network as the detector and classifier to extract the LTP feature. The combination of LTP and improved deep belief network is realized in facial expression recognition. The recognition rate on CK+ databases has improved significantly.

  6. Facial biometrics of peri-oral changes in Crohn's disease.

    Science.gov (United States)

    Zou, L; Adegun, O K; Willis, A; Fortune, Farida

    2014-05-01

    Crohn's disease is a chronic relapsing and remitting inflammatory condition which affects any part of the gastrointestinal tract. In the oro-facial region, patients can present peri-oral swellings which results in severe facial disfigurement. To date, assessing the degree of facial changes and evaluation of treatment outcomes relies on clinical observation and semi-quantitative methods. In this paper, we describe the development of a robust and reproducible measurement strategy using 3-D facial biometrics to objectively quantify the extent and progression of oro-facial Crohn's disease. Using facial laser scanning, 32 serial images from 13 Crohn's patients attending the Oral Medicine clinic were acquired during relapse, remission, and post-treatment phases. Utilising theories of coordinate metrology, the facial images were subjected to registration, regions of interest identification, and reproducible repositioning prior to obtaining volume measurements. To quantify the changes in tissue volume, scan images from consecutive appointments were compared to the baseline (first scan image). Reproducibility test was performed to ascertain the degree of uncertainty in volume measurements. 3-D facial biometric imaging is a reliable method to identify and quantify peri-oral swelling in Crohn's patients. Comparison of facial scan images at different phases of the disease revealed precisely profile and volume changes. The volume measurements were highly reproducible as adjudged from the 1% standard deviation. 3-D facial biometrics measurements in Crohn's patients with oro-facial involvement offers a quick, robust, economical and objective approach for guided therapeutic intervention and routine assessment of treatment efficacy on the clinic.

  7. Simultaneous multi-depth assessment of tissue oxygen saturation in thenar and forearm using near-infrared spectroscopy during a simple cardiovascular challenge

    NARCIS (Netherlands)

    Bezemer, R.; Karemaker, J.M.; Klijn, E.; Martin, D.; Mitchell, K.; Grocott, M.; Heger, M.; Ince, C.

    2009-01-01

    INTRODUCTION: Hypovolemia and hypovolemic shock are life-threatening conditions that occur in numerous clinical scenarios. Near-infrared spectroscopy (NIRS) has been widely explored, successfully and unsuccessfully, in an attempt to use it as an early detector of hypovolemia by measuring tissue oxyg

  8. Photometric analysis applied in determining facial type

    Directory of Open Access Journals (Sweden)

    Luciana Flaquer Martins

    2012-10-01

    Full Text Available INTRODUCTION: In orthodontics, determining the facial type is a key element in the prescription of a correct diagnosis. In the early days of our specialty, observation and measurement of craniofacial structures were done directly on the face, in photographs or plaster casts. With the development of radiographic methods, cephalometric analysis replaced the direct facial analysis. Seeking to validate the analysis of facial soft tissues, this work compares two different methods used to determining the facial types, the anthropometric and the cephalometric methods. METHODS: The sample consisted of sixty-four Brazilian individuals, adults, Caucasian, of both genders, who agreed to participate in this research. All individuals had lateral cephalograms and facial frontal photographs. The facial types were determined by the Vert Index (cephalometric and the Facial Index (photographs. RESULTS: The agreement analysis (Kappa, made for both types of analysis, found an agreement of 76.5%. CONCLUSIONS: We concluded that the Facial Index can be used as an adjunct to orthodontic diagnosis, or as an alternative method for pre-selection of a sample, avoiding that research subjects have to undergo unnecessary tests.INTRODUÇÃO: em Ortodontia, a determinação do tipo facial é um elemento-chave na prescrição de um diagnóstico correto. Nos primórdios de nossa especialidade, a observação e a medição das estruturas craniofaciais eram feitas diretamente na face, em fotografias ou em modelos de gesso. Com o desenvolvimento dos métodos radiográficos, a análise cefalométrica foi substituindo a análise facial direta. Visando legitimar o estudo dos tecidos moles faciais, esse trabalho comparou a determinação do tipo facial pelos métodos antropométrico e cefalométrico. MÉTODOS: a amostra constou de sessenta e quatro indivíduos brasileiros, adultos, leucodermas, de ambos os sexos, que aceitaram participar da pesquisa. De todos os indivíduos da amostra

  9. Static Facial Slings: Approaches to Rehabilitation of the Paralyzed Face.

    Science.gov (United States)

    Langille, Morgan; Singh, Prabhjyot

    2016-02-01

    Facial paralysis results from a variety of different causes. Patients with facial paralysis have cosmetic and functional defects that significantly affect quality of life. Surgical intervention has the potential to help improve cosmetic and functional outcomes. The 2 main categories of surgical rehabilitation are static and dynamic surgical procedures. Static rehabilitation of the midface is typically performed using autologous tissue grafts, allografts, synthetic grafts, permanent suspension sutures, and a novel technique using percutaneous suture-based slings.

  10. Adolescents with HIV and facial lipoatrophy: response to facial stimulation

    OpenAIRE

    Jesus Claudio Gabana-Silveira; Laura Davison Mangilli; Sassi, Fernanda C.; Arnaldo Feitosa Braga; Claudia Regina Furquim de Andrade

    2014-01-01

    OBJECTIVES: This study evaluated the effects of facial stimulation over the superficial muscles of the face in individuals with facial lipoatrophy associated with human immunodeficiency virus (HIV) and with no indication for treatment with polymethyl methacrylate. METHOD: The study sample comprised four adolescents of both genders ranging from 13 to 17 years in age. To participate in the study, the participants had to score six or less points on the Facial Lipoatrophy Index. The facial stim...

  11. Assessing Pain by Facial Expression: Facial Expression as Nexus

    OpenAIRE

    Prkachin, Kenneth M.

    2009-01-01

    The experience of pain is often represented by changes in facial expression. Evidence of pain that is available from facial expression has been the subject of considerable scientific investigation. The present paper reviews the history of pain assessment via facial expression in the context of a model of pain expression as a nexus connecting internal experience with social influence. Evidence about the structure of facial expressions of pain across the lifespan is reviewed. Applications of fa...

  12. Depth keying

    Science.gov (United States)

    Gvili, Ronen; Kaplan, Amir; Ofek, Eyal; Yahav, Giora

    2003-05-01

    We present a new solution to the known problem of video keying in a natural environment. We segment foreground objects from background objects using their relative distance from the camera, which makes it possible to do away with the use of color for keying. To do so, we developed and built a novel depth video camera, capable of producing RGB and D signals, where D stands for the distance to each pixel. The new RGBD camera enables the creation of a whole new gallery of effects and applications such as multi-layer background substitutions. This new modality makes the production of real time mixed reality video possible, as well as post-production manipulation of recorded video. We address the problem of color spill -- in which the color of the foreground object is mixed, along its boundary, with the background color. This problem prevents an accurate separation of the foreground object from its background, and it is most visible when compositing the foreground objects to a new background. Most existing techniques are limited to the use of a constant background color. We offer a novel general approach to the problem with enabling the use of the natural background, based upon the D channel generated by the camera.

  13. Characterization of facial burns from maxillofacial surgery. Cienfuegos 2005 - 2007

    Directory of Open Access Journals (Sweden)

    Eduardo Duarte Marrero

    2010-08-01

    Full Text Available Background: A descriptive study and retrospective study with 87 patients for facial burns, were treated at the Burn Service of the Hospital General Universitario "Dr. Gustavo Lima Aldereguía "Cienfuegos between January 2005 and September 2007. Objective: To characterize the care of patients with facial burns to help develop knowledge, attitudes and skills medical - surgery in the maxillofacial surgeon. Method: the source of information used were the records of patient care in the emergency department Burned Service and these data were selected that identified the patients as well as other related directly with facial burns. For each patient, more severe burning classified according to their size and depth. Results: In this study facial burns were more frequent in females aged 16 to 34 years, the most common cause of these lesions was in contact with boiling liquids as the predominant type skin burns, with extensions between 2 and 4% of the face area. In 44 patients affected centers facial structures, so predominant involvement of the ears. The priest most used in the facial region was the stop with silver sulfadiazine. Approximately 50% of patients were affected in the organs of sense, particularly in the ears. Conclusion: The traumatic facial burns are more severe conditions than any other location for the possible commitment to the airways.

  14. Neuromuscular retraining for facial paralysis.

    Science.gov (United States)

    Diels, H J; Combs, D

    1997-10-01

    Neuromuscular retraining is an effective method for rehabilitating facial musculature in patients with facial paralysis. This nonsurgical therapy has demonstrated improved functional outcomes and is an important adjunct to surgical treatment for restoring facial movement. Treatment begins with an intensive clinical evaluation and incorporates appropriate sensory feedback techniques into a patient-specific, comprehensive, home therapy program. This article discusses appropriate patients, timelines for referral, and basic treatment practices of facial neuromuscular retraining for restoring function and expression to the highest level possible.

  15. CT and MR imaging of the normal and pathologic conditions of the facial nerve

    Energy Technology Data Exchange (ETDEWEB)

    Jaeger, Lorenz E-mail: jaeger@ikra.med.uni-muenchen.de; Reiser, Maximilian

    2001-11-01

    Computed tomography (CT) and magnetic resonance imaging (MRI) are well established imaging modalities to examine the facial nerve as well as the course of the facial nerve itself. High spatial resolution is guaranteed not only in the x- and y-axis, but also in the z-axis using multislice spiral CT. With this technique, reformatted multiplanar images in oblique planes, avoiding additional examinations in the coronal plane, facilitate the delineation of the facial nerve canal. This is beneficial in patients with temporal bone trauma, malformation or osseous changes. MR has a superior soft-tissue contrast to CT that enables imaging of the facial nerve itself. Therefore the normal facial nerve as well as pathologic changes of the facial nerve is readily visualized from the brain stem to the parotid gland. This review article presents anatomy, pathology and imaging strategies in the diagnostics of the facial nerve.

  16. Computer facial animation

    CERN Document Server

    Parke, Frederic I

    2008-01-01

    This comprehensive work provides the fundamentals of computer facial animation and brings into sharper focus techniques that are becoming mainstream in the industry. Over the past decade, since the publication of the first edition, there have been significant developments by academic research groups and in the film and games industries leading to the development of morphable face models, performance driven animation, as well as increasingly detailed lip-synchronization and hair modeling techniques. These topics are described in the context of existing facial animation principles. The second ed

  17. Facial Data Field

    Institute of Scientific and Technical Information of China (English)

    WANG Shuliang; YUAN Hanning; CAO Baohua; WANG Dakui

    2015-01-01

    Expressional face recognition is a challenge in computer vision for complex expressions. Facial data field is proposed to recognize expression. Fundamentals are presented in the methodology of face recognition upon data field and subsequently, technical algorithms including normalizing faces, generating facial data field, extracting feature points in partitions, assigning weights and recog-nizing faces. A case is studied with JAFFE database for its verification. Result indicates that the proposed method is suitable and eff ective in expressional face recognition con-sidering the whole average recognition rate is up to 94.3%. In conclusion, data field is considered as a valuable alter-native to pattern recognition.

  18. Facial palsy after blunt trauma and without facial bone fracture.

    Science.gov (United States)

    Coltro, Pedro Soler; Goldenberg, Dov Charles; Aldunate, Johnny Leandro Conduta Borda; Alessi, Mariana Sisto; Chang, Alexandre Jin Bok Audi; Alonso, Nivaldo; Ferreira, Marcus Castro

    2010-07-01

    A 14-year-old patient had a low-energy facial blunt trauma that evolved to right facial paralysis caused by parotid hematoma with parotid salivary gland lesion. Computed tomography and angiography demonstrated intraparotid collection without pseudoaneurysm and without radiologic signs of fracture in the face. The patient was treated with serial punctures for hematoma deflation, resolving with regression and complete remission of facial paralysis, with no late sequela. The authors discuss the relationship between facial nerve traumatic injuries associated or not with the presence of facial fractures, emphasizing the importance of early recognition and appropriate treatment of such cases.

  19. The Complicated Facial War Injury: Pitfalls and Mismanagement.

    Science.gov (United States)

    Abu-Sittah, Ghassan S; Baroud, Joe; Hakim, Christopher; Wakil, Cynthia

    2017-01-01

    The aim of this paper is to share the authors' experience in the management of complicated facial war injuries using free tissue transfer. A discussion on the most commonly encountered pitfalls in management during the acute and complicated settings is presented in an effort to raise insight on facial war wound complications. Two patients of complicated facial war injuries are presented to exemplify the pitfalls in acute and chronic management of the mandibular region in the first patient and the orbito-maxillary region in the second. The examples demonstrate free tissue transfer for early as well as late definitive reconstructions. A reconstruction algorithm or consensus regarding the optimal management plan of complicated facial war injuries is not attainable. The main principles of treatment, however, remain to decrease bacterial burden by adequate aggressive debridement followed by revisit sessions, remove of all infected hardware followed by replacement with external bony fixation if necessary and reviving the affected area by coverage with well-vascularized tissues and bone. The later is feasible via local, regional, or distant tissue transfer depending on the extent of injury, surgeon's experience, and time and personnel available. Free tissue transfer has revolutionized the management of complicated facial war injuries associated with soft tissue or bone loss as it has allowed the introduction of well-vascularized tissues into a hostile wound environment. The end result is a reduced infection rate, faster recovery time, and better functional outcome compared with when loco-regional soft tissue coverage or bone grafting is used. When soft tissue or bone loss is present, free tissue transfer should be the first management plan if time and personnel are available. The ultimate treatment of a complicated war wound remains prevention by accurate initial management.

  20. Multiracial Facial Golden Ratio and Evaluation of Facial Appearance.

    Science.gov (United States)

    Alam, Mohammad Khursheed; Mohd Noor, Nor Farid; Basri, Rehana; Yew, Tan Fo; Wen, Tay Hui

    2015-01-01

    This study aimed to investigate the association of facial proportion and its relation to the golden ratio with the evaluation of facial appearance among Malaysian population. This was a cross-sectional study with 286 randomly selected from Universiti Sains Malaysia (USM) Health Campus students (150 females and 136 males; 100 Malaysian Chinese, 100 Malaysian Malay and 86 Malaysian Indian), with the mean age of 21.54 ± 1.56 (Age range, 18-25). Facial indices obtained from direct facial measurements were used for the classification of facial shape into short, ideal and long. A validated structured questionnaire was used to assess subjects' evaluation of their own facial appearance. The mean facial indices of Malaysian Indian (MI), Malaysian Chinese (MC) and Malaysian Malay (MM) were 1.59 ± 0.19, 1.57 ± 0.25 and 1.54 ± 0.23 respectively. Only MC showed significant sexual dimorphism in facial index (P = 0.047; Pmean score of 2.18 ± 0.97 for overall impression and 2.15 ± 1.04 for facial parts, compared to MM and MI, with mean score of 1.80 ± 0.97 and 1.64 ± 0.74 respectively for overall impression; 1.75 ± 0.95 and 1.70 ± 0.83 respectively for facial parts. 1) Only 17.1% of Malaysian facial proportion conformed to the golden ratio, with majority of the population having short face (54.5%); 2) Facial index did not depend significantly on races; 3) Significant sexual dimorphism was shown among Malaysian Chinese; 4) All three races are generally satisfied with their own facial appearance; 5) No significant association was found between golden ratio and facial evaluation score among Malaysian population.

  1. Diplegia facial traumatica

    Directory of Open Access Journals (Sweden)

    J. Fortes-Rego

    1975-12-01

    Full Text Available É relatado um caso de paralisia facial bilateral, incompleta, associada a hipoacusia esquerda, após traumatismo cranioencefálico, com fraturas evidenciadas radiológicamente. Algumas considerações são formuladas tentando relacionar ditas manifestações com fraturas do osso temporal.

  2. Management of facial blushing

    DEFF Research Database (Denmark)

    Licht, Peter B; Pilegaard, Hans K

    2008-01-01

    an indication for treatment, facial blushing may be treated effectively by thoracoscopic sympathectomy. The type of blushing likely to benefit from sympathectomy is mediated by the sympathetic nerves and is the uncontrollable, rapidly developing blush typically elicited when one receives attention from other...

  3. Facial Paralysis Reconstruction.

    Science.gov (United States)

    Razfar, Ali; Lee, Matthew K; Massry, Guy G; Azizzadeh, Babak

    2016-04-01

    Facial nerve paralysis is a devastating condition arising from several causes with severe functional and psychological consequences. Given the complexity of the disease process, management involves a multispecialty, team-oriented approach. This article provides a systematic approach in addressing each specific sequela of this complex problem.

  4. Paralisia facial bilateral

    Directory of Open Access Journals (Sweden)

    J. Fortes-Rego

    1976-03-01

    Full Text Available É apresentado um caso de diplegia facial surgida após meningite meningocócica e infecção por herpes simples. Depois de discutir as diversas condições que o fenômeno pode apresentar-se, o autor inclina-se por uma etiologia herpética.

  5. Impact of Fixed Appliance Combined with Bite Splint Treatment on Facial Soft Tissue Changes in Patients with Anterior Crossbite%固定矫治器联合后牙垫治疗前牙反对颜面软组织侧貌的影响

    Institute of Scientific and Technical Information of China (English)

    林晓瑜

    2014-01-01

    目的:探讨固定矫治器联合可摘式后牙�垫治疗前牙反�对颜面软组织侧貌的影响。方法:选取40例前牙反�患者,采用直丝弓矫治技术配合可摘式后牙�垫矫正,均未拔牙。采用X线头颅定位侧位片分析矫正后患者软组织侧貌的改变。结果:矫治后患者面型改善,反�得以矫正,牙齿排列、咬合关系改善;与矫治前相比,下唇突距减小,面突角减小,差异有统计学意义(P<0.05)。结论:固定矫治器联合可摘式后牙牙合垫治疗前牙反�对软组织侧貌有明显的改善作用。%Objective:To study the facial soft tissue changes in patients with anterior crossbite after treatment of fixed appli-ance combined with bite splint treatment .Methods :Forty cases patients with anterior crossbite were selected and treated by straight wire appliance combined with bite splint .The facial soft tissue changes after treatment were analyzed by X-ray cephalo-metric measurements .Results:After treatment ,the facial soft tissue was significantly improved ,the cross bite was relieved , and the teeth arrangement and malocclusion were also improved significantly .Compared with those before treatment ,LL-SnPg’ and G-Sn-Pog’ were decreased significantly after treatment ,the difference was statistically significant (P<0 .05) .Con-clusions:Treatment of fixed appliance combined with bite splint can significantly improve facial soft tissue changes .

  6. 皮肤恶性肿瘤致颜面部大面积软组织缺损修复的临床体会%Clinical experience of a large area of facial soft tissue defect repair after skin malignancies excision

    Institute of Scientific and Technical Information of China (English)

    邓建平; 张治平; 黄雁翔; 黄伟; 邹小梅; 杨成锦

    2016-01-01

    Objective To discuss the surgical methods and clinical efifcacy of the different types of skin lfap or temporal fascia lfap in repairing of the large facial soft tissue defect that caused by the skin cancer.MethodsIn the group of 21 patients with large facial defect (average 5.0cm×8.5cm) after tumor resection,we repaired the soft tissue defect with the frontal lfap,or the temporal fascia lfap with skin graft,and use the double frontal lfap in the nasal defect.Results All the 21 cases of facial soft tissue defect were repaired in one or two surgery, and all lfaps were alive with satisifed appearance and function.Conclusion It can be effectively treated through different types of skin lfap or temporal fascia lfap in repairing the large and complex facial soft tissue defect in different parts.%目的:探讨采用不同类型皮瓣或颞筯膜瓣修复因皮肤恶性肿瘤所致颜面部大面积软组织缺损的方法及临床疗效。方法:本组共21例患者,肿瘤切除后均造成颜面部大面积缺损,平均缺损面积达5.0cm×8.5cm。除了常用的额部皮瓣修复外,笔者选择颞顶筋膜瓣转移加植皮术修复颞部大面积软组织缺损,双侧额瓣法修复鼻部洞穿性缺损。结果:21例颜面部软组织缺损均经过一期或二期修复手术,所有皮瓣均成活,形态满意,功能恢复良好。结论:修复颜面部不同部位复杂的大面积软组织缺损,选择不同类型皮瓣或颞筯膜瓣进行修复可以获得良好的治疗效果。

  7. Novel Facial Features Segmentation Algorithm

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    An efficient algorithm for facial features extractions is proposed. The facial features we segment are the two eyes, nose and mouth. The algorithm is based on an improved Gabor wavelets edge detector, morphological approach to detect the face region and facial features regions, and an improved T-shape face mask to locate the extract location of facial features. The experimental results show that the proposed method is robust against facial expression, illumination, and can be also effective if the person wearing glasses, and so on.

  8. Facial asymmetry: a case report of localized linear scleroderma patient with muscular strain and spasm.

    Science.gov (United States)

    Kim, Jae-Hyung; Lee, Suck-Chul; Kim, Chul-Hoon; Kim, Bok-Joo

    2015-12-01

    Facial asymmetry is found in patients with or without cosmetic facial alterations. Some patients have facial asymmetry that manifests underlying skeletal problems, while others have only limited soft-tissue facial asymmetry. Orthognathic surgery brings about a dermatic change, as soft tissue covers underlying bones. Limited soft-tissue asymmetry, meanwhile, is difficult to correct. The treatment modalities for the creation or restoration of an esthetically pleasing appearance were autogenous fat grafts, cartilage graft, and silicon injections. A young female patient had right-side facial asymmetry. The clinical assessment involved visual inspection of the face and palpation to differentiate soft tissue and bone. Although the extra-oral examination found facial asymmetry with skin atrophy, the radiographic findings revealed no mandibular atrophy or deviation. She was diagnosed as localized scleroderma with muscle spasm. In conclusion, facial asymmetry patients with skeletal asymmetry can be esthetically satisfied by orthognathic surgery; however, facial atrophy patients with skin or subdermal tissue contraction need treatment by cosmetic dermatological surgery and orthodontic correction.

  9. Facial contour deformity correction with microvascular flaps based on the 3-dimentional template and facial moulage

    Directory of Open Access Journals (Sweden)

    Dinesh Kadam

    2013-01-01

    Full Text Available Introduction: Facial contour deformities presents with varied aetiology and degrees severity. Accurate assessment, selecting a suitable tissue and sculpturing it to fill the defect is challenging and largely subjective. Objective assessment with imaging and software is not always feasible and preparing a template is complicated. A three-dimensional (3D wax template pre-fabricated over the facial moulage aids surgeons to fulfil these tasks. Severe deformities demand a stable vascular tissue for an acceptable outcome. Materials and Methods: We present review of eight consecutive patients who underwent augmentation of facial contour defects with free flaps between June 2005 and January 2011. De-epithelialised free anterolateral thigh (ALT flap in three, radial artery forearm flap and fibula osteocutaneous flap in two each and groin flap was used in one patient. A 3D wax template was fabricated by augmenting the deformity on facial moulage. It was utilised to select the flap, to determine the exact dimensions and to sculpture intraoperatively. Ancillary procedures such as genioplasty, rhinoplasty and coloboma correction were performed. Results: The average age at the presentation was 25 years and average disease free interval was 5.5 years and all flaps survived. Mean follow-up period was 21.75 months. The correction was aesthetically acceptable and was maintained without any recurrence or atrophy. Conclusion: The 3D wax template on facial moulage is simple, inexpensive and precise objective tool. It provides accurate guide for the planning and execution of the flap reconstruction. The selection of the flap is based on the type and extent of the defect. Superiority of vascularised free tissue is well-known and the ALT flap offers a versatile option for correcting varying degrees of the deformities. Ancillary procedures improve the overall aesthetic outcomes and minor flap touch-up procedures are generally required.

  10. Separation of mouse embryonic facial ectoderm and mesenchyme.

    Science.gov (United States)

    Li, Hong; Williams, Trevor

    2013-04-12

    Orofacial clefts are the most frequent craniofacial defects, which affect 1.5 in 1,000 newborns worldwide. Orofacial clefting is caused by abnormal facial development. In human and mouse, initial growth and patterning of the face relies on several small buds of tissue, the facial prominences. The face is derived from six main prominences: paired frontal nasal processes (FNP), maxillary prominences (MxP) and mandibular prominences (MdP). These prominences consist of swellings of mesenchyme that are encased in an overlying epithelium. Studies in multiple species have shown that signaling crosstalk between facial ectoderm and mesenchyme is critical for shaping the face. Yet, mechanistic details concerning the genes involved in these signaling relays are lacking. One way to gain a comprehensive understanding of gene expression, transcription factor binding, and chromatin marks associated with the developing facial ectoderm and mesenchyme is to isolate and characterize the separated tissue compartments. Here we present a method for separating facial ectoderm and mesenchyme at embryonic day (E) 10.5, a critical developmental stage in mouse facial formation that precedes fusion of the prominences. Our method is adapted from the approach we have previously used for dissecting facial prominences. In this earlier study we had employed inbred C57BL/6 mice as this strain has become a standard for genetics, genomics and facial morphology. Here, though, due to the more limited quantities of tissue available, we have utilized the outbred CD-1 strain that is cheaper to purchase, more robust for husbandry, and tending to produce more embryos (12-18) per litter than any inbred mouse strain. Following embryo isolation, neutral protease Dispase II was used to treat the whole embryo. Then, the facial prominences were dissected out, and the facial ectoderm was separated from the mesenchyme. This method keeps both the facial ectoderm and mesenchyme intact. The samples obtained using this

  11. Interaction between facial expression and color

    OpenAIRE

    Kae Nakajima; Tetsuto Minami; Shigeki Nakauchi

    2017-01-01

    Facial color varies depending on emotional state, and emotions are often described in relation to facial color. In this study, we investigated whether the recognition of facial expressions was affected by facial color and vice versa. In the facial expression task, expression morph continua were employed: fear-anger and sadness-happiness. The morphed faces were presented in three different facial colors (bluish, neutral, and reddish color). Participants identified a facial expression between t...

  12. Differences in the Management of Pediatric Facial Trauma.

    Science.gov (United States)

    Braun, Tara L; Xue, Amy S; Maricevich, Renata S

    2017-05-01

    Craniofacial trauma is common in the pediatric population, with most cases limited to soft tissue and dentoalveolar injury. Although facial fractures are relatively rare in children compared with adults, they are often associated with severe injury and cause significant morbidity and disability. Initial evaluation of a child with facial trauma generally involves stabilizing the patient and identifying any severe concomitant injuries before diagnosing and managing facial injuries. The management of pediatric facial fractures is relatively more conservative than that of adults, and nonsurgical management is preferred when possible to prevent the disruption of future growth and development. Outcomes depend on the site of the injury, management plan, and subsequent growth, so children must be followed longitudinally for monitoring and the identification of any complications.

  13. Management of facial trauma in children: A case report

    Directory of Open Access Journals (Sweden)

    Das U

    2006-09-01

    Full Text Available Children are uniquely susceptible to cranio facial trauma because of their greater cranial mass to body ratio. Below the age of 5, the incidence of pediatric facial fractures in relation to the total is very low ranging from 0.6-1.2%. Maxillo-facial injuries may be quite dramatic causing parents to panic and the child to cry uncontrollably with blood, tooth and soft tissue debris in the mouth. The facial disfigurement caused by trauma can have a deep psychological impact on the tender minds of young children and their parents. This case report documents the trauma and follow up care of a 4-year-old patient with maxillofacial injuries.

  14. Application of cone beam computed tomography in facial imaging science

    Institute of Scientific and Technical Information of China (English)

    Zacharias Fourie; Janalt Damstra; Yijin Ren

    2012-01-01

    The use of three-dimensional (3D) methods for facial imaging has increased significantly over the past years.Traditional 2D imaging has gradually being replaced by 3D images in different disciplines,particularly in the fields of orthodontics,maxillofacial surgery,plastic and reconstructive surgery,neurosurgery and forensic sciences.In most cases,3D facial imaging overcomes the limitations of traditional 2D methods and provides the clinician with more accurate information regarding the soft-tissues and the underlying skeleton.The aim of this study was to review the types of imaging methods used for facial imaging.It is important to realize the difference between the types of 3D imaging methods as application and indications thereof may differ.Since 3D cone beam computed tomography (CBCT) imaging will play an increasingly importanl role in orthodontics and orthognathic surgery,special emphasis should be placed on discussing CBCT applications in facial evaluations.

  15. Facial paralysis and lymphocytic facial neuritis in a rhesus macaque (Macaca mulatta) positive for simian retrovirus type D2.

    Science.gov (United States)

    Hampton, Anna L; Colby, Lesley A; Bergin, Ingrid L

    2011-12-01

    Simian retrovirus type D (SRVD) is a naturally occurring betaretrovirus in nonhuman primates of the genus Macaca. Infection can lead to a variety of clinical, hematologic, and histopathologic abnormalities. We report an unusual clinical presentation of facial paralysis and histologic lymphocytic neuritis in an SRVD type 2 (SRVD2)-infected rhesus macaque (Macaca mulatta) with a catheter-associated vena caval thrombus, anemia, thrombocytopenia, and multisystemic lymphoid hyperplasia. At initial presentation, a right atrial mass was detected by echocardiography. The macaque was clinically asymptomatic but had persistent anemia, thrombocytopenia, hyperglobulinemia, and later neutropenia. It was seropositive for SRV and PCR-positive for SRVD 2. Approximately 1 mo after initial presentation, the macaque developed right facial paralysis and was euthanized. Histologic lesions included lymphoplasmacytic aggregates affecting multiple organs, consistent with SRV-related lymphoid hyperplasia. The right facial nerve showed lymphoplasmacytic inflammation. The nerve itself was negative immunohistochemically for SRV antigen, but antigen was present infrequently in pericapillary lymphoid cells within the facial nerve and abundantly within lymphoid aggregates in the adjacent parotid salivary gland, bone marrow, and soft tissue. Known neurotropic viruses could not be identified. Given the widespread inflammation in this macaque, particularly in the area surrounding the facial nerve, lymphocytic neuritis and facial paralysis likely were an indirect effect of SRV infection due to local extension of SRV-related inflammation in the surrounding tissue.

  16. Retinotopy of facial expression adaptation.

    Science.gov (United States)

    Matsumiya, Kazumichi

    2014-01-01

    The face aftereffect (FAE; the illusion of faces after adaptation to a face) has been reported to occur without retinal overlap between adaptor and test, but recent studies revealed that the FAE is not constant across all test locations, which suggests that the FAE is also retinotopic. However, it remains unclear whether the characteristic of the retinotopy of the FAE for one facial aspect is the same as that of the FAE for another facial aspect. In the research reported here, an examination of the retinotopy of the FAE for facial expression indicated that the facial expression aftereffect occurs without retinal overlap between adaptor and test, and depends on the retinal distance between them. Furthermore, the results indicate that, although dependence of the FAE on adaptation-test distance is similar between facial expression and facial identity, the FAE for facial identity is larger than that for facial expression when a test face is presented in the opposite hemifield. On the basis of these results, I discuss adaptation mechanisms underlying facial expression processing and facial identity processing for the retinotopy of the FAE.

  17. Realistic facial animation generation based on facial expression mapping

    Science.gov (United States)

    Yu, Hui; Garrod, Oliver; Jack, Rachael; Schyns, Philippe

    2014-01-01

    Facial expressions reflect internal emotional states of a character or in response to social communications. Though much effort has been taken to generate realistic facial expressions, it still remains a challenging topic due to human being's sensitivity to subtle facial movements. In this paper, we present a method for facial animation generation, which reflects true facial muscle movements with high fidelity. An intermediate model space is introduced to transfer captured static AU peak frames based on FACS to the conformed target face. And then dynamic parameters derived using a psychophysics method is integrated to generate facial animation, which is assumed to represent natural correlation of multiple AUs. Finally, the animation sequence in the intermediate model space is mapped to the target face to produce final animation.

  18. Hypoxia Promotes Proliferation of Human Myogenic Satellite Cells : A Potential Benefactor in Tissue Engineering of Skeletal Muscle

    NARCIS (Netherlands)

    Koning, Merel; Werker, Paul M. N.; van Luyn, Marja J. A.; Harmsen, Martin C.

    2011-01-01

    Facial paralysis is a physically, psychologically, and socially disabling condition. Innovative treatment strategies based on regenerative medicine, in particular tissue engineering of skeletal muscle, are promising for treatment of patients with facial paralysis. The natural source for tissue-engin

  19. Other facial neuralgias.

    Science.gov (United States)

    O'Neill, Francis; Nurmikko, Turo; Sommer, Claudia

    2017-01-01

    Premise In this article we review some lesser known cranial neuralgias that are distinct from trigeminal neuralgia, trigeminal autonomic cephalalgias, or trigeminal neuropathies. Included are occipital neuralgia, superior laryngeal neuralgia, auriculotemporal neuralgia, glossopharyngeal and nervus intermedius neuralgia, and pain from acute herpes zoster and postherpetic neuralgia of the trigeminal and intermedius nerves. Problem Facial neuralgias are rare and many physicians do not see such cases in their lifetime, so patients with a suspected diagnosis within this group should be referred to a specialized center where multidisciplinary team diagnosis may be available. Potential solution Each facial neuralgia can be identified on the basis of clinical presentation, allowing for precision diagnosis and planning of treatment. Treatment remains conservative with oral or topical medication recommended for neuropathic pain to be tried before more invasive procedures are undertaken. However, evidence for efficacy of current treatments remains weak.

  20. Facial resemblance enhances trust.

    Science.gov (United States)

    DeBruine, Lisa M

    2002-07-07

    Organisms are expected to be sensitive to cues of genetic relatedness when making decisions about social behaviour. Relatedness can be assessed in several ways, one of which is phenotype matching: the assessment of similarity between others' traits and either one's own traits or those of known relatives. One candidate cue of relatedness in humans is facial resemblance. Here, I report the effects of an experimental manipulation of facial resemblance in a two-person sequential trust game. Subjects were shown faces of ostensible playing partners manipulated to resemble either themselves or an unknown person. Resemblance to the subject's own face raised the incidence of trusting a partner, but had no effect on the incidence of selfish betrayals of the partner's trust. Control subjects playing with identical pictures failed to show such an effect. In a second experiment, resemblance of the playing partner to a familiar (famous) person had no effect on either trusting or betrayals of trust.

  1. Analysis of neural crest-derived clones reveals novel aspects of facial development

    NARCIS (Netherlands)

    Kaucka, Marketa; Ivashkin, Evgeny; Gyllborg, Daniel; Zikmund, Tomas; Tesarova, Marketa; Kaiser, Jozef; Xie, Meng; Petersen, Julian; Pachnis, Vassilis; Nicolis, Silvia K; Yu, Tian; Sharpe, Paul; Arenas, Ernest; Brismar, Hjalmar; Blom, Hans; Clevers, Hans; Suter, Ueli; Chagin, Andrei S; Fried, Kaj; Hellander, Andreas; Adameyko, Igor

    2016-01-01

    Cranial neural crest cells populate the future facial region and produce ectomesenchyme-derived tissues, such as cartilage, bone, dermis, smooth muscle, adipocytes, and many others. However, the contribution of individual neural crest cells to certain facial locations and the general spatial clonal

  2. Absorbed doses profiles vs Synovia tissue depth for the Y-90 and P-32 used in radiosynoviortesis treatment; Perfiles de dosis absorbida vs profundidad de tejido sinovial para el Y-90 y el P-32 empleados en tratamiento de radiosinoviortesis

    Energy Technology Data Exchange (ETDEWEB)

    Torres B, M.B.; Ayra P, F.E. [Centro de Isotopos (Cuba); Garcia R, E. [Hospital General Docente Enrique Cabrera (Cuba); Cornejo D, N. [CPHR, (Cuba); Yoriyaz, H. [IPEN, (Brazil)]. e-mail: nestor@cphr.edu.cu

    2006-07-01

    The radiosynoviortesis treatment has been used during more of 40 years as an alternative to the chemical and surgical synovectomy to alleviate the pain and to reduce the inflammation in suffered patients of rheumatic arthropathies, haemophilic arthropathies and other articulation disorders. It consists on the injection of radioactive isotopes inside a synovial cavity. For to evaluate the dosimetry of the radiosynoviortesis treatment is of great interest to know the absorbed dose in the volume of the target (synovia). The precise calculation of the absorbed dose in the inflamed synovia it is difficult, for numerous reasons, since the same one will depend on the thickness of the synovial membrane, the size of the articular space, the structure of the synovial membrane, the distribution in the articulation, the nature of the articular liquid, etc. Also the presence of the bone and the articular cartilage, components also of the articulation, it even complicated more the calculations. The method used to evaluate the dosimetry in radioactive synovectomy is known as the Monte Carlo method. The objective of our work consists on estimating with the Monte Carlo code MCNP4B the absorbed dose of the Y-90 and the P-32 in the depth of the synovial tissue. The results are presented as absorbed dose for injected millicurie (Gy/mCi) versus depth of synovial tissue. The simulation one carries out keeping in mind several synovia areas, of 50 cm{sup 2} to 250 cm{sup 2} keeping in mind three states of progression of the illness. Those obtained values of absorbed dose using the MCNP4B code will allow to introduce in our country an optimized method of dose prescription to the patient, to treat the rheumatic arthritis in medium and big articulations using the Y-90 and the P-32, eliminating the fixed doses and fixed radionuclides for each articulation like it happens in many clinics of Europe, as well as the empiric doses. (Author)

  3. Comparison of facial tissue measurements using two-dimensional and three-dimensional character acquisition system%面部软组织二维与三维特征提取系统的比较

    Institute of Scientific and Technical Information of China (English)

    王殊轶; 钱省三; 张敏燕; 周颖

    2009-01-01

    Complicated characteristic of facial modality acquisition and measurement is commonly needed in clinical environment.Two different methods were compared, one method was acquisition two-dimensional character based on the principle of machine vision with a charge-coupled device (CCD) capturing image, and another method was acquisition three-dimensional character based on the technology of Reverse Engineering with laser scanning capturing image. The principle, composition of the system, calibration and characteristics of different method are analyzed. Two-dimensional and three-dimensional facial data of thirty undergraduates was used to compare different methods. The application and restriction of different methods are concluded. The conclusion of this paper provided a reference for face plastic surgery, facial paralysis, facial surgical evaluation and rehabilitation design.%临床医学中常需要对复杂的面部形态进行特征提取与测量.文章比较了利用CCD进行面部软组织图像采集获得二维特征参量和利用逆向工程技术的激光面部软组织三维数据提取三维特征的两种方法,分析各自的原理、系统组成、标定方法与各自特点,利用这两种方法对30人进行了面部二维和三维特征数据提取比较,得出了两种方法的适用条件与限制.试验结果可为整形设计、面瘫、脸部外科手术评估、康复研究等临床应用提供参考.

  4. Multiracial Facial Golden Ratio and Evaluation of Facial Appearance.

    Directory of Open Access Journals (Sweden)

    Mohammad Khursheed Alam

    Full Text Available This study aimed to investigate the association of facial proportion and its relation to the golden ratio with the evaluation of facial appearance among Malaysian population. This was a cross-sectional study with 286 randomly selected from Universiti Sains Malaysia (USM Health Campus students (150 females and 136 males; 100 Malaysian Chinese, 100 Malaysian Malay and 86 Malaysian Indian, with the mean age of 21.54 ± 1.56 (Age range, 18-25. Facial indices obtained from direct facial measurements were used for the classification of facial shape into short, ideal and long. A validated structured questionnaire was used to assess subjects' evaluation of their own facial appearance. The mean facial indices of Malaysian Indian (MI, Malaysian Chinese (MC and Malaysian Malay (MM were 1.59 ± 0.19, 1.57 ± 0.25 and 1.54 ± 0.23 respectively. Only MC showed significant sexual dimorphism in facial index (P = 0.047; P<0.05 but no significant difference was found between races. Out of the 286 subjects, 49 (17.1% were of ideal facial shape, 156 (54.5% short and 81 (28.3% long. The facial evaluation questionnaire showed that MC had the lowest satisfaction with mean score of 2.18 ± 0.97 for overall impression and 2.15 ± 1.04 for facial parts, compared to MM and MI, with mean score of 1.80 ± 0.97 and 1.64 ± 0.74 respectively for overall impression; 1.75 ± 0.95 and 1.70 ± 0.83 respectively for facial parts.1 Only 17.1% of Malaysian facial proportion conformed to the golden ratio, with majority of the population having short face (54.5%; 2 Facial index did not depend significantly on races; 3 Significant sexual dimorphism was shown among Malaysian Chinese; 4 All three races are generally satisfied with their own facial appearance; 5 No significant association was found between golden ratio and facial evaluation score among Malaysian population.

  5. Clinical analysis of repairing soft tissue defects in oromaxillo-facial region with rectus abdominis musculocutaneous flaps in 18 Cases%腹直肌肌皮瓣修复口腔颌面部软组织缺损18例临床分析

    Institute of Scientific and Technical Information of China (English)

    羊书勇; 郑维银; 李晨军; 李浩; 米增媛; 李焰; 张建设; 卢艳鹏

    2012-01-01

    目的 总结腹直肌肌皮瓣用于口腔颌面部修复的经验,对腹直肌肌皮瓣的用途、应用方法 、成败因素等加以分析和讨论.方法 2007年6月~2010年6月,应用腹直肌肌皮瓣修复口腔颌面部软组织缺损18例,其中男性11例,女性7例,年龄46~71岁,均为肿瘤切除造成的组织缺损,所有病例均为即刻修复.结果 18例游离组织瓣成活17例,修复成功率为94.4%.结论 对于口腔颌面部肿瘤切除后形成的组织缺损,腹直肌肌皮瓣是进行修复的理想选择.%Objective To summarize the experience of repairing soft tissue defects in the oromaxillo - facial region with rectus abdominis musculocutaneous( RAM )flaps, and to discuss the usage, application method of RAM flaps and factors of success or failure. Methods From June 2007 to June 2010,there were 18 cases receiving the reparation of soft tissue defects in the oromaxillo - facial region with RAM flaps,in which 11 cases were male and 7 ones were female with the age ranged from 46 to 71. The tissue defects were all caused by tumor resection, and all cases received the immediate reparation. Results The dissociation tissue flaps in 17 cases survived. The success rate of reparation was 94. 4% . Conclusion RAM flap is a preferable choice for the reparation of tissue defects caused by tumor resection in the oromaxillo - facial region.

  6. A Study Of 7 Cases Of Depressed Facial Scars Corrected By Subcision

    Directory of Open Access Journals (Sweden)

    Malakar Subrata

    1997-01-01

    Full Text Available Seven (7 cases of depressed facial scars which included depressed distensile acne scars, depressed bound down scars of acne excluding deep ice pick scars, and scars of varicella constituted the study group. The scars were treated with a new method named subcuticular undermining. A tri-bevelled hypodermic needle was inserted through a puncture in the skin surface and its sharp edges were manouevered under the scar. The depression was lifted by the releasing action of the needle maneuevere and from connective tissue that forms in course of normal wound healing. Approximately 50% to 80% improvement of all the scars were noticed. Patient’s compliance was highly satisfactory. Subcision is an appropriate, option in depressed scars of black skin (Type IV-Type VI where dermabrasion and medium-depth and deep chemical peeling are contraindicated.

  7. 口腔颌面部游离组织皮瓣手术部位感染的病原学诊断及治疗%Etiological diagnosis and treatment of surgical site infections after free tissue flap surgery in oromaxillo-facial region

    Institute of Scientific and Technical Information of China (English)

    周晓丽; 郭福君; 李宏

    2014-01-01

    目的:观察口腔颌面部游离组织皮瓣手术患者手术部位感染(SSI)的病原学分析,以期提高临床诊治水平。方法选择2005年3月-2013年3月收治的152例口腔颌面部损伤需要接受游离组织皮瓣移植修复手术患者,观察患者SSI发生率,并统计发生SSI的相关因素以及病原学分析,数据均采用SPSS16.0软件进行统计分析和处理。结果152例口腔颌面部游离组织皮瓣手术患者发生SSI 27例,发生率为17.76%;口腔颌面部游离组织皮瓣手术患者发生SSI的相关因素,与患者术前的白细胞计数以及术前抗菌药物使用时间有关,差异有统计学意义(P<0.05);SSI病原菌以革兰阴性菌为主占62.96%、革兰阳性菌为29.63%、真菌为7.41%。结论口腔颌面部游离组织皮瓣手术患者发生SSI的相关因素与术前白细胞计数以及抗菌药物使用时间有关,因此应加强患者术前预防性抗菌药物使用,加强术后的随访和干预措施,有效降低SSI的发生。%OBJECTIVE To etiologically analyze surgical site infections (SSI) after free tissue flap surgery in the oromaxillo-facial region so as to improve clinical diagnosis and treatment .METHODS A retrospective analysis was conducted on 152 patients who received free tissue flap surgery for oromaxillo-facial injuries from Mar .2005 to Mar .2013 .Patients were observed for the incidence of SSI ,the related factors for SSI were investigated for etiological analysis and all data were statistically analyzed and processed with the SPSS 16 .0 software .RESULTS There were 27 cases of SSI in the 152 patients undergoing free tissue flap surgery in the oromaxillo-facial region , the prevalence was 17 .7% .Factors for SSI after free tissue flap surgery in the oromaxillo-facial region were related to the patient′s white blood cell count before surgery ,and preoperative use of antibiotics ,with significant differences (P<0 .05

  8. Laser facial nerve welding in a rabbit model.

    Science.gov (United States)

    Bloom, Jason D; Bleier, Benjamin S; Goldstein, Stephen A; Carniol, Paul J; Palmer, James N; Cohen, Noam A

    2012-01-01

    To assess the feasibility of laser tissue welding for repair of facial nerve injury. In a prospective in vivo animal survival surgery model, rabbit facial nerve injury was followed by either standard suture neurorrhaphy or laser tissue welding using a diode laser (808 ± 1 nm) to weld biological solder. Rabbits were evaluated at 4, 8, 12, and 16 weeks by facial videography and electromyography. Histopathological analysis of the repair was performed at 4 and 16 weeks. Videographic analysis demonstrated the laser tissue welding repair trended toward superior outcomes compared with suture neurorrhaphy at all 4 time points. Electrophysiological analysis demonstrated similar or better results, with statistically significant improvement at week 16 (P laser nerve repair created a greater initial inflammatory reaction. An analysis of operative time demonstrated significantly decreased time and ease of use for laser tissue welding. This pilot study demonstrates that laser nerve welding may be an expedient, feasible, and safe method for facial nerve repair in a rabbit model. Further experiments with larger numbers are needed to provide additional evidence that laser tissue welding produces a neurorrhaphy that has functional, electrophysiological, and histological results that could rival traditional suture neurorrhaphy.

  9. Facial pain and temporomandibular disorders

    OpenAIRE

    2002-01-01

    Abstract The study was undertaken to determine the prevalence of facial pain and the association of facial pain with temporomandibular disorders (TMD) as well as with other factors, in a geographically defined population-based sample consisting of subjects born in 1966 in northern Finland, and in a case-control study including subjects with facial pain and their healthy controls. In addition, the influence of conservative stomatognathic and necessary prosthetic treatme...

  10. Vertical dimension: a dynamic concept based on facial form and oropharyngeal function.

    Science.gov (United States)

    Mack, M R

    1991-10-01

    Craniofacial vertical dimension is a more accurate measure of facial proportion than mere measurement of the mid and lower part of the face. Craniomaxillary dimension is skeletally determined, whereas facial height of the lower part of the face is partly dependent on the vertical dimension of occlusion. Alterations in the vertical dimension of occlusion can dramatically affect the esthetics of the soft facial tissue. The "Golden Proportion" quantitatively defines ideal measured relationships and encourages a scientific appreciation of beauty. Faces with deficiencies in lower facial balance (brachyfacial) often exhibit insufficient height of the occlusal plane. The scientific literature has suggested a pliability of skeletal muscle allowing for physiologic variance in vertical facial height. Temporomandibular joint compliance is demonstrated with elevations in resting muscle length. Facial balance and location of the occlusal planes are the primary determinants for establishing an appropriate vertical dimension of occlusion.

  11. [Prosopagnosia and facial expression recognition].

    Science.gov (United States)

    Koyama, Shinichi

    2014-04-01

    This paper reviews clinical neuropsychological studies that have indicated that the recognition of a person's identity and the recognition of facial expressions are processed by different cortical and subcortical areas of the brain. The fusiform gyrus, especially the right fusiform gyrus, plays an important role in the recognition of identity. The superior temporal sulcus, amygdala, and medial frontal cortex play important roles in facial-expression recognition. Both facial recognition and facial-expression recognition are highly intellectual processes that involve several regions of the brain.

  12. Virtual 3-D Facial Reconstruction

    Directory of Open Access Journals (Sweden)

    Martin Paul Evison

    2000-06-01

    Full Text Available Facial reconstructions in archaeology allow empathy with people who lived in the past and enjoy considerable popularity with the public. It is a common misconception that facial reconstruction will produce an exact likeness; a resemblance is the best that can be hoped for. Research at Sheffield University is aimed at the development of a computer system for facial reconstruction that will be accurate, rapid, repeatable, accessible and flexible. This research is described and prototypical 3-D facial reconstructions are presented. Interpolation models simulating obesity, ageing and ethnic affiliation are also described. Some strengths and weaknesses in the models, and their potential for application in archaeology are discussed.

  13. History of facial pain diagnosis

    Science.gov (United States)

    Jensen, Troels S

    2017-01-01

    Premise Facial pain refers to a heterogeneous group of clinically and etiologically different conditions with the common clinical feature of pain in the facial area. Among these conditions, trigeminal neuralgia (TN), persistent idiopathic facial pain, temporomandibular joint pain, and trigeminal autonomic cephalalgias (TAC) are the most well described conditions. Conclusion TN has been known for centuries, and is recognised by its characteristic and almost pathognomonic clinical features. The other facial pain conditions are less well defined, and over the years there has been confusion about their classification. PMID:28181442

  14. Roentgenographic study on maxillofacial soft tissue in the mixed dentition

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jai Hei; Ahn, Hyung Kyu [Department of Dental Radiology, College of Dentistry, Seoul National University, Seoul (Korea, Republic of)

    1977-11-15

    The purpose of this study was to obtain the cephalometric maxillofacial soft tissue measurements and to define the differences that exist between male and female on the soft tissue profile who had normal occlusion in mixed dentitions. For the object of this study, cephalometric radiographs were obtained from the centric occlusion with the relaxed lip position. Copper filter was designed to obtain both hard and soft tissue structure on the same film. The subjects consist of 100 male and 100 female from 8 to 12.4 years with the normal occlusion and acceptable profiles. The author measured facial depth, vertical height from the cephalometric soft tissue profiles in the mixed dentitions. The significant test was performed to compare male with females. The following results were obtained from the study 1. In facial convexity, much more larger female than that of male. 2. Inclination of the lip posture was more larger in maxilla (male) and in female more larger in the mandible. 3. The thickness of soft tissue was thicker in male, the height of nose was more prominent in female. 4. There were no significant differences in both sexes.

  15. Botulinum Toxin (Botox) for Facial Wrinkles

    Science.gov (United States)

    ... Stories Español Eye Health / Eye Health A-Z Botulinum Toxin (Botox) for Facial Wrinkles Sections Botulinum Toxin (Botox) ... Facial Wrinkles How Does Botulinum Toxin (Botox) Work? Botulinum Toxin (Botox) for Facial Wrinkles Written by: Kierstan Boyd ...

  16. Facial nerve palsy due to birth trauma

    Science.gov (United States)

    Seventh cranial nerve palsy due to birth trauma; Facial palsy - birth trauma; Facial palsy - neonate; Facial palsy - infant ... this condition. Some factors that can cause birth trauma (injury) include: Large baby size (may be seen ...

  17. The facial evolution: looking backward and moving forward.

    Science.gov (United States)

    Baynam, Gareth; Walters, Mark; Claes, Peter; Kung, Stefanie; LeSouef, Peter; Dawkins, Hugh; Gillett, David; Goldblatt, Jack

    2013-01-01

    Three-dimensional (3D) facial analysis is ideal for high-resolution, nonionizing, noninvasive objective, high-throughput phenotypic, and phenomic studies. It is a natural complement to (epi)genetic technologies to facilitate advances in the understanding of rare and common diseases. The face is uniquely reflective of the primordial tissues, and there is evidence supporting the application of 3D facial analysis to the investigation of variation and disease including studies showing that the face can reflect systemic health, provides diagnostic clues to disorders, and that facial variation reflects biological pathways. In addition, facial variation has been related to evolutionary factors. The purpose of this review is to look backward to suggest that knowledge of human evolution supports, and may instruct, the application and interpretation of studies of facial morphology for documentation of human variation and investigation of its relationships with health and disease. Furthermore, in the context of advances of deep phenotyping and data integration, to look forward to suggest approaches to scalable implementation of facial analysis, and to suggest avenues for future research and clinical application of this technology.

  18. iFace: Facial Expression Training System

    OpenAIRE

    Ito, Kyoko; Kurose, Hiroyuki; Takami, Ai; Nishida, Shogo

    2008-01-01

    In this study, a target facial expression selection interface for a facial expression training system and a facial expression training system were both proposed and developed. Twelve female dentists used the facial expression training system, and evaluations and opinions about the facial expression training system were obtained from these participants. In the future, we will attempt to improve both the target facial expression selection interface and the comparison of a current and a target f...

  19. Plastic Changes of Synapses and Excitatory Neurotransmitter Receptors in Facial Nucleus Following Facial-facial Anastomosis

    Institute of Scientific and Technical Information of China (English)

    Pei CHEN; Jun SONG; Linghui LUO; Shusheng GONG

    2008-01-01

    The remodeling process of synapses and eurotransmitter receptors of facial nucleus were observed. Models were set up by facial-facial anastomosis in rat. At post-surgery day (PSD) 0, 7, 21 and 60, synaptophysin (p38), NMDA receptor subunit 2A and AMPA receptor subunit 2 (GIuR2) were observed by immunohistochemical method and emi-quantitative RT-PCR, respectively. Meanwhile, the synaptic structure of the facial motorneurons was observed under a transmission electron microscope (TEM). The intensity of p38 immunoreactivity was decreased, reaching the lowest value at PSD day 7, and then increased slightly at PSD 21. Ultrastructurally, the number of synapses in nucleus of the operational side decreased, which was consistent with the change in P38 immhnoreactivity. NMDAR2A mRNA was down-regulated significantly in facial nucleus after the operation (P000.05). The synapses innervation and the expression of NMDAR2A and AMPAR2 mRNA in facial nucleus might be modified to suit for the new motor tasks following facial-facial anastomosis, and influenced facial nerve regeneration and recovery.

  20. Children's Facial Trustworthiness Judgments: Agreement and Relationship with Facial Attractiveness.

    Science.gov (United States)

    Ma, Fengling; Xu, Fen; Luo, Xianming

    2016-01-01

    This study examined developmental changes in children's abilities to make trustworthiness judgments based on faces and the relationship between a child's perception of trustworthiness and facial attractiveness. One hundred and one 8-, 10-, and 12-year-olds, along with 37 undergraduates, were asked to judge the trustworthiness of 200 faces. Next, they issued facial attractiveness judgments. The results indicated that children made consistent trustworthiness and attractiveness judgments based on facial appearance, but with-adult and within-age agreement levels of facial judgments increased with age. Additionally, the agreement levels of judgments made by girls were higher than those by boys. Furthermore, the relationship between trustworthiness and attractiveness judgments increased with age, and the relationship between two judgments made by girls was closer than those by boys. These findings suggest that face-based trait judgment ability develops throughout childhood and that, like adults, children may use facial attractiveness as a heuristic cue that signals a stranger's trustworthiness.

  1. Three-dimensional facial distances of Northern Sudanese persons from childhood to young adulthood.

    Science.gov (United States)

    Sforza, Chiarella; Dolci, Claudia; Tommasi, Davide G; Pisoni, Luca; De Menezes, Marcio; Elamin, Fadil

    2014-07-01

    No current age- and gender-related normative data exist for the dimensions of facial structures in Northern Sudanese subjects. In the current study information about normal sex- and age-related linear distances is provided. The three-dimensional coordinates of 14 landmarks on the facial soft tissues were obtained using a hand-held laser scanner in 653 healthy Northern Sudanese subjects (326 males and 327 females) aged 4-30 years. From the landmarks, 13 linear distances were calculated, and averaged for age and sex. Comparisons were performed by factorial analysis of variance. All analyzed linear soft tissue facial dimensions were significantly larger in men than in women (p facial height (n-sn), mandibular body length (pg-go) and width (go-go). All measurements underwent significant modifications as a function of age (p facial morphology during normal growth and development.

  2. [Rehabilitation of facial paralysis].

    Science.gov (United States)

    Martin, F

    2015-10-01

    Rehabilitation takes an important part in the treatment of facial paralysis, especially when these are severe. It aims to lead the recovery of motor activity and prevent or reduce sequelae like synkinesis or spasms. It is preferable that it be proposed early in order to set up a treatment plan based on the results of the assessment, sometimes coupled with an electromyography. In case of surgery, preoperative work is recommended, especially in case of hypoglossofacial anastomosis or lengthening temporalis myoplasty (LTM). Our proposal is to present an original technique to enhance the sensorimotor loop and the cortical control of movement, especially when using botulinum toxin and after surgery.

  3. Lupus erythematosus--a case of facial swelling.

    Science.gov (United States)

    Loescher, A; Edmondson, H D

    1988-04-01

    A case is reported of acute facial swelling following tooth extraction that failed to respond in a normal manner. The patient developed systemic signs and symptoms ultimately revealing the diagnosis of lupus erythematosus. The possibility of soft tissue lesions arising in some forms of lupus is emphasised by this report.

  4. 除皱术在一期修复面部小面积皮肤及软组织缺损中的应用%Clinical applacation of rhytidectomy in one stage repair of facial small area skin and soft tissue defecet

    Institute of Scientific and Technical Information of China (English)

    翟朝晖; 李兆欣

    2009-01-01

    目的 初步探讨通过面部除皱术一期修复部分面部小面积皮肤软组织缺损的新方法,讨论其优点和缺点.方法 选择头面部皮肤、软组织缺损且面部皱纹明显的患者6例,实施面部除皱手术,同时修复缺损.结果 所有患者均一期修复面部缺损,术后随访6个月,除皱效果良好,无并发症,患者满意.结论 利用面部除皱术一期修复局部面部小面积皮肤及软组织缺损,是一项安全、有效的手术方式,不仅可以修复部分面部的小面积皮肤、软组织缺损,还可以同时有效的改善面部的皱纹情况.%Objective To investigate a new method of rapairing local facial small area skin and soft tissue defecet by means of rhytidectomy,in order to assess the value of it.Methods Six patients who suffered from facial aging skin with small area skin and soft tissue defecet in their faces were seleted to use this method.Results All the defecets were repaired in one stage with no complications using this new method,the effect of all patients was pleasure after six months follow-up.Conclusion This new method can remove wrinkles of skin,repair the skin and soft tissue defecet.This approach brings more rapid recorery of patients and it is feasible and safe for selected patientsment.

  5. Processing faces and facial expressions.

    Science.gov (United States)

    Posamentier, Mette T; Abdi, Hervé

    2003-09-01

    This paper reviews processing of facial identity and expressions. The issue of independence of these two systems for these tasks has been addressed from different approaches over the past 25 years. More recently, neuroimaging techniques have provided researchers with new tools to investigate how facial information is processed in the brain. First, findings from "traditional" approaches to identity and expression processing are summarized. The review then covers findings from neuroimaging studies on face perception, recognition, and encoding. Processing of the basic facial expressions is detailed in light of behavioral and neuroimaging data. Whereas data from experimental and neuropsychological studies support the existence of two systems, the neuroimaging literature yields a less clear picture because it shows considerable overlap in activation patterns in response to the different face-processing tasks. Further, activation patterns in response to facial expressions support the notion of involved neural substrates for processing different facial expressions.

  6. Tracking facial features with occlusions

    Institute of Scientific and Technical Information of China (English)

    MARKIN Evgeny; PRAKASH Edmond C.

    2006-01-01

    Facial expression recognition consists of determining what kind of emotional content is presented in a human face.The problem presents a complex area for exploration, since it encompasses face acquisition, facial feature tracking, facial expression classification. Facial feature tracking is of the most interest. Active Appearance Model (AAM) enables accurate tracking of facial features in real-time, but lacks occlusions and self-occlusions. In this paper we propose a solution to improve the accuracy of fitting technique. The idea is to include occluded images into AAM training data. We demonstrate the results by running ex periments using gradient descent algorithm for fitting the AAM. Our experiments show that using fitting algorithm with occluded training data improves the fitting quality of the algorithm.

  7. Facial Asymmetry and Emotional Expression

    CERN Document Server

    Pickin, Andrew

    2011-01-01

    This report is about facial asymmetry, its connection to emotional expression, and methods of measuring facial asymmetry in videos of faces. The research was motivated by two factors: firstly, there was a real opportunity to develop a novel measure of asymmetry that required minimal human involvement and that improved on earlier measures in the literature; and secondly, the study of the relationship between facial asymmetry and emotional expression is both interesting in its own right, and important because it can inform neuropsychological theory and answer open questions concerning emotional processing in the brain. The two aims of the research were: first, to develop an automatic frame-by-frame measure of facial asymmetry in videos of faces that improved on previous measures; and second, to use the measure to analyse the relationship between facial asymmetry and emotional expression, and connect our findings with previous research of the relationship.

  8. Vascularization of the facial bones by facial artery: implications for full face allotransplantation

    OpenAIRE

    Rampazzo, Antonio

    2014-01-01

    Background-The maxillary artery is recognized as the main vascular supply of the facial bones; nonetheless clinical evidence supports a co-dominant role for the facial artery. This study explores the extent of the facial skeleton within a facial allograft that can be harvested based on the facial artery. Methods-Twenty-three cadaver heads were used in this study. In 12 heads, the right facial, superficial temporal and maxillary arteries were injected. In 1 head, facial artery angiography w...

  9. Odontogenic Facial Cellulitis

    Directory of Open Access Journals (Sweden)

    Yordany Boza Mejias

    2012-11-01

    Full Text Available Background: odontogenic facial cellulitis is an acute inflammatory process manifested in very different ways, with a variable scale in clinical presentation ranging from harmless well defined processes, to diffuse and progressive that may develop complications leading the patient to a critical condition, even risking their lives. Objective: To characterize the behavior of odontogenic facial cellulitis. Methods: A descriptive case series study was conducted at the dental clinic of Aguada de Pasajeros, Cienfuegos, from September 2010 to March 2011. It included 56 patients who met the inclusion criteria. Variables analyzed included: sex, age, teeth and regions affected, causes of cellulite and prescribed treatment. Results: no sex predilection was observed, lower molars and submandibular anatomical region were the most affected (50% and 30 4% respectively being tooth decay the main cause for this condition (51, 7%. The opening access was not performed to all the patients in the emergency service. The causal tooth extraction was not commonly done early, according to the prescribed antibiotic group. Thermotherapy with warm fomentation and saline mouthwash was the most prescribed and the most widely used group of antibiotics was the penicillin. Conclusions: dental caries were the major cause of odontogenic cellulite. There are still difficulties with the implementation of opening access.

  10. Robot assisted physiotherapy to support rehabilitation of facial paralysis.

    Science.gov (United States)

    Jayatilake, Dushyantha; Isezaki, Takashi; Teramoto, Yohei; Eguchi, Kiyoshi; Suzuki, Kenji

    2014-05-01

    We have been developing the Robot Mask with shape memory alloy based actuators that follows an approach of manipulating the skin through a minimally obtrusive wires, transparent strips and tapes based pulling mechanism to enhance the expressiveness of the face. For achieving natural looking facial expressions by taking the advantage of specific characteristics of the skin, the Robot Mask follows a human anatomy based criteria in selecting these manipulation points and directions. In this paper, we describe a case study of using the Robot Mask to assist physiotherapy of a hemifacial paralyzed patient. The significant differences in shape and size of the human head between different individuals demands proper customizations of the Robot Mask. This paper briefly describes the adjusting and customizing stages employed from the design level to the implementation level of the Robot Mask. We will also introduce a depth image sensor data based analysis, which can remotely evaluate dynamic characteristics of facial expressions in a continuous manner. We then investigate the effectiveness of the Robot Mask by analyzing the range sensor data. From the case study, we found that the Robot Mask could automate the physiotherapy tasks of rehabilitation of facial paralysis. We also verify that, while providing quick responses, the Robot Mask can reduce the asymmetry of a smiling face and manipulate the facial skin to formations similar to natural facial expressions.

  11. Colesteatoma causando paralisia facial Cholesteatoma causing facial paralysis

    Directory of Open Access Journals (Sweden)

    José Ricardo Gurgel Testa

    2003-10-01

    Full Text Available A paralisia facial causada pelo colesteatoma é pouco freqüente. As porções do nervo mais acometidas são a timpânica e a região do 2º joelho. Nos casos de disseminação da lesão colesteatomatosa para o epitímpano anterior, o gânglio geniculado é o segmento do nervo facial mais sujeito à injúria. A etiopatogenia pode estar ligada à compressão do nervo pelo colesteatoma seguida de diminuição do seu suprimento vascular como também pela possível ação de substâncias neurotóxicas produzidas pela matriz do tumor ou pelas bactérias nele contidas. OBJETIVO: Avaliar a incidência, as características clínicas e o tratamento da paralisia facial decorrente da lesão colesteatomatosa. FORMA DE ESTUDO: Clínico retrospectivo. MATERIAL E MÉTODO: Estudo retrospectivo envolvendo dez casos de paralisia facial por colesteatoma selecionados através de levantamento de 206 descompressões do nervo facial com diferentes etiologias, realizadas na UNIFESP-EPM nos últimos dez anos. RESULTADOS: A incidência de paralisia facial por colesteatoma neste estudo foi de 4,85%,com predominância do sexo feminino (60%. A idade média dos pacientes foi de 39 anos. A duração e o grau da paralisia (inicial juntamente com a extensão da lesão foram importantes em relação à recuperação funcional do nervo facial. CONCLUSÃO: O tratamento cirúrgico precoce é fundamental para que ocorra um resultado funcional mais adequado. Nos casos de ruptura ou intensa fibrose do tecido nervoso, o enxerto de nervo (auricular magno/sural e/ou a anastomose hipoglosso-facial podem ser sugeridas.Facial paralysis caused by cholesteatoma is uncommon. The portions most frequently involved are horizontal (tympanic and second genu segments. When cholesteatomas extend over the anterior epitympanic space, the facial nerve is placed in jeopardy in the region of the geniculate ganglion. The aetiology can be related to compression of the nerve followed by impairment of its

  12. MRI of the facial nerve in idiopathic facial palsy

    Energy Technology Data Exchange (ETDEWEB)

    Saatci, I. [Dept. of Radiology, Hacettepe Univ., Hospital Sihhiye, Ankara (Turkey); Sahintuerk, F. [Dept. of Radiology, Hacettepe Univ., Hospital Sihhiye, Ankara (Turkey); Sennaroglu, L. [Dept. of Otolaryngology, Head and Neck Surgery, Hacettepe Univ., Hospital Sihhiye, Ankara (Turkey); Boyvat, F. [Dept. of Radiology, Hacettepe Univ., Hospital Sihhiye, Ankara (Turkey); Guersel, B. [Dept. of Otolaryngology, Head and Neck Surgery, Hacettepe Univ., Hospital Sihhiye, Ankara (Turkey); Besim, A. [Dept. of Radiology, Hacettepe Univ., Hospital Sihhiye, Ankara (Turkey)

    1996-10-01

    The purpose of this prospective study was to define the enhancement pattern of the facial nerve in idiopathic facial paralysis (Bell`s palsy) on magnetic resonance (MR) imaging with routine doses of gadolinium-DTPA (0.1 mmol/kg). Using 0.5 T imager, 24 patients were examined with a mean interval time of 13.7 days between the onset of symptoms and the MR examination. Contralateral asymptomatic facial nerves constituted the control group and five of the normal facial nerves (20.8%) showed enhancement confined to the geniculate ganglion. Hence, contrast enhancement limited to the geniculate ganglion in the abnormal facial nerve (3 of 24) was referred to a equivocal. Not encountered in any of the normal facial nerves, enhancement of other segments alone or associated with geniculate ganglion enhancement was considered to be abnormal and noted in 70.8% of the symptomatic facial nerves. The most frequently enhancing segments were the geniculate ganglion and the distal intracanalicular segment. (orig.)

  13. The Facial Profile in the Context of Facial Aesthetics.

    Science.gov (United States)

    Heppt, Werner J; Vent, Julia

    2015-10-01

    Beauty has been an intriguing issue since the evolving of a culture in mankind. Even the Neanderthals are believed to have applied makeover to enhance facial structures and thus underline beauty. The determinants of beauty and aesthetics have been defined by artists and scientists alike. This article will give an overview of the evolvement of a beauty concept and the significance of the facial profile. It aims at sharpening the senses of the facial plastic surgeon for analyzing the patient's face, consulting the patient on feasible options, planning, and conducting surgery in the most individualized way.

  14. Diplegia facial traumatica Traumatic facial diplegia: a case report

    Directory of Open Access Journals (Sweden)

    J. Fortes-Rego

    1975-12-01

    Full Text Available É relatado um caso de paralisia facial bilateral, incompleta, associada a hipoacusia esquerda, após traumatismo cranioencefálico, com fraturas evidenciadas radiológicamente. Algumas considerações são formuladas tentando relacionar ditas manifestações com fraturas do osso temporal.A case of traumatic facial diplegia with left partial loss of hearing following head injury is reported. X-rays showed fractures on the occipital and left temporal bones. A review of traumatic facial paralysis is made.

  15. Paralisia facial bilateral Bilateral facial paralysis: a case report

    Directory of Open Access Journals (Sweden)

    J. Fortes-Rego

    1976-03-01

    Full Text Available É apresentado um caso de diplegia facial surgida após meningite meningocócica e infecção por herpes simples. Depois de discutir as diversas condições que o fenômeno pode apresentar-se, o autor inclina-se por uma etiologia herpética.A case of bilateral facial paralysis following meningococcal meningitis and herpes simplex infection is reported. The author discusses the differential diagnosis of bilateral facial nerve paralysis which includes several diseases and syndromes and concludes by herpetic aetiology.

  16. Cambios faciales y de tejidos blandos en pacientes con síndrome de clase II división 1 tratados con bloques gemelos Facial and of sofe tissue changes in patients with class II division 1 syndrome treated wiht twin blocks

    Directory of Open Access Journals (Sweden)

    Rebeca Fernández Ysla

    2005-08-01

    Full Text Available Los bloques gemelos son un sistema de aparatos funcionales que incorpora el uso de bloques de mordida superiores e inferiores, reposicionan la mandíbula y transmiten las fuerzas oclusales favorables a los planos inclinados que cubren los dientes posteriores. Se realizó un estudio prospectivo en una muestra de 13 pacientes, cuyas edades oscilaban entre 11 y 13 años, los cuales presentaron dentición permanente, maloclusión clase II división 1, y fueron tratados con los aparatos bloques gemelos convencionales. Después de 6 meses se obtuvieron cambios faciales favorables en todos los parámetros evaluados; la mayoría de los pacientes que presentaban perfil convexo alcanzaron un perfil recto. Se logró un cierre bilabial funcional en el 92,31 % de los pacientes. El ángulo nasolabial aumentó significativamente y la protrusión del labio inferior varió de 0,26 a 1,03 mm considerado altamente significativo estadísticamente.The twin blocks are a system of functional apparatuses that incorporate the use of blocks of upper and lower bites, reposition the mandible and transmit the favorable occlusal forces to the inclined planes covering the posterior tooth. A prospective study was undertaken in a sample of 13 patients aged 11-13 that presented permanent dentition, class II division I malocclusion, and that were treated with conventional twin blocks apparatuses. After 6 months, favorable facial changes were obtained in all the evaluated parameters. Most of the patients that presented a convex profile, attained a straight profile. A functional bilabial closure was achieved in 92.31 % of the patients. The nasolabial angle increased significantly and the protrusion of the inferior lip varied from 0.26 to 1.03 mm, which was highly significant from the statistical point of view.

  17. The Dehiscent Facial Nerve Canal

    Directory of Open Access Journals (Sweden)

    Sertac Yetiser

    2012-01-01

    Full Text Available Accidental injury to the facial nerve where the bony canal defects are present may result with facial nerve dysfunction during otological surgery. Therefore, it is critical to know the incidence and the type of facial nerve dehiscences in the presence of normal development of the facial canal. The aim of this study is to review the site and the type of such bony defects in 144 patients operated for facial paralysis, myringoplasty, stapedotomy, middle ear exploration for sudden hearing loss, and so forth, other than chronic suppurative otitis media with or without cholesteatoma, middle ear tumors, and anomaly. Correlation of intraoperative findings with preoperative computerized tomography was also analyzed in 35 patients. Conclusively, one out of every 10 surgical cases may have dehiscence of the facial canal which has to be always borne in mind during surgical manipulation of the middle ear. Computerized tomography has some limitations to evaluate the dehiscent facial canal due to high false negative and positive rates.

  18. Does facial resemblance enhance cooperation?

    Directory of Open Access Journals (Sweden)

    Trang Giang

    Full Text Available Facial self-resemblance has been proposed to serve as a kinship cue that facilitates cooperation between kin. In the present study, facial resemblance was manipulated by morphing stimulus faces with the participants' own faces or control faces (resulting in self-resemblant or other-resemblant composite faces. A norming study showed that the perceived degree of kinship was higher for the participants and the self-resemblant composite faces than for actual first-degree relatives. Effects of facial self-resemblance on trust and cooperation were tested in a paradigm that has proven to be sensitive to facial trustworthiness, facial likability, and facial expression. First, participants played a cooperation game in which the composite faces were shown. Then, likability ratings were assessed. In a source memory test, participants were required to identify old and new faces, and were asked to remember whether the faces belonged to cooperators or cheaters in the cooperation game. Old-new recognition was enhanced for self-resemblant faces in comparison to other-resemblant faces. However, facial self-resemblance had no effects on the degree of cooperation in the cooperation game, on the emotional evaluation of the faces as reflected in the likability judgments, and on the expectation that a face belonged to a cooperator rather than to a cheater. Therefore, the present results are clearly inconsistent with the assumption of an evolved kin recognition module built into the human face recognition system.

  19. Analysis methods for facial motion

    Directory of Open Access Journals (Sweden)

    Katsuaki Mishima

    2009-05-01

    Full Text Available Objective techniques to evaluate a facial movement are indispensable for the contemporary treatment of patients with motor disorders such as facial paralysis, cleft lip, postoperative head and neck cancer, and so on. Recently, computer-assisted, video-based techniques have been devised and reported as measuring systems in which facial movements can be evaluated quantitatively. Commercially available motion analysis systems, in which a stereo-measuring technique with multiple cameras and markers to facilitate search of matching among images through all cameras, also are utilized, and are used in many measuring systems such as video-based systems. The key is how the problems of facial movement can be extracted precisely, and how useful information for the diagnosis and decision-making process can be derived from analyses of facial movement. Therefore, it is important to discuss which facial animations should be examined, and whether fixation of the head and markers attached to the face can hamper natural facial movement.

  20. Acupuncture Treatment of Facial Spasm

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ Case History Ms. Zheng from Singapore, aged 51 years, paid her first visit on Aug.30, 2006, with the chief complaint of left facial paralysis accompanied with facial spasm for 5 years. The patient got left facial paralysis in 2001, which was not completely cured, and developed into facial spasm one year later. Although she had received various treatments including surgical operation, the disease was not cured. At the moment she had discomfort and dull sensation in the left facial area, mainly accompanied with twitching of the peripheral nerve of the eye. She was also accompanied with posterior auricular muscle tension and discomfort. She had fairly good sleep and appetite, but slightly quick temper. Physical examination at the moment showed that the patient had a slightly thin body figure, flushing face, and good mental state. The blood pressure was 110/75mmHg and the heart rate was 85 beats/min. No abnormal signs were found in the heart and lungs. The facial examination showed mild swelling of the left side of the face, incomplete closing of the eye lids, disappearance of wrinkles on the forehead, shallow nasolabial groove, and obvious muscle tension and tenderness in the left opisthotic region. Careful observation could find slight facial muscular twitching. The tongue proper was red with little coating, and the pulse thready-wiry.

  1. Facial transplantation: a review of ethics, progress, and future targets

    Directory of Open Access Journals (Sweden)

    Edwards JA

    2011-09-01

    Full Text Available James A Edwards1, David W Mathes21Department of Plastic and Reconstructive Surgery, Skagit Valley Hospital, Mount Vernon, WA, USA; 2Division of Plastic Surgery, University of Washington Medical Center, Seattle, WA, USAAbstract: The surgical history of transplantation in the modern era begins in 1956 with the successful transplantation of a kidney between identical twins. Since then the field of transplantation has seen remarkable advancements in both surgical techniques and our understanding and ability to manipulate the immune response. Composite tissue allotransplantation involves the transplantation of any combination of vascularized skin, subcutaneous tissue, blood vessels, nerves, muscle, and bone. Orthotopic hand transplantation is considered the first clinical example of CTA and has seen success at many different centers worldwide. Facial allotransplantation is a recent development in the field of CTA and the first successful case was performed as recently as November 2005. Since then there have been a number of successful facial transplants. The purpose of this paper is to examine some of the issues surrounding facial transplantation including the complex ethical issues, the surgical and clinical issues, cost and administrative issues, and future directions for this new, exciting, and controversial field.Keywords: composite tissue allograft, facial transplantation

  2. Facial Action Units Recognition: A Comparative Study

    NARCIS (Netherlands)

    Popa, M.C.; Rothkrantz, L.J.M.; Wiggers, P.; Braspenning, R.A.C.; Shan, C.

    2011-01-01

    Many approaches to facial expression recognition focus on assessing the six basic emotions (anger, disgust, happiness, fear, sadness, and surprise). Real-life situations proved to produce many more subtle facial expressions. A reliable way of analyzing the facial behavior is the Facial Action Coding

  3. Microbial biofilms on silicone facial prostheses

    NARCIS (Netherlands)

    Ariani, Nina

    2015-01-01

    Facial disfigurements can result from oncologic surgery, trauma and congenital deformities. These disfigurements can be rehabilitated with facial prostheses. Facial prostheses are usually made of silicones. A problem of facial prostheses is that microorganisms can colonize their surface. It is hard

  4. Improving outcomes in aesthetic facial reconstruction.

    Science.gov (United States)

    Hofer, Stefan O P; Mureau, Marc A M

    2009-07-01

    Aesthetic facial reconstruction is a challenging art. Improving outcomes in aesthetic facial reconstruction requires a thorough understanding of the basic principles of the functional and aesthetic requirements for facial reconstruction. From there, further refinement and attention to detail can be provided. This paper discusses basic principles of aesthetic facial reconstruction.

  5. Facial Action Units Recognition: A Comparative Study

    NARCIS (Netherlands)

    Popa, M.C.; Rothkrantz, L.J.M.; Wiggers, P.; Braspenning, R.A.C.; Shan, C.

    2011-01-01

    Many approaches to facial expression recognition focus on assessing the six basic emotions (anger, disgust, happiness, fear, sadness, and surprise). Real-life situations proved to produce many more subtle facial expressions. A reliable way of analyzing the facial behavior is the Facial Action Coding

  6. Facial melanoses: Indian perspective

    Directory of Open Access Journals (Sweden)

    Neena Khanna

    2011-01-01

    Full Text Available Facial melanoses (FM are a common presentation in Indian patients, causing cosmetic disfigurement with considerable psychological impact. Some of the well defined causes of FM include melasma, Riehl′s melanosis, Lichen planus pigmentosus, erythema dyschromicum perstans (EDP, erythrosis, and poikiloderma of Civatte. But there is considerable overlap in features amongst the clinical entities. Etiology in most of the causes is unknown, but some factors such as UV radiation in melasma, exposure to chemicals in EDP, exposure to allergens in Riehl′s melanosis are implicated. Diagnosis is generally based on clinical features. The treatment of FM includes removal of aggravating factors, vigorous photoprotection, and some form of active pigment reduction either with topical agents or physical modes of treatment. Topical agents include hydroquinone (HQ, which is the most commonly used agent, often in combination with retinoic acid, corticosteroids, azelaic acid, kojic acid, and glycolic acid. Chemical peels are important modalities of physical therapy, other forms include lasers and dermabrasion.

  7. Comparative study of psychologtcal health conditions between elderly and young adult patients with facial soft tissue injury and analysis of the mode for the diagnosis and treatment%中青年与老年面部创伤患者心理状态比较及诊疗模式分析

    Institute of Scientific and Technical Information of China (English)

    杨震; 亓发芝; 顾建英; 曹小曼

    2009-01-01

    Objective To compare the difference of psychological health conditions between eldedy and young adult patients with facial soft tissue injury.Methods The SDS,SAS and UCLA loneliness scale were applied to 88 patients with facial soft tissue injury.Results The score of anxiety and depression index in young adult patients were significantly higher than that in elderly adult patients[(50.96±6.21)vs(40.45±5.29),P<0.01;(0.58±0.06)vs(0.44±0.04),P<0.01].However,the loneliness score was notably lower than that in elderly adult patients[(60.62±5.43)vs(38.22±6.64)](P<0.01).Conclusion The facial injury patients of different ages suffered from different psychological symptoms and they should be treated differently.%目的 比较中青年与老年面部创伤患者心理状态.方法 采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、UCLA孤独量表等心理学量表对88例面部创伤患者的心理健康状况进行测量.结果 中青年患者焦虑评分[(50.96±6.21)分]、抑郁指数[(0.58±0.06)]明显高于老年患者[(40.45±5.29)分,(0.44±0.04)](P<0.01),老年患者的孤独评分[(60.62±5.43)分]明显高于中青年患者[(38.22±6.64)分](P<0.01).结论 不同年龄层次的面部创伤患者心理障碍情况有很大不同,在临床处理上应区别对待.

  8. Simple technique for facial dimple

    Directory of Open Access Journals (Sweden)

    Ahmed Hassan El-Sabbagh

    2015-01-01

    Full Text Available Background: Subjects seeking aesthetic surgery for facial dimples are increasing in number. Literature on dimple creation surgery are sparse. Various techniques have been used with their own merits and disadvantages. Materials and Methods: Facial dimples were created in 23 cases. All the subjects were females. Five cases were bilateral and the rest were unilateral. Results: Minor complications such as swelling and hematoma were observed in four cases. Infection occurred in two cases. Most of the subjects were satisfied with the results. Conclusions: Suturing technique is safe, reliable and an easily reproducible way to create facial dimple. Level of Evidence: IV: Case series.

  9. Sleep Wrinkles: Facial Aging and Facial Distortion During Sleep.

    Science.gov (United States)

    Anson, Goesel; Kane, Michael A C; Lambros, Val

    2016-09-01

    Wrinkles are just one indicator of facial aging, but an indicator that is of prime importance in our world of facial aesthetics. Wrinkles occur where fault lines develop in aging skin. Those fault lines may be due to skin distortion resulting from facial expression or may be due to skin distortion from mechanical compression during sleep. Expression wrinkles and sleep wrinkles differ in etiology, location, and anatomical pattern. Compression, shear, and stress forces act on the face in lateral or prone sleep positions. We review the literature relating to the development of wrinkles and the biomechanical changes that occur in response to intrinsic and extrinsic influences. We explore the possibility that compression during sleep not only results in wrinkles but may also contribute to facial skin expansion.

  10. FaceWarehouse: a 3D facial expression database for visual computing.

    Science.gov (United States)

    Cao, Chen; Weng, Yanlin; Zhou, Shun; Tong, Yiying; Zhou, Kun

    2014-03-01

    We present FaceWarehouse, a database of 3D facial expressions for visual computing applications. We use Kinect, an off-the-shelf RGBD camera, to capture 150 individuals aged 7-80 from various ethnic backgrounds. For each person, we captured the RGBD data of her different expressions, including the neutral expression and 19 other expressions such as mouth-opening, smile, kiss, etc. For every RGBD raw data record, a set of facial feature points on the color image such as eye corners, mouth contour, and the nose tip are automatically localized, and manually adjusted if better accuracy is required. We then deform a template facial mesh to fit the depth data as closely as possible while matching the feature points on the color image to their corresponding points on the mesh. Starting from these fitted face meshes, we construct a set of individual-specific expression blendshapes for each person. These meshes with consistent topology are assembled as a rank-3 tensor to build a bilinear face model with two attributes: identity and expression. Compared with previous 3D facial databases, for every person in our database, there is a much richer matching collection of expressions, enabling depiction of most human facial actions. We demonstrate the potential of FaceWarehouse for visual computing with four applications: facial image manipulation, face component transfer, real-time performance-based facial image animation, and facial animation retargeting from video to image.

  11. Dynamic Facial Prosthetics for Sufferers of Facial Paralysis

    Directory of Open Access Journals (Sweden)

    Fergal Coulter

    2011-10-01

    Full Text Available BackgroundThis paper discusses the various methods and the materialsfor the fabrication of active artificial facial muscles. Theprimary use for these will be the reanimation of paralysedor atrophied muscles in sufferers of non-recoverableunilateral facial paralysis.MethodThe prosthetic solution described in this paper is based onsensing muscle motion of the contralateral healthy musclesand replicating that motion across a patient’s paralysed sideof the face, via solid state and thin film actuators. Thedevelopment of this facial prosthetic device focused onrecreating a varying intensity smile, with emphasis ontiming, displacement and the appearance of the wrinklesand folds that commonly appear around the nose and eyesduring the expression.An animatronic face was constructed with actuations beingmade to a silicone representation musculature, usingmultiple shape-memory alloy cascades. Alongside theartificial muscle physical prototype, a facial expressionrecognition software system was constructed. This formsthe basis of an automated calibration and reconfigurationsystem for the artificial muscles following implantation, soas to suit the implantee’s unique physiognomy.ResultsAn animatronic model face with silicone musculature wasdesigned and built to evaluate the performance of ShapeMemory Alloy artificial muscles, their power controlcircuitry and software control systems. A dual facial motionsensing system was designed to allow real time control overmodel – a piezoresistive flex sensor to measure physicalmotion, and a computer vision system to evaluate real toartificial muscle performance.Analysis of various facial expressions in real subjects wasmade, which give useful data upon which to base thesystems parameter limits.ConclusionThe system performed well, and the various strengths andshortcomings of the materials and methods are reviewedand considered for the next research phase, when newpolymer based artificial muscles are constructed

  12. Nablus mask-like facial syndrome

    DEFF Research Database (Denmark)

    Allanson, Judith; Smith, Amanda; Hare, Heather

    2012-01-01

    Nablus mask-like facial syndrome (NMLFS) has many distinctive phenotypic features, particularly tight glistening skin with reduced facial expression, blepharophimosis, telecanthus, bulky nasal tip, abnormal external ear architecture, upswept frontal hairline, and sparse eyebrows. Over the last few...... heterozygous deletions significantly overlapping the region associated with NMLFS. Notably, while one mother and child were said to have mild tightening of facial skin, none of these individuals exhibited reduced facial expression or the classical facial phenotype of NMLFS. These findings indicate...

  13. Facial Expression Recognition Using SVM Classifier

    OpenAIRE

    2015-01-01

    Facial feature tracking and facial actions recognition from image sequence attracted great attention in computer vision field. Computational facial expression analysis is a challenging research topic in computer vision. It is required by many applications such as human-computer interaction, computer graphic animation and automatic facial expression recognition. In recent years, plenty of computer vision techniques have been developed to track or recognize the facial activities in three levels...

  14. Use of rapidly hardening hydroxyapatite cement for facial contouring surgery.

    Science.gov (United States)

    Lee, Dong Won; Kim, Ji Ye; Lew, Dae Hyun

    2010-07-01

    Hydroxyapatite cement is an ideal alloplastic material to replace the autogenous bone grafts in craniofacial surgery. Hydroxyapatite cement is advantageous because it can be easily molded by hand unlike other alloplastic materials such as silicone and high-density polyethylene. For aesthetic applications of hydroxyapatite cement, we evaluated the efficacy and safety of the rapidly hardening hydroxyapatite cement used in facial contour augmentation, especially for the forehead and the malar area. A total of 18 cases of facial skeleton augmentation or contouring surgery using rapidly hardening hydroxyapatite cement (Mimix; Biomet, Warsaw, IN) were examined, and the long-term cosmetic results and any complications were also analyzed. The aims of facial contouring surgeries were to correct the following conditions: hemifacial microsomia, craniosynostosis, posttraumatic facial deformity, deformity after tumor resection, dentofacial deformity, and Romberg disease. The application sites of hydroxyapatite cement were the forehead, malar area, chin, and paranasal area. A mean of 16 g (range, 5-50 g) of the hydroxyapatite cement was used. Postoperative infection, seroma, and migration of the implant were not observed during the follow-up period of 23 months. Rapidly hardening hydroxyapatite cement, Mimix, is easy to manipulate, promptly sclerotized, and can be replaced by living bone tissue, with a low complication rate. Therefore, it can be an optimal treatment that can be used instead of other conventional types of alloplastic materials used in facial contouring surgery.

  15. Dermofat graft in deep nasolabial fold and facial rhytidectomy.

    Science.gov (United States)

    Hwang, Kun; Han, Jin Yi; Kim, Dae Joong

    2003-01-01

    Fat and dermis or the combined tissues are used commonly in augmentation of the nasolabial fold. Guyuron obtained the dermofat graft from either the suprapubic or the groin region. The thickness of the preauricular skin was measured in seven Korean cadavers, five male and two female. We used the dermofat graft out of the preauricular skin remnant after facial rhytidectomy to augment the deep nasolabial fold in a patient. The average thickness of the epidermis was 56 +/- 12 microm, the dermis was 1820 +/- 265 microm thick, and the subcutaneous tissue was 4783 +/- 137 microm. More dense connective tissues, such as SMAS, are seen in the preauricular skin. The dermofat graft was easily obtained and prepared from the leftover preauricular skin after dissection of the lax skin in face lifting. This technique could be employed effectively and successfully to alleviate a deep nasolabial fold and concomitant facial rhytidectomy in an Asian with a thick preauricular skin.

  16. Sympathicotomy for isolated facial blushing

    DEFF Research Database (Denmark)

    Licht, Peter Bjørn; Pilegaard, Hans K; Ladegaard, Lars

    2012-01-01

    Background. Facial blushing is one of the most peculiar of human expressions. The pathophysiology is unclear, and the prevalence is unknown. Thoracoscopic sympathectomy may cure the symptom and is increasingly used in patients with isolated facial blushing. The evidence base for the optimal level...... of targeting the sympathetic chain is limited to retrospective case studies. We present a randomized clinical trial. Methods. 100 patients were randomized (web-based, single-blinded) to rib-oriented (R2 or R2-R3) sympathicotomy for isolated facial blushing at two university hospitals during a 6-year period...... in all social and mental domains in both groups. Overall, 85% of the patients had an excellent or satisfactory result, with no significant difference between the R2 procedure and the R2-R3 procedure. Mild recurrence of facial blushing occurred in 30% of patients within the first year. One patient...

  17. Facial nerve paralysis in children.

    Science.gov (United States)

    Ciorba, Andrea; Corazzi, Virginia; Conz, Veronica; Bianchini, Chiara; Aimoni, Claudia

    2015-12-16

    Facial nerve palsy is a condition with several implications, particularly when occurring in childhood. It represents a serious clinical problem as it causes significant concerns in doctors because of its etiology, its treatment options and its outcome, as well as in little patients and their parents, because of functional and aesthetic outcomes. There are several described causes of facial nerve paralysis in children, as it can be congenital (due to delivery traumas and genetic or malformative diseases) or acquired (due to infective, inflammatory, neoplastic, traumatic or iatrogenic causes). Nonetheless, in approximately 40%-75% of the cases, the cause of unilateral facial paralysis still remains idiopathic. A careful diagnostic workout and differential diagnosis are particularly recommended in case of pediatric facial nerve palsy, in order to establish the most appropriate treatment, as the therapeutic approach differs in relation to the etiology.

  18. Spontaneous Emotional Facial Expression Detection

    Directory of Open Access Journals (Sweden)

    Zhihong Zeng

    2006-08-01

    Full Text Available Change in a speaker’s emotion is a fundamental component in human communication. Automatic recognition of spontaneous emotion would significantly impact human-computer interaction and emotion-related studies in education, psychology and psychiatry. In this paper, we explore methods for detecting emotional facial expressions occurring in a realistic human conversation setting—the Adult Attachment Interview (AAI. Because non-emotional facial expressions have no distinct description and are expensive to model, we treat emotional facial expression detection as a one- class classification problem, which is to describe target objects (i.e., emotional facial expressions and distinguish them from outliers (i.e., non-emotional ones. Our preliminary experiments on AAI data suggest that one-class classification methods can reach a good balance between cost (labeling and computing and recognition performance by avoiding non-emotional expression labeling and modeling.

  19. Imaging of the facial nerve

    Energy Technology Data Exchange (ETDEWEB)

    Veillon, F. [Service de Radiologie I, Hopital de Hautepierre, 67098 Strasbourg Cedex (France)], E-mail: Francis.Veillon@chru-strasbourg.fr; Ramos-Taboada, L.; Abu-Eid, M. [Service de Radiologie I, Hopital de Hautepierre, 67098 Strasbourg Cedex (France); Charpiot, A. [Service d' ORL, Hopital de Hautepierre, 67098 Strasbourg Cedex (France); Riehm, S. [Service de Radiologie I, Hopital de Hautepierre, 67098 Strasbourg Cedex (France)

    2010-05-15

    The facial nerve is responsible for the motor innervation of the face. It has a visceral motor function (lacrimal, submandibular, sublingual glands and secretion of the nose); it conveys a great part of the taste fibers, participates to the general sensory of the auricle (skin of the concha) and the wall of the external auditory meatus. The facial mimic, production of tears, nasal flow and salivation all depend on the facial nerve. In order to image the facial nerve it is mandatory to be knowledgeable about its normal anatomy including the course of its efferent and afferent fibers and about relevant technical considerations regarding CT and MR to be able to achieve high-resolution images of the nerve.

  20. Facial Areas and Emotional Information

    Science.gov (United States)

    Boucher, Jerry D.; Ekman, Paul

    1975-01-01

    Provides strong support for the view that there is no one area of the face which best reveals emotion, but that the value of the different facial areas in distinguishing emotions depends upon the emotion being judged. (Author)

  1. Facial Areas and Emotional Information

    Science.gov (United States)

    Boucher, Jerry D.; Ekman, Paul

    1975-01-01

    Provides strong support for the view that there is no one area of the face which best reveals emotion, but that the value of the different facial areas in distinguishing emotions depends upon the emotion being judged. (Author)

  2. A REVIEW ON FACIAL NEURALGIAS

    OpenAIRE

    Solanki, Gaurav

    2010-01-01

    Facial neuralgias are produced by a change in neurological structure or function. This type of neuropathic pain affects the mental health as well as quality of life of patients. There are different types of neuralgias affecting the oral and maxillofacial region. These unusual pains are linked to some possible mechanisms. Various diagnostic tests are done to diagnose the proper cause of facial neuralgia and according to it the medical and surgical treatment is done to provide relief to patient.

  3. Animating facial images with drawings

    OpenAIRE

    Tunali, Gamze Dilek

    1996-01-01

    Ankara : Bilkent Univ., 1996. Thesis (Master's) -- Bilkent University, 1996. Includes bibliographical references leaves 54-56. The work presented here describes the power of 2D animation with texture mai^ping controlled by line drawings. Animation is specifically intended for facial animation and not restricted by the human face. We initially have a sequence of facial images which are taken from a video sequence of the same face and an image of another face to be animated...

  4. Pediatric facial injuries: It's management

    Science.gov (United States)

    Singh, Geeta; Mohammad, Shadab; Pal, U. S.; Hariram; Malkunje, Laxman R.; Singh, Nimisha

    2011-01-01

    Background: Facial injuries in children always present a challenge in respect of their diagnosis and management. Since these children are of a growing age every care should be taken so that later the overall growth pattern of the facial skeleton in these children is not jeopardized. Purpose: To access the most feasible method for the management of facial injuries in children without hampering the facial growth. Materials and Methods: Sixty child patients with facial trauma were selected randomly for this study. On the basis of examination and investigations a suitable management approach involving rest and observation, open or closed reduction and immobilization, trans-osseous (TO) wiring, mini bone plate fixation, splinting and replantation, elevation and fixation of zygoma, etc. were carried out. Results and Conclusion: In our study fall was the predominant cause for most of the facial injuries in children. There was a 1.09% incidence of facial injuries in children up to 16 years of age amongst the total patients. The age-wise distribution of the fracture amongst groups (I, II and III) was found to be 26.67%, 51.67% and 21.67% respectively. Male to female patient ratio was 3:1. The majority of the cases of facial injuries were seen in Group II patients (6-11 years) i.e. 51.67%. The mandibular fracture was found to be the most common fracture (0.60%) followed by dentoalveolar (0.27%), mandibular + midface (0.07) and midface (0.02%) fractures. Most of the mandibular fractures were found in the parasymphysis region. Simple fracture seems to be commonest in the mandible. Most of the mandibular and midface fractures in children were amenable to conservative therapies except a few which required surgical intervention. PMID:22639504

  5. Developmental facial paralysis: a review.

    Science.gov (United States)

    Terzis, Julia K; Anesti, Katerina

    2011-10-01

    The purpose of this study is to clarify the confusing nomenclature and pathogenesis of Developmental Facial Paralysis, and how it can be differentiated from other causes of facial paralysis present at birth. Differentiating developmental from traumatic facial paralysis noted at birth is important for determining prognosis, but also for medicolegal reasons. Given the dramatic presentation of this condition, accurate and reliable guidelines are necessary in order to facilitate early diagnosis and initiate appropriate therapy, while providing support and counselling to the family. The 30 years experience of our center in the management of developmental facial paralysis is dependent upon a thorough understanding of facial nerve embryology, anatomy, nerve physiology, and an appreciation of well-recognized mishaps during fetal development. It is hoped that a better understanding of this condition will in the future lead to early targeted screening, accurate diagnosis and prompt treatment in this population of facially disfigured patients, which will facilitate their emotional and social rehabilitation, and their reintegration among their peers.

  6. The facial expression of schizophrenic patients applied with infrared thermal facial image sequence

    National Research Council Canada - National Science Library

    Bo-Lin Jian; Chieh-Li Chen; Wen-Lin Chu; Min-Wei Huang

    2017-01-01

    .... Thus, this study used non-contact infrared thermal facial images (ITFIs) to analyze facial temperature changes evoked by different emotions in moderately and markedly ill schizophrenia patients...

  7. Three-dimensional visualization system as an aid for facial surgical planning

    Science.gov (United States)

    Barre, Sebastien; Fernandez-Maloigne, Christine; Paume, Patricia; Subrenat, Gilles

    2001-05-01

    We present an aid for facial deformities treatment. We designed a system for surgical planning and prediction of human facial aspect after maxillo-facial surgery. We study the 3D reconstruction process of the tissues involved in the simulation, starting from CT acquisitions. 3D iso-surfaces meshes of soft tissues and bone structures are built. A sparse set of still photographs is used to reconstruct a 360 degree(s) texture of the facial surface and increase its visual realism. Reconstructed objects are inserted into an object-oriented, portable and scriptable visualization software allowing the practitioner to manipulate and visualize them interactively. Several LODs (Level-Of- Details) techniques are used to ensure usability. Bone structures are separated and moved by means of cut planes matching orthognatic surgery procedures. We simulate soft tissue deformations by creating a physically-based springs model between both tissues. The new static state of the facial model is computed by minimizing the energy of the springs system to achieve equilibrium. This process is optimized by transferring informations like participation hints at vertex-level between a warped generic model and the facial mesh.

  8. Correction of Facial Deformity in Sturge–Weber Syndrome

    Science.gov (United States)

    Yamaguchi, Kazuaki; Lonic, Daniel; Chen, Chit

    2016-01-01

    Background: Although previous studies have reported soft-tissue management in surgical treatment of Sturge–Weber syndrome (SWS), there are few reports describing facial bone surgery in this patient group. The purpose of this study is to examine the validity of our multidisciplinary algorithm for correcting facial deformities associated with SWS. To the best of our knowledge, this is the first study on orthognathic surgery for SWS patients. Methods: A retrospective chart review included 2 SWS patients who completed the surgical treatment algorithm. Radiographic and clinical data were recorded, and a treatment algorithm was derived. Results: According to the Roach classification, the first patient was classified as type I presenting with both facial and leptomeningeal vascular anomalies without glaucoma and the second patient as type II presenting only with a hemifacial capillary malformation. Considering positive findings in seizure history and intracranial vascular anomalies in the first case, the anesthetic management was modified to omit hypotensive anesthesia because of the potential risk of intracranial pressure elevation. Primarily, both patients underwent 2-jaw orthognathic surgery and facial bone contouring including genioplasty, zygomatic reduction, buccal fat pad removal, and masseter reduction without major complications. In the second step, the volume and distribution of facial soft tissues were altered by surgical resection and reposition. Both patients were satisfied with the surgical result. Conclusions: Our multidisciplinary algorithm can systematically detect potential risk factors. Correction of the asymmetric face by successive bone and soft-tissue surgery enables the patients to reduce their psychosocial burden and increase their quality of life. PMID:27622111

  9. Pediatric Obstructive Sleep Apnea and the critical role of oral-facial growth: evidences

    Directory of Open Access Journals (Sweden)

    Christian eGuilleminault

    2013-01-01

    Full Text Available Aims: Review of evidence in support of an oral-facial growth impairment in the development of pediatric sleep apnea in non-obese childrenMethod: Review of experimental data from infant monkeys with experimentally induced nasal resistance. Review of early historical data in the orthodontic literature indicating the abnormal oral-facial development associated with mouth breathing and nasal resistance. Review of the progressive demonstration of sleep disordered breathing in children who underwent incomplete treatment of OSA with adenotonsillectomy, and demonstration of abnormal oral-facial anatomy that must often to be treated in order for the resolution of OSA. Review of long term recurrence data on OSA and indication of oral-facial myofunctional dysfunction in association with the recurrence of OSA. Results: Presentation of prospective data on premature infants and sleep-disordered-breathing (SDB-treated children, supporting the concept of oral-facial hypotonia. Presentation of evidence supporting hypotonia as a primary element in the development of oral-facial anatomic abnormalities leading to abnormal breathing during sleep. Continuous interaction between oral facial muscle tone, maxillary-mandibular growth and development of SDB. Role of myofunctional re-education with orthodontics and elimination of upper airway soft tissue in the treatment of non-obese SDB children. Conclusion: Pediatric OSA in non-obese children is a disorder of oral facial growth.

  10. A Contemporary Approach to Facial Reanimation.

    Science.gov (United States)

    Jowett, Nate; Hadlock, Tessa A

    2015-01-01

    The management of acute facial nerve insult may entail medical therapy, surgical exploration, decompression, or repair depending on the etiology. When recovery is not complete, facial mimetic function lies on a spectrum ranging from flaccid paralysis to hyperkinesis resulting in facial immobility. Through systematic assessment of the face at rest and with movement, one may tailor the management to the particular pattern of dysfunction. Interventions for long-standing facial palsy include physical therapy, injectables, and surgical reanimation procedures. The goal of the management is to restore facial balance and movement. This article summarizes a contemporary approach to the management of facial nerve insults.

  11. Computer Aided Facial Prosthetics Manufacturing System

    Directory of Open Access Journals (Sweden)

    Peng H.K.

    2016-01-01

    Full Text Available Facial deformities can impose burden to the patient. There are many solutions for facial deformities such as plastic surgery and facial prosthetics. However, current fabrication method of facial prosthetics is high-cost and time consuming. This study aimed to identify a new method to construct a customized facial prosthetic. A 3D scanner, computer software and 3D printer were used in this study. Results showed that the new developed method can be used to produce a customized facial prosthetics. The advantages of the developed method over the conventional process are low cost, reduce waste of material and pollution in order to meet the green concept.

  12. Early rehabilitation of facial defects using interim removable prostheses: A clinical case report

    Directory of Open Access Journals (Sweden)

    Vivekanandhan Ramkumar

    2013-01-01

    Full Text Available Surgical resection of neoplasms or malformations of the face may result in defects that are not amenable to immediate surgical reconstruction. Such defects can have a severe adverse effect on patient perceptions of body image and self-esteem. In these cases, the use of an interim removable facial prosthesis can offer a rapid alternative treatment solution. The patient may then resume social interactions more comfortably while permitting easy access to the facial defect to observe tissue healing while awaiting definitive rehabilitation. This article presents a case report describing the use of interim nasal prostheses to provide rapid patient rehabilitation of facial defects.

  13. Computer-aided forensics: facial reconstruction.

    Science.gov (United States)

    Turner, Wesley; Tu, Peter; Kelliher, Timothy; Brown, Rebecca

    2006-01-01

    The 3D reconstruction of facial features from skeletal remains is a key component to the identification of missing persons and victims of violent crime. A comprehensive Computed Tomography (CT) head-scan database is currently being collected which will enable a new approach to forensic facial reconstruction. Using this unique resource, we show how a face space can be tailored to a specific unknown, or questioned skull. A set of database derived estimates of the questioned face is constructed by first computing non-rigid transformations between the known head-scan skulls and the questioned skull followed by application of these transformations to the known head-scan faces. This effectively factors out influences due to skeletal variation. A tailored face space is formed by applying Principal Component Analysis (PCA) to this ensemble of estimates of the questioned face. Thus, the face space is a direct approximation of correlated soft tissue variance indicative of the population. Ours is the first mathematical representation of the face continuum associated with a given skull. Embedded in this space resides the elements needed for recognition.

  14. Asynchronicity of facial blood perfusion in migraine.

    Directory of Open Access Journals (Sweden)

    Nina Zaproudina

    Full Text Available Asymmetrical changes in blood perfusion and asynchronous blood supply to head tissues likely contribute to migraine pathophysiology. Imaging was widely used in order to understand hemodynamic variations in migraine. However, mapping of blood pulsations in the face of migraineurs has not been performed so far. We used the Blood Pulsation Imaging (BPI technique, which was recently developed in our group, to establish whether 2D-imaging of blood pulsations parameters can reveal new biomarkers of migraine. BPI characteristics were measured in migraineurs during the attack-free interval and compared to healthy subjects with and without a family history of migraine. We found a novel phenomenon of transverse waves of facial blood perfusion in migraineurs in contrast to healthy subjects who showed synchronous blood delivery to both sides of the face. Moreover, the amplitude of blood pulsations was symmetrically distributed over the face of healthy subjects, but asymmetrically in migraineurs and subjects with a family history of migraine. In the migraine patients we found a remarkable correlation between the side of unilateral headache and the direction of the blood perfusion wave. Our data suggest that migraine is associated with lateralization of blood perfusion and asynchronous blood pulsations in the facial area, which could be due to essential dysfunction of the autonomic vascular control in the face. These findings may further enhance our understanding of migraine pathophysiology and suggest new easily available biomarkers of this pathology.

  15. Asynchronicity of facial blood perfusion in migraine.

    Science.gov (United States)

    Zaproudina, Nina; Teplov, Victor; Nippolainen, Ervin; Lipponen, Jukka A; Kamshilin, Alexei A; Närhi, Matti; Karjalainen, Pasi A; Giniatullin, Rashid

    2013-01-01

    Asymmetrical changes in blood perfusion and asynchronous blood supply to head tissues likely contribute to migraine pathophysiology. Imaging was widely used in order to understand hemodynamic variations in migraine. However, mapping of blood pulsations in the face of migraineurs has not been performed so far. We used the Blood Pulsation Imaging (BPI) technique, which was recently developed in our group, to establish whether 2D-imaging of blood pulsations parameters can reveal new biomarkers of migraine. BPI characteristics were measured in migraineurs during the attack-free interval and compared to healthy subjects with and without a family history of migraine. We found a novel phenomenon of transverse waves of facial blood perfusion in migraineurs in contrast to healthy subjects who showed synchronous blood delivery to both sides of the face. Moreover, the amplitude of blood pulsations was symmetrically distributed over the face of healthy subjects, but asymmetrically in migraineurs and subjects with a family history of migraine. In the migraine patients we found a remarkable correlation between the side of unilateral headache and the direction of the blood perfusion wave. Our data suggest that migraine is associated with lateralization of blood perfusion and asynchronous blood pulsations in the facial area, which could be due to essential dysfunction of the autonomic vascular control in the face. These findings may further enhance our understanding of migraine pathophysiology and suggest new easily available biomarkers of this pathology.

  16. Analysis of Traffic Accident-Related Facial Trauma.

    Science.gov (United States)

    Choi, Su Hyun; Gu, Ja Hea; Kang, Dong Hee

    2016-10-01

    The consequences of facial trauma remain of great significance both functionally and esthetically. Traffic accident-related facial trauma is a frequent and significant cause of maxillofacial injury. The purpose of this study was to determine the natural history of traffic accident-related facial injuries in 846 patients over a 10-year period at a regional emergency center. The authors report a retrospective study of 846 patients with facial trauma from traffic accidents. The medical records of these patients were reviewed and analyzed to determine clinical characteristics, treatments, and outcomes of traffic accident-related facial trauma. In total, 687 of the 846 patients (81.2%) had fractures of the face, and nasal bone fractures were the most common followed by zygomatic complex fractures, blow-out fractures, and maxilla fractures. About 51.2% patients had open wounds on the face, such as lacerations, abrasions, skin or soft tissue defects, and friction burns. Only 7.4% of patients were treated conservatively and the others underwent repair or closed and open reduction. The complication rate was 46.3%, and scars were the most common followed by nose-related complication, hypoesthesia, and eyelid deformities. In addition, 47.6% of complication patients underwent secondary operations. Almost 15% of drivers were drunk, and about 8.7% were confessed drowsy during drive. Almost 30% of pedestrians were hit when they jaywalked across the street. Epidemiological data regarding traffic accident-related facial trauma are important and useful not only for decisions about patient care and developing optimal treatment regimens but to develop new methods to prevent injuries.

  17. Female Facial Appearance and Health

    Directory of Open Access Journals (Sweden)

    Alan W. Gray

    2012-01-01

    Full Text Available The current study addressed whether rated femininity, attractiveness, and health in female faces are associated with numerous indices of self-reported health history (number of colds/stomach bugs/frequency of antibiotic use in a sample of 105 females. It was predicted that all three rating variables would correlate negatively with bouts of illness (with the exception of rates of stomach infections, on the assumption that aspects of facial appearance signal mate quality. The results showed partial support for this prediction, in that there was a general trend for both facial femininity and attractiveness to correlate negatively with the reported number of colds in the preceding twelve months and with the frequency of antibiotic use in the last three years and the last twelve months. Rated facial femininity (as documented in September was also associated with days of flu experienced in the period spanning the November-December months. However, rated health did not correlate with any of the health indices (albeit one marginal result with antibiotic use in the last twelve months. The results lend support to previous findings linking facial femininity to health and suggest that facial femininity may be linked to some aspects of disease resistance but not others.

  18. Cortical control of facial expression.

    Science.gov (United States)

    Müri, René M

    2016-06-01

    The present Review deals with the motor control of facial expressions in humans. Facial expressions are a central part of human communication. Emotional face expressions have a crucial role in human nonverbal behavior, allowing a rapid transfer of information between individuals. Facial expressions can be either voluntarily or emotionally controlled. Recent studies in nonhuman primates and humans have revealed that the motor control of facial expressions has a distributed neural representation. At least five cortical regions on the medial and lateral aspects of each hemisphere are involved: the primary motor cortex, the ventral lateral premotor cortex, the supplementary motor area on the medial wall, and the rostral and caudal cingulate cortex. The results of studies in humans and nonhuman primates suggest that the innervation of the face is bilaterally controlled for the upper part and mainly contralaterally controlled for the lower part. Furthermore, the primary motor cortex, the ventral lateral premotor cortex, and the supplementary motor area are essential for the voluntary control of facial expressions. In contrast, the cingulate cortical areas are important for emotional expression, because they receive input from different structures of the limbic system.

  19. Peripheral facial weakness (Bell's palsy).

    Science.gov (United States)

    Basić-Kes, Vanja; Dobrota, Vesna Dermanović; Cesarik, Marijan; Matovina, Lucija Zadro; Madzar, Zrinko; Zavoreo, Iris; Demarin, Vida

    2013-06-01

    Peripheral facial weakness is a facial nerve damage that results in muscle weakness on one side of the face. It may be idiopathic (Bell's palsy) or may have a detectable cause. Almost 80% of peripheral facial weakness cases are primary and the rest of them are secondary. The most frequent causes of secondary peripheral facial weakness are systemic viral infections, trauma, surgery, diabetes, local infections, tumor, immune disorders, drugs, degenerative diseases of the central nervous system, etc. The diagnosis relies upon the presence of typical signs and symptoms, blood chemistry tests, cerebrospinal fluid investigations, nerve conduction studies and neuroimaging methods (cerebral MRI, x-ray of the skull and mastoid). Treatment of secondary peripheral facial weakness is based on therapy for the underlying disorder, unlike the treatment of Bell's palsy that is controversial due to the lack of large, randomized, controlled, prospective studies. There are some indications that steroids or antiviral agents are beneficial but there are also studies that show no beneficial effect. Additional treatments include eye protection, physiotherapy, acupuncture, botulinum toxin, or surgery. Bell's palsy has a benign prognosis with complete recovery in about 80% of patients, 15% experience some mode of permanent nerve damage and severe consequences remain in 5% of patients.

  20. Compound facial expressions of emotion.

    Science.gov (United States)

    Du, Shichuan; Tao, Yong; Martinez, Aleix M

    2014-04-15

    Understanding the different categories of facial expressions of emotion regularly used by us is essential to gain insights into human cognition and affect as well as for the design of computational models and perceptual interfaces. Past research on facial expressions of emotion has focused on the study of six basic categories--happiness, surprise, anger, sadness, fear, and disgust. However, many more facial expressions of emotion exist and are used regularly by humans. This paper describes an important group of expressions, which we call compound emotion categories. Compound emotions are those that can be constructed by combining basic component categories to create new ones. For instance, happily surprised and angrily surprised are two distinct compound emotion categories. The present work defines 21 distinct emotion categories. Sample images of their facial expressions were collected from 230 human subjects. A Facial Action Coding System analysis shows the production of these 21 categories is different but consistent with the subordinate categories they represent (e.g., a happily surprised expression combines muscle movements observed in happiness and surprised). We show that these differences are sufficient to distinguish between the 21 defined categories. We then use a computational model of face perception to demonstrate that most of these categories are also visually discriminable from one another.

  1. [The history of facial paralysis].

    Science.gov (United States)

    Glicenstein, J

    2015-10-01

    Facial paralysis has been a recognized condition since Antiquity, and was mentionned by Hippocratus. In the 17th century, in 1687, the Dutch physician Stalpart Van der Wiel rendered a detailed observation. It was, however, Charles Bell who, in 1821, provided the description that specified the role of the facial nerve. Facial nerve surgery began at the end of the 19th century. Three different techniques were used successively: nerve anastomosis, (XI-VII Balance 1895, XII-VII, Korte 1903), myoplasties (Lexer 1908), and suspensions (Stein 1913). Bunnell successfully accomplished the first direct facial nerve repair in the temporal bone, in 1927, and in 1932 Balance and Duel experimented with nerve grafts. Thanks to progress in microsurgical techniques, the first faciofacial anastomosis was realized in 1970 (Smith, Scaramella), and an account of the first microneurovascular muscle transfer published in 1976 by Harii. Treatment of the eyelid paralysis was at the origin of numerous operations beginning in the 1960s; including palpebral spring (Morel Fatio 1962) silicone sling (Arion 1972), upperlid loading with gold plate (Illig 1968), magnets (Muhlbauer 1973) and transfacial nerve grafts (Anderl 1973). By the end of the 20th century, surgeons had at their disposal a wide range of valid techniques for facial nerve surgery, including modernized versions of older techniques.

  2. Versatility of the facial artery myomucosal island flap in neopharyngeal reconstruction

    DEFF Research Database (Denmark)

    Frisch, Thomas

    2017-01-01

    BACKGROUND: The facial artery myomucosal (FAMM) island flap is a cheek flap, pedicled on the facial artery and suitable for small to medium-sized reconstructions of the oral cavity and neighboring areas. A novel transposition of the flap to the hypopharynx after laryngectomy is presented...... donor-site morbidity, and recipient tissue similarity count among the advantages. © 2016 Wiley Periodicals, Inc. Head Neck 39: E29-E33, 2017....

  3. Similarities and differences in Chinese and Caucasian adults' use of facial cues for trustworthiness judgments.

    Directory of Open Access Journals (Sweden)

    Fen Xu

    Full Text Available BACKGROUND: All cultural groups in the world place paramount value on interpersonal trust. Existing research suggests that although accurate judgments of another's trustworthiness require extensive interactions with the person, we often make trustworthiness judgments based on facial cues on the first encounter. However, little is known about what facial cues are used for such judgments and what the bases are on which individuals make their trustworthiness judgments. METHODOLOGY/PRINCIPAL FINDINGS: In the present study, we tested the hypothesis that individuals may use facial attractiveness cues as a "shortcut" for judging another's trustworthiness due to the lack of other more informative and in-depth information about trustworthiness. Using data-driven statistical models of 3D Caucasian faces, we compared facial cues used for judging the trustworthiness of Caucasian faces by Caucasian participants who were highly experienced with Caucasian faces, and the facial cues used by Chinese participants who were unfamiliar with Caucasian faces. We found that Chinese and Caucasian participants used similar facial cues to judge trustworthiness. Also, both Chinese and Caucasian participants used almost identical facial cues for judging trustworthiness and attractiveness. CONCLUSIONS/SIGNIFICANCE: The results suggest that without opportunities to interact with another person extensively, we use the less racially specific and more universal attractiveness cues as a "shortcut" for trustworthiness judgments.

  4. Similarities and differences in Chinese and Caucasian adults' use of facial cues for trustworthiness judgments.

    Science.gov (United States)

    Xu, Fen; Wu, Dingcheng; Toriyama, Rie; Ma, Fengling; Itakura, Shoji; Lee, Kang

    2012-01-01

    All cultural groups in the world place paramount value on interpersonal trust. Existing research suggests that although accurate judgments of another's trustworthiness require extensive interactions with the person, we often make trustworthiness judgments based on facial cues on the first encounter. However, little is known about what facial cues are used for such judgments and what the bases are on which individuals make their trustworthiness judgments. In the present study, we tested the hypothesis that individuals may use facial attractiveness cues as a "shortcut" for judging another's trustworthiness due to the lack of other more informative and in-depth information about trustworthiness. Using data-driven statistical models of 3D Caucasian faces, we compared facial cues used for judging the trustworthiness of Caucasian faces by Caucasian participants who were highly experienced with Caucasian faces, and the facial cues used by Chinese participants who were unfamiliar with Caucasian faces. We found that Chinese and Caucasian participants used similar facial cues to judge trustworthiness. Also, both Chinese and Caucasian participants used almost identical facial cues for judging trustworthiness and attractiveness. The results suggest that without opportunities to interact with another person extensively, we use the less racially specific and more universal attractiveness cues as a "shortcut" for trustworthiness judgments.

  5. Slowing down facial movements and vocal sounds enhances facial expression recognition and facial-vocal imitation in children with autism

    OpenAIRE

    Tardif, Carole; Lainé, France; Rodriguez, Mélissa; Gepner, Bruno

    2007-01-01

    International audience; This study examined the effects of slowing down presentation of facial expressions and their corresponding vocal sounds on facial expression recognition and facial and/or vocal imitation in children with autism. Twelve autistic children and twenty-four normal control children were presented with emotional and non-emotional facial expressions on CD-Rom, under audio or silent conditions, and under dynamic visual conditions (slowly, very slowly, at normal speed) plus a st...

  6. Evaluation of mandibular morphology in different facial types

    Directory of Open Access Journals (Sweden)

    Rajat Mangla

    2011-01-01

    Full Text Available The purpose of this study was to evaluate mandibular morphology in different facial types using various parameters. This study was conducted on lateral cephalograms of a total of 110 subjects, which included 55 males and 55 females between the age of 18-25 years having a mean of 22.3 years for males and 21.5 years for females. The sample was divided into normodivergent, hypodivergent, and hyperdivergent subgroups based on Jarabak′s ratio. Symphysis height, depth, ratio (height/depth and angle, antegonial notch depth, ramal height and width, mandibular depth, upper, lower, and total gonial angle, and mandibular arc angle were analyzed statistically and graphically. It was found that the mandible with the vertical growth pattern was associated with a symphysis with large height, small depth, large ratio, small angle, decreased ramus height and width, smaller mandibular depth, increased gonial angle, and decreased mandibular arc angle in contrast to mandible with a horizontal growth pattern. Sexual dichotomy was found with mean symphysis height and depth in the female sample being smaller than in the male sample, but symphysis ratio was larger in the female sample; males having greater ramus height and width, mandibular depth than females. The mandible seemed to have retained its infantile characteristics with all its processes underdeveloped in hyperdivergent group.

  7. Guide of maxillofacial trauma intervention for diagnosis and treatment of facial burns

    Directory of Open Access Journals (Sweden)

    Eduardo Duarte Marrero

    2010-07-01

    Full Text Available The guide for maxillofacial trauma intervention for diagnosis and treatment of facial burns has been developed on the basis of the results obtained in a retrospective descriptive study of a series of patients for facial burns, were treated in serving Burned Cienfuegos University General Hospital "Dr. Gustavo Lima Aldereguía "between January 2005 and September 2007. The document describes the set of diagnostic and therapeutic procedures, both general and local, to treat patients with facial burns depending on the extent and depth of burns, also describes some special considerations depending on their location in central facial structures (eyelids, flag ear, nose, mouth, neck. It took into account national guidelines and the Pan American Health Organization, were also consulted experts and specialists in the field. The guide was approved by the scientific council of the institution cited above.

  8. Transformation of Face Transplants: Volumetric and Morphologic Graft Changes Resemble Aging After Facial Allotransplantation.

    Science.gov (United States)

    Kueckelhaus, M; Turk, M; Kumamaru, K K; Wo, L; Bueno, E M; Lian, C G; Alhefzi, M; Aycart, M A; Fischer, S; De Girolami, U; Murphy, G F; Rybicki, F J; Pomahac, B

    2016-03-01

    Facial allotransplantation restores normal anatomy to severely disfigured faces. Although >30 such operations performed worldwide have yielded promising short-term results, data on long-term outcomes remain scarce. Three full-face transplant recipients were followed for 40 months. Severe changes in volume and composition of the facial allografts were noted. Data from computed tomography performed 6, 18 and 36 months after transplantation were processed to separate allograft from recipient tissues and further into bone, fat and nonfat soft tissues. Skin and muscle biopsies underwent diagnostic evaluation. All three facial allografts sustained significant volume loss (mean 19.55%) between 6 and 36 months after transplant. Bone and nonfat soft tissue volumes decreased significantly over time (17.22% between months 6 and 18 and 25.56% between months 6 and 36, respectively), whereas fat did not. Histological evaluations showed atrophy of muscle fibers. Volumetric and morphometric changes in facial allografts have not been reported previously. The transformation of facial allografts in this study resembled aging through volume loss but differed substantially from regular aging. These findings have implications for risk-benefit assessment, donor selection and measures counteracting muscle and bone atrophy. Superior long-term outcomes of facial allotransplantation will be crucial to advance toward future clinical routine.

  9. Overview of facial paralysis: current concepts.

    Science.gov (United States)

    Melvin, Thuy-Anh N; Limb, Charles J

    2008-05-01

    Facial paralysis represents the end result of a wide array of disorders and heterogeneous etiologies, including congenital, traumatic, infectious, neoplastic, and metabolic causes. Thus, facial palsy has a diverse range of presentations, from transient unilateral paresis to devastating permanent bilateral paralysis. Although not life-threatening, facial paralysis remains relatively common and can have truly severe effects on one's quality of life, with important ramifications in terms of psychological impact and physiologic burden. Prognosis and outcomes for patients with facial paralysis are highly dependent on the etiologic nature of the weakness as well as the treatment offered to the patient. Facial plastic surgeons are often asked to manage the sequelae of long-standing facial paralysis. It is important, however, for any practitioner who assists this population to have a sophisticated understanding of the common etiologies and initial management of facial paralysis. This article reviews the more common causes of facial paralysis and discusses relevant early treatment strategies.

  10. Automatic Facial Expression Analysis A Survey

    Directory of Open Access Journals (Sweden)

    C.P. Sumathi

    2013-01-01

    Full Text Available The Automatic Facial Expression Recognition has been one of the latest research topic since1990’s.There have been recent advances in detecting face, facial expression recognition andclassification. There are multiple methods devised for facial feature extraction which helps in identifyingface and facial expressions. This paper surveys some of the published work since 2003 till date. Variousmethods are analysed to identify the Facial expression. The Paper also discusses about the facialparameterization using Facial Action Coding System(FACS action units and the methods whichrecognizes the action units parameters using facial expression data that are extracted. Various kinds offacial expressions are present in human face which can be identified based on their geometric features,appearance features and hybrid features . The two basic concepts of extracting features are based onfacial deformation and facial motion. This article also identifies the techniques based on thecharacteristics of expressions and classifies the suitable methods that can be implemented.

  11. [Therapy for atypical facial pain].

    Science.gov (United States)

    Ishida, Satoshi; Kimura, Hiroko

    2009-09-01

    Atypical facial pain is a pain in the head, neck and the face, without organic causes. It is treated at departments of physical medicine, such as dental, oral and maxillofacial surgery, otolaryngology, cerebral surgery, or head and neck surgery. In primary care, it is considered to be a medically unexplained symptom (MUS), or a somatoform disorder, such as somatization caused by a functional somatic syndrome (FSS) by psychiatrists. Usually, patients consult departments of physical medicine complaining of physical pain. Therefore physicians in these departments should examine the patients from the holistic perspective, and identify organic diseases. As atypical facial pain becomes chronic, other complications, including psychiatric complaints other than physical pain, such as depression may develop. Moreover, physical, psychological, and social factors affect the symptoms by interacting with one another. Therefore, in examining atypical facial pain, doctors specializing in dental, oral and maxillofacial medicine are required to provide psychosomatic treatment that is based on integrated knowledge.

  12. Perception of facial expression and facial identity in subjects with social developmental disorders.

    Science.gov (United States)

    Hefter, Rebecca L; Manoach, Dara S; Barton, Jason J S

    2005-11-22

    It has been hypothesized that the social dysfunction in social developmental disorders (SDDs), such as autism, Asperger disorder, and the socioemotional processing disorder, impairs the acquisition of normal face-processing skills. The authors investigated whether this purported perceptual deficit was generalized to both facial expression and facial identity or whether these different types of facial perception were dissociated in SDDs. They studied 26 adults with a variety of SDD diagnoses, assessing their ability to discriminate famous from anonymous faces, their perception of emotional expression from facial and nonfacial cues, and the relationship between these abilities. They also compared the performance of two defined subgroups of subjects with SDDs on expression analysis: one with normal and one with impaired recognition of facial identity. While perception of facial expression was related to the perception of nonfacial expression, the perception of facial identity was not related to either facial or nonfacial expression. Likewise, subjects with SDDs with impaired facial identity processing perceived facial expression as well as those with normal facial identity processing. The processing of facial identity and that of facial expression are dissociable in social developmental disorders. Deficits in perceiving facial expression may be related to emotional processing more than face processing. Dissociations between the perception of facial identity and facial emotion are consistent with current cognitive models of face processing. The results argue against hypotheses that the social dysfunction in social developmental disorder causes a generalized failure to acquire face-processing skills.

  13. Facial reconstruction by biosurgery: cell transplantation versus cell homing.

    Science.gov (United States)

    Mao, Jeremy J; Stosich, Michael S; Moioli, Eduardo K; Lee, Chang Hun; Fu, Susan Y; Bastian, Barbara; Eisig, Sidney B; Zemnick, Candice; Ascherman, Jeffrey; Wu, June; Rohde, Christine; Ahn, Jeffrey

    2010-04-01

    The face distinguishes one human being from another. When the face is disfigured because of trauma, tumor removal, congenital anomalies, or chronic diseases, the patient has a strong desire for functional and esthetic restoration. Current practice of facial reconstruction using autologous grafts, synthetic fillers, and prostheses is frequently below the surgeon's and patient's expectations. Facial reconstruction is yet to take advantage of recent advances in seemingly unrelated fields of stem cell biology, chemical engineering, biomaterials, and tissue engineering. "Biosurgery," a new concept that we propose, will incorporate novel principles and strategies of bioactive cues, biopolymers, and/or cells to restore facial defects. Small facial defects can likely be reconstructed by cell homing and without cell transplantation. A critical advantage of cell homing is that agilely recruited endogenous cells have the potential to harness the host's innate capacity for regeneration, thus accelerating the rate of regulatory and commercialization processes for product development. Large facial defects, however, may not be restorable without cell delivery per our understanding at this time. New breakthrough in biosurgery will likely originate from integrated strategies of cell biology, cytokine biology, chemical engineering, biomaterials, and tissue engineering. Regardless of cell homing or cell delivery approaches, biosurgery not only will minimize surgical trauma and repetitive procedures, but also produce long-lasting results. At the same time, caution must be exercised against the development of products that lack scientific basis or dogmatic combination of cells, biomaterials, and biomolecules. Together, scientifically derived biosurgery will undoubtedly develop into new technologies that offer increasingly natural reconstruction and/or augmentation of the face.

  14. STUDY OF ACQUIRED FACIAL HYPERPIGMENTATION

    Directory of Open Access Journals (Sweden)

    Kunjumani Sobhanakumari

    2017-04-01

    Full Text Available BACKGROUND Facial hypermelanosis is a clinical feature of a diverse group of disorders most commonly in middle-aged females who are exposed to sunlight. There is a considerable overlap in clinical features among the clinical entities of facial hypermelanosis. Aetiology in most of facial melanosis is unknown, but some factors like UV radiation in melasma and exposure to allergens in Riehl’s melanosis could be implicated. Histopathology is an accurate diagnostic tool. The benefit of histopathology is not only to confirm diagnosis, but also to exclude related disorders. Among the hyperpigmented conditions, melasma, Riehl’s melanosis, Acanthosis Nigricans (AN and Lichen Planus Pigmentosus (LPP are the common causes of facial hypermelanosis - most common being melasma. MATERIALS AND METHODS This is a descriptive cross-sectional study of hundred consenting patients who attended the outpatient wing of Dermatology Department of Government Medical College, Kottayam. They were included only after getting the written informed consent. RESULTS Maximum number of patients were in the 5 th decade. 65% were females. Homemakers/housewives constituted the main study group (34%.55% of patients had duration of pigmentation between 1 to 5 years. Among these, melasma and acanthosis nigricans had the longest duration of disease. 69% of patients were symptomatic. Most common clinical diagnosis was melasma (45 followed by acanthosis nigricans (17, Riehl’s melanosis (15 and lichen planus pigmentosus (14. One case each of exogenous ochronosis and Addison’s disease and remaining were post inflammatory. Histopathologically, 63% of patients had histological features suggestive of melasma, which evolved as the most common cause of facial melanosis, next common being acanthosis nigricans and Riehl’s melanosis. CONCLUSION Clinical and histopathological examination is must to confirm the definite diagnosis of facial hyper-pigmentation. Skin is said to be the window to

  15. Facial pressure zones of an oronasal interface for noninvasive ventilation: a computer model analysis

    Directory of Open Access Journals (Sweden)

    Luana Souto Barros

    2014-12-01

    Full Text Available OBJECTIVE: To study the effects of an oronasal interface (OI for noninvasive ventilation, using a three-dimensional (3D computational model with the ability to simulate and evaluate the main pressure zones (PZs of the OI on the human face. METHODS: We used a 3D digital model of the human face, based on a pre-established geometric model. The model simulated soft tissues, skull, and nasal cartilage. The geometric model was obtained by 3D laser scanning and post-processed for use in the model created, with the objective of separating the cushion from the frame. A computer simulation was performed to determine the pressure required in order to create the facial PZs. We obtained descriptive graphical images of the PZs and their intensity. RESULTS: For the graphical analyses of each face-OI model pair and their respective evaluations, we ran 21 simulations. The computer model identified several high-impact PZs in the nasal bridge and paranasal regions. The variation in soft tissue depth had a direct impact on the amount of pressure applied (438-724 cmH2O. CONCLUSIONS: The computer simulation results indicate that, in patients submitted to noninvasive ventilation with an OI, the probability of skin lesion is higher in the nasal bridge and paranasal regions. This methodology could increase the applicability of biomechanical research on noninvasive ventilation interfaces, providing the information needed in order to choose the interface that best minimizes the risk of skin lesion.

  16. Facial Expression Synthesis Based on Imitation

    OpenAIRE

    Yihjia Tsai; Hwei Jen Lin; Fu Wen Yang

    2012-01-01

    It is an interesting and challenging problem to synthesise vivid facial expression images. In this paper, we propose a facial expression synthesis system which imitates a reference facial expression image according to the difference between shape feature vectors of the neutral image and expression image. To improve the result, two stages of postprocessing are involved. We focus on the facial expressions of happiness, sadness, and surprise. Experimental results show vivid and flexible results.

  17. Facial skin care products and cosmetics.

    Science.gov (United States)

    Draelos, Zoe Diana

    2014-01-01

    Facial skin care products and cosmetics can both aid or incite facial dermatoses. Properly selected skin care can create an environment for barrier repair aiding in the re-establishment of a healing biofilm and diminution of facial redness; however, skin care products that aggressively remove intercellular lipids or cause irritation must be eliminated before the red face will resolve. Cosmetics are an additive variable either aiding or challenging facial skin health.

  18. Application of local flap in emergent reconstruction of the skin and soft tissue defects after facial trauma%局部皮瓣在面部创伤性皮肤软组织缺损急诊修复中的应用

    Institute of Scientific and Technical Information of China (English)

    何小川; 胡纯兵; 周滨; 刘震; 高志丹; 吴国平; 郭力

    2012-01-01

    Objective To explore the procedures of reconstruction emergency for skin and soft tisue defects due to trauma with local flap based on plastic surgical principles and techniques.Methods Thirty-two patients with facial defects caused by tramua were treated.After strict debridement of the wound of the skin and soft tissue,the flaps were designed according to the wound condition with plastic surgical principles.Subcutaneous SMAS pedicle flap,V-Y advancement flap,orbicularis flap,nasolabial groove flaps and others were chosen for wound repair,to suture and close the wound meticu lously.Results All of 32 treated cases,the wounds were primary healing.After 6-18 months follow-up,there was no obvious scar formation or functional problems.Second stage reconstruction was not needed since the cosmetic effect was perfect.Conclusions It is a satisfactory and effective method to emergently treat the skin and soft tissue defects after facial trauma with local flap based on the plastic surgical principles,which is well worth popularizing in clinic.%目的 探索依据整形外科原则应用局部皮瓣急诊修复面部创伤性软组织缺损的效果.方法 对32例面部皮肤软组织即时性创伤性缺损,于严格清创后,根据创面缺损情况,按整形外科原则分别设计皮下浅表肌腱膜系统(SMAS)蒂皮瓣、V-Y推进皮瓣、眼轮匝肌蒂岛状皮瓣、鼻唇沟皮瓣等修复创面,精细缝合关闭伤口.结果 32例伤口均Ⅰ期愈合,随访6~18个月,无明显瘢痕增生,无功能障碍,无需Ⅱ期修复,美容效果良好.结论 遵照整形外科基本原则采用局部皮瓣修复面部创伤性皮肤软组织缺损,可获得满意的效果,值得临床推广应用.

  19. Microanatomy and histological features of central myelin in the root exit zone of facial nerve.

    Science.gov (United States)

    Yee, Gi-Taek; Yoo, Chan-Jong; Han, Seong-Rok; Choi, Chan-Young

    2014-05-01

    The aim of this study was to evaluate the microanatomy and histological features of the central myelin in the root exit zone of facial nerve. Forty facial nerves with brain stem were obtained from 20 formalin fixed cadavers. Among them 17 facial nerves were ruined during preparation and 23 root entry zone (REZ) of facial nerves could be examined. The length of medial REZ, from detach point of facial nerve at the brain stem to transitional area, and the thickness of glial membrane of central myelin was measured. We cut brain stem along the facial nerve and made a tissue block of facial nerve REZ. Each tissue block was embedded with paraffin and serially sectioned. Slices were stained with hematoxylin and eosin (H&E), periodic acid-Schiff, and glial fibrillary acid protein. Microscopy was used to measure the extent of central myelin and thickness of outer glial membrane of central myelin. Thickness of glial membrane was examined at two different points, the thickest area of proximal and distal REZ. Special stain with PAS and GFAP could be differentiated the central and peripheral myelin of facial nerve. The length of medial REZ was mean 2.6 mm (1.6-3.5 mm). The glial limiting membrane of brain stem is continued to the end of central myelin. We called it glial sheath of REZ. The thickness of glial sheath was mean 66.5 µm (40-110 µm) at proximal REZ and 7.4 µm (5-10 µm) at distal REZ. Medial REZ of facial nerve is mean 2.6 mm in length and covered by glial sheath continued from glial limiting membrane of brain stem. Glial sheath of central myelin tends to become thin toward transitional zone.

  20. Facial aging: A clinical classification

    Directory of Open Access Journals (Sweden)

    Shiffman Melvin

    2007-01-01

    Full Text Available The purpose of this classification of facial aging is to have a simple clinical method to determine the severity of the aging process in the face. This allows a quick estimate as to the types of procedures that the patient would need to have the best results. Procedures that are presently used for facial rejuvenation include laser, chemical peels, suture lifts, fillers, modified facelift and full facelift. The physician is already using his best judgment to determine which procedure would be best for any particular patient. This classification may help to refine these decisions.

  1. The Epidemiology of Facial Pain

    OpenAIRE

    Koopman, Joseph

    2010-01-01

    markdownabstract__Abstract__ Assuming that the average age of the readership of this thesis is 35 years, and that 49% is male, given the number of theses printed (n=500) and the average life expectancy (78 years for men, 82.3 years for women), nine [95% confidence interval (95% CI): 8 - 10] readers (1.8%) will get a form of facial pain as studied in this thesis. Despite its low frequency the severity and debilitating nature of certain facial pain conditions is an important motivator for scien...

  2. Darwin, deception, and facial expression.

    Science.gov (United States)

    Ekman, Paul

    2003-12-01

    Darwin did not focus on deception. Only a few sentences in his book mentioned the issue. One of them raised the very interesting question of whether it is difficult to voluntarily inhibit the emotional expressions that are most difficult to voluntarily fabricate. Another suggestion was that it would be possible to unmask a fabricated expression by the absence of the difficult-to-voluntarily-generate facial actions. Still another was that during emotion body movements could be more easily suppressed than facial expression. Research relevant to each of Darwin's suggestions is reviewed, as is other research on deception that Darwin did not foresee.

  3. Connections between the facial and trigeminal nerves: Anatomical basis for facial muscle proprioception

    Directory of Open Access Journals (Sweden)

    J.L. Cobo

    2017-06-01

    Full Text Available Proprioception is a quality of sensibility that originates in specialized sensory organs (proprioceptors that inform the central nervous system about static and dynamic conditions of muscles and joints. The facial muscles are innervated by efferent motor nerve fibers and typically lack proprioceptors. However, facial proprioception plays a key role in the regulation and coordination of the facial musculature and diverse reflexes. Thus, facial muscles must be necessarily supplied also for afferent sensory nerve fibers provided by other cranial nerves, especially the trigeminal nerve. Importantly, neuroanatomical studies have demonstrated that facial proprioceptive impulses are conveyed through branches of the trigeminal nerve to the central nervous system. The multiple communications between the facial and the trigeminal nerves are at the basis of these functional characteristics. Here we review the literature regarding the facial (superficial communications between the facial and the trigeminal nerves, update the current knowledge about proprioception in the facial muscles, and hypothesize future research in facial proprioception.

  4. Facial Specialty. Teacher Edition. Cosmetology Series.

    Science.gov (United States)

    Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

    This publication is one of a series of curriculum guides designed to direct and support instruction in vocational cosmetology programs in the State of Oklahoma. It contains seven units for the facial specialty: identifying enemies of the skin, using aromatherapy on the skin, giving facials without the aid of machines, giving facials with the aid…

  5. Exploiting facial expressions for affective video summarisation

    NARCIS (Netherlands)

    Joho, H.; Jose, J.M.; Valenti, R.; Sebe, N.; Marchand-Maillet, S.; Kompatsiaris, I.

    2009-01-01

    This paper presents an approach to affective video summarisation based on the facial expressions (FX) of viewers. A facial expression recognition system was deployed to capture a viewer's face and his/her expressions. The user's facial expressions were analysed to infer personalised affective scenes

  6. Personalised modelling of facial action unit intensity

    NARCIS (Netherlands)

    Yang, Shuang; Rudovic, Ognjen; Pavlovic, Vladimir; Pantic, Maja

    2014-01-01

    Facial expressions depend greatly on facial morphology and expressiveness of the observed person. Recent studies have shown great improvement of the personalized over non-personalized models in variety of facial expression related tasks, such as face and emotion recognition. However, in the context

  7. Facial Baroparesis Caused by Scuba Diving

    Directory of Open Access Journals (Sweden)

    Daisuke Kamide

    2012-01-01

    tympanic membrane and right facial palsy without other neurological findings. But facial palsy was disappeared immediately after myringotomy. We considered that the etiology of this case was neuropraxia of facial nerve in middle ear caused by over pressure of middle ear.

  8. Facial Nerve Palsy In Secondary Syphilis

    Directory of Open Access Journals (Sweden)

    Masuria B.L

    1999-01-01

    Full Text Available A case of secondary syphilis with right facial nerve palsy is reported. A 28 year old unmarried male presented with diffuse maculopapular rash and facial nerve palsy. He had elevated while cells and protein in cerebrospinal fluid. Serum and cerebrospinal fluid were positive for VDRL and TPHA tests. Facial nerve palsy and maculopapular rash improved with penicillin therapy.

  9. Ultraestrutura do nervo facial intratemporal em pacientes com paralisia facial idiopática: estudo de evidências de infecção viral Intratemporal facial nerve ultrastructure in patients with idiopathic facial paralysis: viral infection evidence study

    Directory of Open Access Journals (Sweden)

    Rosangela Aló Maluza Florez

    2010-10-01

    -related PFP. The fragments were obtained from the facial nerve sheath or from fragments of its stumps - which would be discarded or sent to pathology exam during the facial nerve repair surgery. The removed tissue was fixed in 2% glutaraldehyde, and studied under Electronic Transmission Microscopy. RESULTS: In the study group we observed an intense repair cellular activity by increased collagen fibers, fibroblasts containing developed organelles, free of viral particles. In the control group this repair activity was not evident, but no viral particles were observed. CONCLUSION: There were no viral particles, and there were evidences of intense activity of repair or viral infection.

  10. Oxygen depth profiling with subnanometre depth resolution

    Energy Technology Data Exchange (ETDEWEB)

    Kosmata, Marcel [Helmholtz-Zentrum Dresden-Rossendorf, P.O. Box 510119, D-01314 Dresden (Germany); Munnik, Frans, E-mail: f.munnik@hzdr.de [Helmholtz-Zentrum Dresden-Rossendorf, P.O. Box 510119, D-01314 Dresden (Germany); Hanf, Daniel; Grötzschel, Rainer [Helmholtz-Zentrum Dresden-Rossendorf, P.O. Box 510119, D-01314 Dresden (Germany); Crocoll, Sonja [X-FAB Dresden GmbH and Co. KG, Grenzstraße 28, D-01109 Dresden (Germany); Möller, Wolfhard [Helmholtz-Zentrum Dresden-Rossendorf, P.O. Box 510119, D-01314 Dresden (Germany)

    2014-10-15

    A High-depth Resolution Elastic Recoil Detection (HR-ERD) set-up using a magnetic spectrometer has been taken into operation at the Helmholtz-Zentrum Dresden-Rossendorf for the first time. This instrument allows the investigation of light elements in ultra-thin layers and their interfaces with a depth resolution of less than 1 nm near the surface. As the depth resolution is highly influenced by the experimental measurement parameters, sophisticated optimisation procedures have been implemented. Effects of surface roughness and sample damage caused by high fluences need to be quantified for each kind of material. Also corrections are essential for non-equilibrium charge state distributions that exist very close to the surface. Using the example of a high-k multilayer SiO{sub 2}/Si{sub 3}N{sub 4}O{sub x}/SiO{sub 2}/Si it is demonstrated that oxygen in ultra-thin films of a few nanometres thickness can be investigated by HR-ERD.

  11. Botulinum toxin (Botox) to enhance facial macroesthetics: a literature review.

    Science.gov (United States)

    Dastoor, Sarosh F; Misch, Carl E; Wang, Hom-Lay

    2007-01-01

    Dental implants have emerged as a predictable treatment option for partial edentulism. Their ability to preserve bone and soft tissue yields highly esthetic results in the long term. Increasingly, patients are demanding not only enhancements to their dental (micro) esthetics but also to their overall facial (macro) esthetics. Dynamic wrinkles (caused by hyperfunctional muscles) in the perioral, glabellar, and forehead regions can cause a patient's expressions to be misinterpreted as angry, anxious, fearful, or fatigued. An emerging treatment option to address these issues is the use of a paralyzing material such as botulinum toxin A (Botox) to decrease the appearance of the wrinkles, which yields a more esthetic and youthful facial appearance. Botox is a deadly poison that is produced by the bacterium Clostridium botulinum and causes muscle paralysis by inhibiting acetylcholine release at the neuromuscular junction. When used in areas of hyperfunctional muscles, a transient partial paralysis occurs that diminishes the appearances of wrinkles, Therefore, wrinkles not attributable to hyperfunctional muscles (e.g., wrinkles caused by aging, gravity, photodamage, trauma, and scarring) will not be amenable to treatment with the toxin. As a result, proper case selection is essential. A thorough understanding of the indications, techniques, dosages, and complications and their management is imperative to achieve a satisfactory result. This article will review the pathogenesis of facial wrinkles as well as the history, techniques, clinical controversies, and other important considerations for successful treatment of facial wrinkles with Botox.

  12. Evaluation of the Efficacy and Safety of a Lidocaine and Tetracaine (7%/7%) Cream for Induction of Local Dermal Anesthesia for Facial Soft Tissue Augmentation with Hyaluronic Acid

    OpenAIRE

    Cohen, Joel L.; Gold, Michael H.

    2014-01-01

    Injection of dermal fillers for soft tissue augmentation is a minimally invasive cosmetic procedure with growing popularity. However, patients often express concern about pain with such procedures. A topical anesthetic cream formulated with lidocaine/tetracaine 7%7% was approved by the United States Food and Drug Administration in 2006 and recently reintroduced to the market for use during superficial dermatological procedures. A Phase 3 study was conducted to assess the efficacy and safety o...

  13. 拔牙矫治对 AngleⅡ1错牙合成年女性面部软组织正貌的影响%Impacts of orthodontic treatment with tooth extraction on the frontal view of facial soft tissue in adult fe-males with class Ⅱ division 1 malocclusion

    Institute of Scientific and Technical Information of China (English)

    谢妹洪; 劳柯杰; 覃昌焘; 马琴琴; 莫水学

    2016-01-01

    目的:探讨 AngleⅡ1错成年女性拔牙矫治后面部软组织正貌的改变。方法:采用直接活体测量法,测量51例成年女性 AngleⅡ1错患者矫治前后面部软组织正貌美学指标的改变,其中拔牙组30例,非拔牙对照组21例,并对矫治前后的变化量进行统计学分析。结果:拔牙组矫治后 N-Me、Sn-Me、Sn-UL、LL-Sm、Sto-M、Ch-Ch 增大(P <0.05),UL-LL 减小(P<0.05),Zy-Zy、Go-Go 无明显变化(P >0.05)。非拔牙组矫治后各指标均无明显变化(P >0.05)。组间比较中 Sn-UL、LL-Sm、UL-LL 差异有统计学意义(P <0.01),其余各项无统计学意义(P >0.05)。结论:成年女性 AngleⅡ1错患者通过拔牙矫治,主要表现为口周软组织的变化,开唇露齿明显改善,上下唇形态更趋协调;对面高及面宽无明显影响。%Objective:To explore the changes of orthodontic therapy with tooth extraction on frontal view of facial soft tissue in adult females with Class Ⅱ division 1 malocclusion.Methods:Frontal view of facial soft tissue aesthetic charaeteristics of 30 with and 21 without tooth extraction adult females with Class Ⅱ division 1 malocclusion were measured with direct anthropometry before and after orthodontic treatment.Results:After the extraction treatment,the distance of N-Me,Sn-Me,Sn-UL,LL-Sm,Sto-Me,Ch-Ch in-creased(P 0.05).There was no sig-nificant change in each parameter in nonextraction group(P >0.05).Between the 2 groups Sn-UL,LL-Sm and UL-LL showed differ-ence(P 0.05).Conclusion:Orthodontic treatment with tooth for the fe-males with Class Ⅱ division 1 malocclusion can improve the incompetent lips,and recover the coordination between the upper and lower lips.There is little change on facial height and width.

  14. Mapping and Manipulating Facial Expression

    Science.gov (United States)

    Theobald, Barry-John; Matthews, Iain; Mangini, Michael; Spies, Jeffrey R.; Brick, Timothy R.; Cohn, Jeffrey F.; Boker, Steven M.

    2009-01-01

    Nonverbal visual cues accompany speech to supplement the meaning of spoken words, signify emotional state, indicate position in discourse, and provide back-channel feedback. This visual information includes head movements, facial expressions and body gestures. In this article we describe techniques for manipulating both verbal and nonverbal facial…

  15. Genetic determinants of facial clefting

    DEFF Research Database (Denmark)

    Jugessur, Astanand; Shi, Min; Gjessing, Håkon Kristian

    2009-01-01

    BACKGROUND: Facial clefts are common birth defects with a strong genetic component. To identify fetal genetic risk factors for clefting, 1536 SNPs in 357 candidate genes were genotyped in two population-based samples from Scandinavia (Norway: 562 case-parent and 592 control-parent triads; Denmark...

  16. Constraint-based facial animation

    NARCIS (Netherlands)

    Z.M. Ruttkay

    1999-01-01

    textabstractConstraints have been traditionally used for computer animation applications to define side conditions for generating synthesized motion according to a standard, usually physically realistic, set of motion equations. The case of facial animation is very different, as no set of motion equ

  17. Constraint-based facial animation

    NARCIS (Netherlands)

    Z.M. Ruttkay

    1999-01-01

    textabstractConstraints have been traditionally used for computer animation applications to define side conditions for generating synthesized motion according to a standard, usually physically realistic, set of motion equations. The case of facial animation is very different, as no set of motion

  18. Differential expression of wound fibrotic factors between facial and trunk dermal fibroblasts.

    Science.gov (United States)

    Kurita, Masakazu; Okazaki, Mutsumi; Kaminishi-Tanikawa, Akiko; Niikura, Mamoru; Takushima, Akihiko; Harii, Kiyonori

    2012-01-01

    Clinically, wounds on the face tend to heal with less scarring than those on the trunk, but the causes of this difference have not been clarified. Fibroblasts obtained from different parts of the body are known to show different properties. To investigate whether the characteristic properties of facial and trunk wound healing are caused by differences in local fibroblasts, we comparatively analyzed the functional properties of superficial and deep dermal fibroblasts obtained from the facial and trunk skin of seven individuals, with an emphasis on tendency for fibrosis. Proliferation kinetics and mRNA and protein expression of 11 fibrosis-associated factors were investigated. The proliferation kinetics of facial and trunk fibroblasts were identical, but the expression and production levels of profibrotic factors, such as extracellular matrix, transforming growth factor-β1, and connective tissue growth factor mRNA, were lower in facial fibroblasts when compared with trunk fibroblasts, while the expression of antifibrotic factors, such as collagenase, basic fibroblast growth factor, and hepatocyte growth factor, showed no clear trends. The differences in functional properties of facial and trunk dermal fibroblasts were consistent with the clinical tendencies of healing of facial and trunk wounds. Thus, the differences between facial and trunk scarring are at least partly related to the intrinsic nature of the local dermal fibroblasts.

  19. [Neurological disease and facial recognition].

    Science.gov (United States)

    Kawamura, Mitsuru; Sugimoto, Azusa; Kobayakawa, Mutsutaka; Tsuruya, Natsuko

    2012-07-01

    To discuss the neurological basis of facial recognition, we present our case reports of impaired recognition and a review of previous literature. First, we present a case of infarction and discuss prosopagnosia, which has had a large impact on face recognition research. From a study of patient symptoms, we assume that prosopagnosia may be caused by unilateral right occipitotemporal lesion and right cerebral dominance of facial recognition. Further, circumscribed lesion and degenerative disease may also cause progressive prosopagnosia. Apperceptive prosopagnosia is observed in patients with posterior cortical atrophy (PCA), pathologically considered as Alzheimer's disease, and associative prosopagnosia in frontotemporal lobar degeneration (FTLD). Second, we discuss face recognition as part of communication. Patients with Parkinson disease show social cognitive impairments, such as difficulty in facial expression recognition and deficits in theory of mind as detected by the reading the mind in the eyes test. Pathological and functional imaging studies indicate that social cognitive impairment in Parkinson disease is possibly related to damages in the amygdalae and surrounding limbic system. The social cognitive deficits can be observed in the early stages of Parkinson disease, and even in the prodromal stage, for example, patients with rapid eye movement (REM) sleep behavior disorder (RBD) show impairment in facial expression recognition. Further, patients with myotonic dystrophy type 1 (DM 1), which is a multisystem disease that mainly affects the muscles, show social cognitive impairment similar to that of Parkinson disease. Our previous study showed that facial expression recognition impairment of DM 1 patients is associated with lesion in the amygdalae and insulae. Our study results indicate that behaviors and personality traits in DM 1 patients, which are revealed by social cognitive impairment, are attributable to dysfunction of the limbic system.

  20. Magnetoencephalographic study on facial movements

    Directory of Open Access Journals (Sweden)

    Kensaku eMiki

    2014-07-01

    Full Text Available In this review, we introduced our three studies that focused on facial movements. In the first study, we examined the temporal characteristics of neural responses elicited by viewing mouth movements, and assessed differences between the responses to mouth opening and closing movements and an averting eyes condition. Our results showed that the occipitotemporal area, the human MT/V5 homologue, was active in the perception of both mouth and eye motions. Viewing mouth and eye movements did not elicit significantly different activity in the occipitotemporal area, which indicated that perception of the movement of facial parts may be processed in the same manner, and this is different from motion in general. In the second study, we investigated whether early activity in the occipitotemporal region evoked by eye movements was influenced by a face contour and/or features such as the mouth. Our results revealed specific information processing for eye movements in the occipitotemporal region, and this activity was significantly influenced by whether movements appeared with the facial contour and/or features, in other words, whether the eyes moved, even if the movement itself was the same. In the third study, we examined the effects of inverting the facial contour (hair and chin and features (eyes, nose, and mouth on processing for static and dynamic face perception. Our results showed the following: (1 In static face perception, activity in the right fusiform area was affected more by the inversion of features while that in the left fusiform area was affected more by a disruption in the spatial relationship between the contour and features, and (2 In dynamic face perception, activity in the right occipitotemporal area was affected by the inversion of the facial contour.

  1. Misrecognition of facial expressions in delinquents

    Directory of Open Access Journals (Sweden)

    Matsuura Naomi

    2009-09-01

    Full Text Available Abstract Background Previous reports have suggested impairment in facial expression recognition in delinquents, but controversy remains with respect to how such recognition is impaired. To address this issue, we investigated facial expression recognition in delinquents in detail. Methods We tested 24 male adolescent/young adult delinquents incarcerated in correctional facilities. We compared their performances with those of 24 age- and gender-matched control participants. Using standard photographs of facial expressions illustrating six basic emotions, participants matched each emotional facial expression with an appropriate verbal label. Results Delinquents were less accurate in the recognition of facial expressions that conveyed disgust than were control participants. The delinquents misrecognized the facial expressions of disgust as anger more frequently than did controls. Conclusion These results suggest that one of the underpinnings of delinquency might be impaired recognition of emotional facial expressions, with a specific bias toward interpreting disgusted expressions as hostile angry expressions.

  2. Parotid lymphangioma associated with facial nerve paralysis.

    Science.gov (United States)

    Imaizumi, Mitsuyoshi; Tani, Akiko; Ogawa, Hiroshi; Omori, Koichi

    2014-10-01

    Parotid lymphangioma is a relatively rare disease that is usually detected in infancy or early childhood, and which has typical features. Clinical reports of facial nerve paralysis caused by lymphangioma, however, are very rare. Usually, facial nerve paralysis in a child suggests malignancy. Here we report a very rare case of parotid lymphangioma associated with facial nerve paralysis. A 7-year-old boy was admitted to hospital with a rapidly enlarging mass in the left parotid region. Left peripheral-type facial nerve paralysis was also noted. Computed tomography and magnetic resonance imaging also revealed multiple cystic lesions. Open biopsy was undertaken in order to investigate the cause of the facial nerve paralysis. The histopathological findings of the excised tumor were consistent with lymphangioma. Prednisone (40 mg/day) was given in a tapering dose schedule. Facial nerve paralysis was completely cured 1 month after treatment. There has been no recurrent facial nerve paralysis for eight years.

  3. Man-machine collaboration using facial expressions

    Science.gov (United States)

    Dai, Ying; Katahera, S.; Cai, D.

    2002-09-01

    For realizing the flexible man-machine collaboration, understanding of facial expressions and gestures is not negligible. In our method, we proposed a hierarchical recognition approach, for the understanding of human emotions. According to this method, the facial AFs (action features) were firstly extracted and recognized by using histograms of optical flow. Then, based on the facial AFs, facial expressions were classified into two calsses, one of which presents the positive emotions, and the other of which does the negative ones. Accordingly, the facial expressions belonged to the positive class, or the ones belonged to the negative class, were classified into more complex emotions, which were revealed by the corresponding facial expressions. Finally, the system architecture how to coordinate in recognizing facil action features and facial expressions for man-machine collaboration was proposed.

  4. Complexity and Dynamical Depth

    Directory of Open Access Journals (Sweden)

    Terrence Deacon

    2014-07-01

    Full Text Available We argue that a critical difference distinguishing machines from organisms and computers from brains is not complexity in a structural sense, but a difference in dynamical organization that is not well accounted for by current complexity measures. We propose a measure of the complexity of a system that is largely orthogonal to computational, information theoretic, or thermodynamic conceptions of structural complexity. What we call a system’s dynamical depth is a separate dimension of system complexity that measures the degree to which it exhibits discrete levels of nonlinear dynamical organization in which successive levels are distinguished by local entropy reduction and constraint generation. A system with greater dynamical depth than another consists of a greater number of such nested dynamical levels. Thus, a mechanical or linear thermodynamic system has less dynamical depth than an inorganic self-organized system, which has less dynamical depth than a living system. Including an assessment of dynamical depth can provide a more precise and systematic account of the fundamental difference between inorganic systems (low dynamical depth and living systems (high dynamical depth, irrespective of the number of their parts and the causal relations between them.

  5. Evaluation of the efficacy and safety of a lidocaine and tetracaine (7%/7%) cream for induction of local dermal anesthesia for facial soft tissue augmentation with hyaluronic Acid.

    Science.gov (United States)

    Cohen, Joel L; Gold, Michael H

    2014-10-01

    Injection of dermal fillers for soft tissue augmentation is a minimally invasive cosmetic procedure with growing popularity. However, patients often express concern about pain with such procedures. A topical anesthetic cream formulated with lidocaine/tetracaine 7%7% was approved by the United States Food and Drug Administration in 2006 and recently reintroduced to the market for use during superficial dermatological procedures. A Phase 3 study was conducted to assess the efficacy and safety of lidocaine/tetracaine 7%7% cream versus placebo cream when used to induce local dermal anesthesia during injections with hyaluronic acid. Mean visual analog scale scores significantly favored lidocaine/tetracaine 7%7% cream. A significant percent of subjects also indicated that lidocaine/tetracaine 7%7% cream provided adequate pain relief and that they would use lidocaine/tetracaine 7%7% cream again. Investigators also rated lidocaine/tetracaine 7%7% cream significantly better than placebo cream for providing adequate pain relief and on the assessment of pain scale. Lidocaine/tetracaine 7%7% cream was safe and well tolerated with most subjects reporting no erythema, edema, or blanching. No related adverse events were reported with lidocaine/tetracaine 7%7% cream; one related adverse event of erythema was reported with placebo cream. The results of this study indicate that lidocaine/tetracaine 7%7% cream is efficacious and safe at providing pain relief for soft tissue augmentation with hyaluronic acid.

  6. Genetic factors that increase male facial masculinity decrease facial attractiveness of female relatives.

    Science.gov (United States)

    Lee, Anthony J; Mitchem, Dorian G; Wright, Margaret J; Martin, Nicholas G; Keller, Matthew C; Zietsch, Brendan P

    2014-02-01

    For women, choosing a facially masculine man as a mate is thought to confer genetic benefits to offspring. Crucial assumptions of this hypothesis have not been adequately tested. It has been assumed that variation in facial masculinity is due to genetic variation and that genetic factors that increase male facial masculinity do not increase facial masculinity in female relatives. We objectively quantified the facial masculinity in photos of identical (n = 411) and nonidentical (n = 782) twins and their siblings (n = 106). Using biometrical modeling, we found that much of the variation in male and female facial masculinity is genetic. However, we also found that masculinity of male faces is unrelated to their attractiveness and that facially masculine men tend to have facially masculine, less-attractive sisters. These findings challenge the idea that facially masculine men provide net genetic benefits to offspring and call into question this popular theoretical framework.

  7. Male Aesthetics: A Review of Facial Anatomy and Pertinent Clinical Implications.

    Science.gov (United States)

    Farhadian, Joshua A; Bloom, Bradley S; Brauer, Jeremy A

    2015-09-01

    Aesthetics continues to be a rapidly growing field within dermatology. In 2014, Americans spent 5 billion dollars on an estimated 9 million minimally invasive cosmetic procedures. Between 1997 and 2014, the number of aesthetic procedures performed on men increased by 273%. The approach to male aesthetics differs from that of females. Men have a squarer face, a more angled and larger jaw, and equally balanced upper and lower facial proportions. Facial muscle mass, subcutaneous tissue, and blood vessel density are also increased in men relative to women. While many of the same cosmetic procedures are performed in males and females, the approach, assessment, and treatment parameters are often different. Improper technique in a male patient can result in feminizing facial features and patient dissatisfaction. With an increasing number of men seeking aesthetic procedures, it behooves dermatologists to familiarize themselves with male facial anatomy and the practice of cosmetic dermatology in this population.

  8. [Progressive bone elongation of the maxillo-facial area: mandibular distraction].

    Science.gov (United States)

    Sancho, M A; Parri, F J; Rivera, A; Grande, C; Sarget, R; Casal, C; Morales, L

    2000-10-01

    Thanks to the distraction osteogenesis technique, it is nowadays possible to create new bone in the facial area. Between january 1997 and march 1999 we have performed 20 such procedures, from which 15 were mandibular. We present our experience in 10 patients with this new technique, 5 unilateral and 5 bilateral. Those were 7 boys and 3 girls, aged 2 to 14 years, affected with hemifacial microsomia, Goldenhar syndrome: 3; retrognatism with severe malocclusion: 4; facial assimetry due temporomandibular joint abnormalities: 2; and facial assimetry: 1. The proposed elongation was achieved in all cases. There was not only a skeletal improvement, but also growth and remodeling of the facial soft tissues. Distraction osteogenesis is the early treatment of the mandibulofacial deformities and offers a great deal of advantages to the growing patient.

  9. Clinical application research of moist exposed method in the treatment of facial soft tissue defect%湿性医疗技术治疗面部软组织缺损的临床应用

    Institute of Scientific and Technical Information of China (English)

    王俊; 李巧梅; 郝兰清; 王高丽; 吕飞飞; 夏欣; 王金雨; 邹晶; 和王刚; 周小龙

    2015-01-01

    目的:通过湿性医疗技术治疗面部软组织缺损的临床效果观察,介绍一种治疗面部软组织缺损的新方法。方法:对85例面部软组织缺损患者采用湿性医疗技术进行治疗,临床观察创面愈合时间、愈后疤痕及面形、功能变化,分析其疗效。结果:85例患者创面愈合时间最短12 d,最长72 d,74例患者面形及功能恢复正常,伤区皮肤弹性好,瘢痕较轻;11例失访,2例鼻尖、鼻小柱皮肤及鼻翼软骨缺损愈合时间最长,愈后左侧鼻孔边缘遗留V形缺损,湿性医疗技术可能对软骨无作用。结论:湿性医疗技术可以使面部软组织缺损达到较为理想的愈合,操作方法简单,能明显降低医疗费用,是一种简单有效的方法,特别适用于老年患者、全身情况差,不能耐受复杂手术治疗的患者。%Objective:To summary clinical experience of treatments of maxillofacial soft tissue defects by moist ex-posed method and introduce a new therapeutic strategy of maxillofacial soft tissue defects. Method:85 patients with max-illofacial soft tissue defects were treated by moist exposed method. We analyzed the efficacy by observing the time of wound healing,healing scar,and change of face shape and functions,in these patients. Result:In these 85 patients,the shortest time of wound healing was 12 days and longest one was 72 days. 74 patients recovered their face shapes and functions. The healing skin has relative good elasticity,less scarring. 11cases were lost to follow-up. 2 patients with defect of tip of nose, skin of columella and alar cartilage has longest time of wound healing,as well as V-shaped defect in the margin of left nos-tril, thought to be of cartilage has no effect. Conclusion:Moist exposed method can lead ideal healing in patients with oral and maxillofacial soft tissue defects. This is an easily performed effective technology without requirement of specific medical equipment

  10. Role of diode lasers in oro-facial pain management.

    Science.gov (United States)

    Javed, F; Kellesarian, S V; Romanos, G E

    2017-01-01

    With the increasing use of low level laser therapy (LLLT) in clinical dentistry, the aim of the present study was to assess the effectiveness of diode lasers in the management of orofacial pain. Indexed databases were searched without language and time restrictions up to and including July 2016 using different combinations of the following key words: oral, low level laser therapy, dental, pain, diode lasers, discomfort and analgesia. From the literature reviewed it is evident that LLLT is effective compared to traditional procedures in the management of oro-facial pain associated to soft tissue and hard tissue conditions such as premalignant lesions, gingival conditions and dental extractions. However, it remains to be determined which particular wavelength will produce the more favorable and predictable outcome in terms of pain reduction. It is highly recommended that further randomized control trials with well-defined control groups should be performed to determine the precise wavelengths of the diode lasers for the management of oro-facial pain. Within the limits of the present review, it is concluded that diode lasers therapy is more effective in the management of oro-facial pain compared to traditional procedures.

  11. Reconstruction of Complex Facial Defects Using Cervical Expanded Flap Prefabricated by Temporoparietal Fascia Flap.

    Science.gov (United States)

    Zhang, Ling; Yang, Qinghua; Jiang, Haiyue; Liu, Ge; Huang, Wanlu; Dong, Weiwei

    2015-09-01

    Reconstruction of complex facial defects using cervical expanded flap prefabricated by temporoparietal fascia flap. Complex facial defects are required to restore not only function but also aesthetic appearance, so it is vital challenge for plastic surgeons. Skin grafts and traditional flap transfer cannot meet the reconstructive requirements of color and texture with recipient. The purpose of this sturdy is to create an expanded prefabricated temporoparietal fascia flap to repair complex facial defects. Two patients suffered severe burns on the face underwent complex facial resurfacing with prefabricated cervical flap. The vasculature of prefabricated flap, including the superficial temporal vessel and surrounding fascia, was used as the vascular carrier. The temporoparietal fascia flap was sutured underneath the cervical subcutaneous tissue, and expansion was begun in postoperative 1 week. After 4 to 6 months of expansion, the expander was removed, facial scars were excised, and cervical prefabricated flap was elevated and transferred to repair the complex facial defects. Two complex facial defects were repaired successfully by prefabricated temporoparietal fascia flap, and prefabricated flaps survived completely. On account of donor site's skin was thinner and expanded too fast, 1 expanded skin flap was rupture during expansion, but necrosis was not occurred after the 2nd operation. Venous congestion was observed in 1 patient, but after dressing, flap necrosis was not happened. Donor site was closed primarily. Postoperative follow-up 6 months, the color, texture of prefabricated flap was well-matched with facial skin. This method of expanded prefabricated flap may provide a reliable solution to the complex facial resurfacing.

  12. Characterization of facial burns from maxillofacial surgery. Cienfuegos 2005 - 2007 Caracterización de las quemaduras faciales desde la cirugía máxilo facial. Cienfuegos 2005 – 2007

    Directory of Open Access Journals (Sweden)

    Patricia Cristina Jiménez Beato

    2010-08-01

    Full Text Available Background: A descriptive study and retrospective study with 87 patients for facial burns, were treated at the Burn Service of the Hospital General Universitario "Dr. Gustavo Lima Aldereguía "Cienfuegos between January 2005 and September 2007. Objective: To characterize the care of patients with facial burns to help develop knowledge, attitudes and skills medical - surgery in the maxillofacial surgeon. Method: the source of information used were the records of patient care in the emergency department Burned Service and these data were selected that identified the patients as well as other related directly with facial burns. For each patient, more severe burning classified according to their size and depth. Results: In this study facial burns were more frequent in females aged 16 to 34 years, the most common cause of these lesions was in contact with boiling liquids as the predominant type skin burns, with extensions between 2 and 4% of the face area. In 44 patients affected centers facial structures, so predominant involvement of the ears. The priest most used in the facial region was the stop with silver sulfadiazine. Approximately 50% of patients were affected in the organs of sense, particularly in the ears, Conclusion: The traumatic facial burns are more severe conditions than any other location for the possible commitment to the airways.Introducción: se realizó un estudio descriptivo, observacional y retrospectivo con 87 pacientes que por sufrir quemaduras faciales, fueron atendidos en el Servicio de Quemados del Hospital General Universitario “Dr. Gustavo Aldereguía Lima” de Cienfuegos entre enero del 2005 y septiembre del 2007. Objetivo: caracterizar la atención al paciente con quemaduras faciales para contribuir al desarrollo de conocimientos, actitudes y aptitudes médico – quirúrgicas en el cirujano m

  13. Facial Expression at Retrieval Affects Recognition of Facial Identity

    Directory of Open Access Journals (Sweden)

    Wenfeng eChen

    2015-06-01

    Full Text Available It is well known that memory can be modulated by emotional stimuli at the time of encoding and consolidation. For example, happy faces create better identity recognition than faces with certain other expressions. However, the influence of facial expression at the time of retrieval remains unknown in the literature. To separate the potential influence of expression at retrieval from its effects at earlier stages, we had participants learn neutral faces but manipulated facial expression at the time of memory retrieval in a standard old/new recognition task. The results showed a clear effect of facial expression, where happy test faces were identified more successfully than angry test faces. This effect is unlikely due to greater image similarity between the neutral learning face and the happy test face, because image analysis showed that the happy test faces are in fact less similar to the neutral learning faces relative to the angry test faces. In the second experiment, we investigated whether this emotional effect is influenced by the expression at the time of learning. We employed angry or happy faces as learning stimuli, and angry, happy, and neutral faces as test stimuli. The results showed that the emotional effect at retrieval is robust across different encoding conditions with happy or angry expressions. These findings indicate that emotional expressions affect the retrieval process in identity recognition, and identity recognition does not rely on emotional association between learning and test faces.

  14. Facial and Dental Injuries Facial and Dental Injuries in Karate.

    Science.gov (United States)

    Vidovic-Stesevic, Vesna; Verna, Carlalberta; Krastl, Gabriel; Kuhl, Sebastian; Filippi, Andreas

    2015-01-01

    Karate is a martial art that carries a high trauma risk. Trauma-related Swiss and European karate data are currently unavailable. This survey seeks to increase knowledge of the incidence of traumatic facial and dental injuries, their emergency management, awareness of tooth rescue boxes, the use of mouthguards and their modifications. Interviews were conducted with 420 karate fighters from 43 European countries using a standardized questionnaire. All the participants were semi-professionals. The data were evaluated with respect to gender, kumite level (where a karate practitioner trains against an adversary), and country. Of the 420 fighters interviewed, 213 had experienced facial trauma and 44 had already had dental trauma. A total of 192 athletes had hurt their opponent by inflicting a facial or dental injury, and 290 knew about the possibility of tooth replantation following an avulsion. Only 50 interviewees knew about tooth rescue boxes. Nearly all the individuals interviewed wore a mouthguard (n = 412), and 178 of them had made their own modifications to the guard. The results of the present survey suggest that more information and education in wearing protective gear are required to reduce the incidence of dental injuries in karate.

  15. Recognizing Action Units for Facial Expression Analysis.

    Science.gov (United States)

    Tian, Ying-Li; Kanade, Takeo; Cohn, Jeffrey F

    2001-02-01

    Most automatic expression analysis systems attempt to recognize a small set of prototypic expressions, such as happiness, anger, surprise, and fear. Such prototypic expressions, however, occur rather infrequently. Human emotions and intentions are more often communicated by changes in one or a few discrete facial features. In this paper, we develop an Automatic Face Analysis (AFA) system to analyze facial expressions based on both permanent facial features (brows, eyes, mouth) and transient facial features (deepening of facial furrows) in a nearly frontal-view face image sequence. The AFA system recognizes fine-grained changes in facial expression into action units (AUs) of the Facial Action Coding System (FACS), instead of a few prototypic expressions. Multistate face and facial component models are proposed for tracking and modeling the various facial features, including lips, eyes, brows, cheeks, and furrows. During tracking, detailed parametric descriptions of the facial features are extracted. With these parameters as the inputs, a group of action units (neutral expression, six upper face AUs and 10 lower face AUs) are recognized whether they occur alone or in combinations. The system has achieved average recognition rates of 96.4 percent (95.4 percent if neutral expressions are excluded) for upper face AUs and 96.7 percent (95.6 percent with neutral expressions excluded) for lower face AUs. The generalizability of the system has been tested by using independent image databases collected and FACS-coded for ground-truth by different research teams.

  16. Treatments for unwanted facial hair.

    Science.gov (United States)

    Shapiro, J; Lui, H

    Twenty-two percent of women in North America have unwanted facial hair, which can cause embarrassment and result in a significant emotional burden. Treatment options include plucking, waxing (including the sugar forms), depilatories, bleaching, shaving, electrolysis, laser, intense pulsed light (IPL), and eflornithine 13.9% cream (Vaniqa, Barrier Therapeutics in Canada and Shire Pharmaceuticals elsewhere). Eflornithine 13.9% cream is a topical treatment that does not remove the hairs, but acts to reduce the rate of growth and appears to be effective for unwanted facial hair on the mustache and chin area. Eflornithine 13.9% cream can be used in combination with other treatments such as lasers and IPL to give the patient the best chance for successful hair removal.

  17. Asymmetry of Facial Mimicry and Emotion Perception in Patients With Unilateral Facial Paralysis.

    Science.gov (United States)

    Korb, Sebastian; Wood, Adrienne; Banks, Caroline A; Agoulnik, Dasha; Hadlock, Tessa A; Niedenthal, Paula M

    2016-05-01

    The ability of patients with unilateral facial paralysis to recognize and appropriately judge facial expressions remains underexplored. To test the effects of unilateral facial paralysis on the recognition of and judgments about facial expressions of emotion and to evaluate the asymmetry of facial mimicry. Patients with left or right unilateral facial paralysis at a university facial plastic surgery unit completed 2 computer tasks involving video facial expression recognition. Side of facial paralysis was used as a between-participant factor. Facial function and symmetry were verified electronically with the eFACE facial function scale. Across 2 tasks, short videos were shown on which facial expressions of happiness and anger unfolded earlier on one side of the face or morphed into each other. Patients indicated the moment or side of change between facial expressions and judged their authenticity. Type, time, and accuracy of responses on a keyboard were analyzed. A total of 57 participants (36 women and 21 men) aged 20 to 76 years (mean age, 50.2 years) and with mild left or right unilateral facial paralysis were included in the study. Patients with right facial paralysis were faster (by about 150 milliseconds) and more accurate (mean number of errors, 1.9 vs 2.5) to detect expression onsets on the left side of the stimulus face, suggesting anatomical asymmetry of facial mimicry. Patients with left paralysis, however, showed more anomalous responses, which partly differed by emotion. The findings favor the hypothesis of an anatomical asymmetry of facial mimicry and suggest that patients with a left hemiparalysis could be more at risk of developing a cluster of disabilities and psychological conditions including emotion-recognition impairments. 3.

  18. Familial congenital peripheral facial paralysis

    OpenAIRE

    Portillo Vallenas, Roberto; Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Perú; Aldave, Raquel; Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Perú; Reyes, Juan; Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Perú; Castañeda, César; Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Perú; VERA, JOSÉ; Hospital Guillermo Almenara Irigoyen, Servicio de Neurología. Lima, Perú

    2014-01-01

    Objective: To study 29 individuals belonging to four familiar generations in whom 9 cases of facial paralysis was found in 2 generations. Setting: Neurophysiology Service, Guillermo Almenara Irigoyen National Hospital. Material and Methods: Neurological exam and electrophysiologic (EMG and VCN), otorrhinolaryngologic, radiologic, electroencephalographic, dermatoglyphic and laboratory studies were performed in 7 of the 9 patients (5 men and 2 women). Results: One case of right peripheral facia...

  19. Giant sialocele following facial trauma

    OpenAIRE

    Medeiros Júnior,Rui; Rocha Neto,Alípio Miguel da; Queiroz, Isaac Vieira; Cauby,Antônio de Figueiredo; Gueiros,Luiz Alcino Monteiro; Leão,Jair Carneiro

    2012-01-01

    Injuries in the parotid and masseter region can cause serious impairment secondary to damage of important anatomical structures. Sialocele is observed as facial swelling associated with parotid duct rupture due to trauma. The aim of this paper is to report a case of a giant traumatic sialocele in the parotid gland, secondary to a knife lesion in a 40-year-old woman. Conservative measures could not promote clinical resolution and a surgical intervention for the placement of a vacuum drain was ...

  20. Non-invasive evaluation of facial crestal bone with ultrasonography

    Science.gov (United States)

    Sinjab, Khaled; Chung, Ming-Pang; Chiang, Yi-Chen; Wang, Hom-Lay; Giannobile, William V.; Kripfgans, Oliver D.

    2017-01-01

    Purpose Facial crestal bone level and dimension determine function and esthetics of dentition and dental implants. We have previously demonstrated that ultrasound can identify bony and soft tissue structures in the oral cavity. The aim of this study is to evaluate the accuracy of using ultrasound to measure facial crestal bone level and thickness. Materials and methods A commercially available medical ultrasound scanner, paired with a 14 MHz imaging probe was used to scan dental and periodontal tissues at the mid-facial site of each tooth on 6 fresh cadavers. The alveolar crest level in relation to the cemento-enamel junction and its thickness on ultrasound images were measured and compared to those on cone-beam computed tomography (CBCT) scans and/or direct measurements on a total of 144 teeth. Results The mean crestal bone level measured by means of ultrasound, CBCT and direct measures was 2.66 ± 0.86 mm, 2.51 ± 0.82 mm, and 2.71 ± 1.04 mm, respectively. The mean crestal bone thickness was 0.71 ± 0.44 mm and 0.74 ± 0.34 mm, measured by means of ultrasound and CBCT, respectively. The correlations of the ultrasound readings to the other two methods were between 0.78 and 0.88. The mean absolute differences in crestal bone height and thickness between ultrasound and CBCT were 0.09 mm (-1.20 to 1.00 mm, p = 0.06) and 0.03 mm (-0.48 to 0.54 mm, p = 0.03), respectively. Conclusion Ultrasound was as accurate in determining alveolar bone level and its thickness as CBCT and direct measurements. Clinical trials will be required to further validate this non-ionizing and non-invasive method for determining facial crestal bone position and dimension. PMID:28178323

  1. A novel three-dimensional smile analysis based on dynamic evaluation of facial curve contour

    Science.gov (United States)

    Lin, Yi; Lin, Han; Lin, Qiuping; Zhang, Jinxin; Zhu, Ping; Lu, Yao; Zhao, Zhi; Lv, Jiahong; Lee, Mln Kyeong; Xu, Yue

    2016-02-01

    The influence of three-dimensional facial contour and dynamic evaluation decoding on factors of smile esthetics is essential for facial beauty improvement. However, the kinematic features of the facial smile contour and the contribution from the soft tissue and underlying skeleton are uncharted. Here, the cheekbone-maxilla contour and nasolabial fold were combined into a “smile contour” delineating the overall facial topography emerges prominently in smiling. We screened out the stable and unstable points on the smile contour using facial motion capture and curve fitting, before analyzing the correlation between soft tissue coordinates and hard tissue counterparts of the screened points. Our finding suggests that the mouth corner region was the most mobile area characterizing smile expression, while the other areas remained relatively stable. Therefore, the perioral area should be evaluated dynamically while the static assessment outcome of other parts of the smile contour contribute partially to their dynamic esthetics. Moreover, different from the end piece, morphologies of the zygomatic area and the superior part of the nasolabial crease were determined largely by the skeleton in rest, implying the latter can be altered by orthopedic or orthodontic correction and the former better improved by cosmetic procedures to improve the beauty of smile.

  2. Removal of unwanted facial hair.

    Science.gov (United States)

    Shenenberger, Donald W; Utecht, Lynn M

    2002-11-15

    Unwanted facial hair is a common problem that is seldom discussed in the primary care setting. Although men occasionally request removal of unwanted facial hair, women most often seek help with this condition. Physicians generally neglect to address the problem if the patient does not first request help. The condition may be caused by androgen overproduction, increased sensitivity to circulating androgens, or other metabolic and endocrine disorders, and should be properly evaluated. Options for hair removal vary in efficacy, degree of discomfort, and cost. Clinical studies on the efficacy of many therapies are lacking. Short of surgical removal of the hair follicle, the only permanent treatment is electrolysis. However, the practice of electrolysis lacks standardization, and regulation of the procedure varies from state to state. Shaving, epilation, and depilation are the most commonly attempted initial options for facial hair removal. Although these methods are less expensive, they are only temporary. Laser hair removal, although better studied than most methods and more strictly regulated, has yet to be proved permanent in all patients. Eflornithine, a topical treatment, is simple to apply and has minimal side effects. By the time most patients consult a physician, they have tried several methods of hair removal. Family physicians can properly educate patients and recommend treatment for this common condition if they are armed with basic knowledge about the treatment options.

  3. Identification based on facial parts

    Directory of Open Access Journals (Sweden)

    Stevanov Zorica

    2007-01-01

    Full Text Available Two opposing views dominate face identification literature, one suggesting that the face is processed as a whole and another suggesting analysis based on parts. Our research tried to establish which of these two is the dominant strategy and our results fell in the direction of analysis based on parts. The faces were covered with a mask and the participants were uncovering different parts, one at the time, in an attempt to identify a person. Already at the level of a single facial feature, such as mouth or eye and top of the nose, some observers were capable to establish the identity of a familiar face. Identification is exceptionally successful when a small assembly of facial parts is visible, such as eye, eyebrow and the top of the nose. Some facial parts are not very informative on their own but do enhance recognition when given as a part of such an assembly. Novel finding here is importance of the top of the nose for the face identification. Additionally observers have a preference toward the left side of the face. Typically subjects view the elements in the following order: left eye, left eyebrow, right eye, lips, region between the eyes, right eyebrow, region between the eyebrows, left check, right cheek. When observers are not in a position to see eyes, eyebrows or top of the nose, they go for lips first and then region between the eyebrows, region between the eyes, left check, right cheek and finally chin.

  4. Depth-resolved measurements with elliptically polarized reflectance spectroscopy.

    Science.gov (United States)

    Bailey, Maria J; Sokolov, Konstantin

    2016-07-01

    The ability of elliptical polarized reflectance spectroscopy (EPRS) to detect spectroscopic alterations in tissue mimicking phantoms and in biological tissue in situ is demonstrated. It is shown that there is a linear relationship between light penetration depth and ellipticity. This dependence is used to demonstrate the feasibility of a depth-resolved spectroscopic imaging using EPRS. The advantages and drawbacks of EPRS in evaluation of biological tissue are analyzed and discussed.

  5. Three-Dimensional Accuracy of Facial Scan for Facial Deformities in Clinics: A New Evaluation Method for Facial Scanner Accuracy

    OpenAIRE

    Zhao, Yi-jiao; Xiong, Yu-xue; Wang, Yong

    2017-01-01

    In this study, the practical accuracy (PA) of optical facial scanners for facial deformity patients in oral clinic was evaluated. Ten patients with a variety of facial deformities from oral clinical were included in the study. For each patient, a three-dimensional (3D) face model was acquired, via a high-accuracy industrial “line-laser” scanner (Faro), as the reference model and two test models were obtained, via a “stereophotography” (3dMD) and a “structured light” facial scanner (FaceScan) ...

  6. Three-Dimensional Accuracy of Facial Scan for Facial Deformities in Clinics: A New Evaluation Method for Facial Scanner Accuracy.

    Science.gov (United States)

    Zhao, Yi-Jiao; Xiong, Yu-Xue; Wang, Yong

    2017-01-01

    In this study, the practical accuracy (PA) of optical facial scanners for facial deformity patients in oral clinic was evaluated. Ten patients with a variety of facial deformities from oral clinical were included in the study. For each patient, a three-dimensional (3D) face model was acquired, via a high-accuracy industrial "line-laser" scanner (Faro), as the reference model and two test models were obtained, via a "stereophotography" (3dMD) and a "structured light" facial scanner (FaceScan) separately. Registration based on the iterative closest point (ICP) algorithm was executed to overlap the test models to reference models, and "3D error" as a new measurement indicator calculated by reverse engineering software (Geomagic Studio) was used to evaluate the 3D global and partial (upper, middle, and lower parts of face) PA of each facial scanner. The respective 3D accuracy of stereophotography and structured light facial scanners obtained for facial deformities was 0.58±0.11 mm and 0.57±0.07 mm. The 3D accuracy of different facial partitions was inconsistent; the middle face had the best performance. Although the PA of two facial scanners was lower than their nominal accuracy (NA), they all met the requirement for oral clinic use.

  7. Three-Dimensional Accuracy of Facial Scan for Facial Deformities in Clinics: A New Evaluation Method for Facial Scanner Accuracy

    Science.gov (United States)

    Zhao, Yi-jiao; Xiong, Yu-xue; Wang, Yong

    2017-01-01

    In this study, the practical accuracy (PA) of optical facial scanners for facial deformity patients in oral clinic was evaluated. Ten patients with a variety of facial deformities from oral clinical were included in the study. For each patient, a three-dimensional (3D) face model was acquired, via a high-accuracy industrial “line-laser” scanner (Faro), as the reference model and two test models were obtained, via a “stereophotography” (3dMD) and a “structured light” facial scanner (FaceScan) separately. Registration based on the iterative closest point (ICP) algorithm was executed to overlap the test models to reference models, and “3D error” as a new measurement indicator calculated by reverse engineering software (Geomagic Studio) was used to evaluate the 3D global and partial (upper, middle, and lower parts of face) PA of each facial scanner. The respective 3D accuracy of stereophotography and structured light facial scanners obtained for facial deformities was 0.58±0.11 mm and 0.57±0.07 mm. The 3D accuracy of different facial partitions was inconsistent; the middle face had the best performance. Although the PA of two facial scanners was lower than their nominal accuracy (NA), they all met the requirement for oral clinic use. PMID:28056044

  8. Does Facial Amimia Impact the Recognition of Facial Emotions? An EMG Study in Parkinson's Disease

    National Research Council Canada - National Science Library

    Argaud, Soizic; Delplanque, Sylvain; Houvenaghel, Jean-François; Auffret, Manon; Duprez, Joan; Vérin, Marc; Grandjean, Didier; Sauleau, Paul

    2016-01-01

    .... The present study used the pathological model of PD to examine the role of facial mimicry on emotion recognition by investigating EMG responses in PD patients during a facial emotion recognition task (anger, joy, neutral...

  9. Mind-Refreshing Acupuncture Therapy for Facial Spasm,Trigeminal Neuralgia and Stubborn Facial Paralysis

    Institute of Scientific and Technical Information of China (English)

    刘正; 方桂梅

    2004-01-01

    @@ Facial spasm, trigeminal neuralgia and stubborn facial paralysis are commonly seen in clinic. The authors have obtained quite good therapeutic results for the above diseases by using the mind-refreshing acupuncture therapy. These are introduced in the following.

  10. Magnetic resonance imaging of facial muscles

    Energy Technology Data Exchange (ETDEWEB)

    Farrugia, M.E. [Department of Clinical Neurology, University of Oxford, Radcliffe Infirmary, Oxford (United Kingdom)], E-mail: m.e.farrugia@doctors.org.uk; Bydder, G.M. [Department of Radiology, University of California, San Diego, CA 92103-8226 (United States); Francis, J.M.; Robson, M.D. [OCMR, Department of Cardiovascular Medicine, University of Oxford, John Radcliffe Hospital, Oxford (United Kingdom)

    2007-11-15

    Facial and tongue muscles are commonly involved in patients with neuromuscular disorders. However, these muscles are not as easily accessible for biopsy and pathological examination as limb muscles. We have previously investigated myasthenia gravis patients with MuSK antibodies for facial and tongue muscle atrophy using different magnetic resonance imaging sequences, including ultrashort echo time techniques and image analysis tools that allowed us to obtain quantitative assessments of facial muscles. This imaging study had shown that facial muscle measurement is possible and that useful information can be obtained using a quantitative approach. In this paper we aim to review in detail the methods that we applied to our study, to enable clinicians to study these muscles within the domain of neuromuscular disease, oncological or head and neck specialties. Quantitative assessment of the facial musculature may be of value in improving the understanding of pathological processes occurring within facial muscles in certain neuromuscular disorders.

  11. Síndrome de dolor facial

    Directory of Open Access Journals (Sweden)

    DR. F. Eugenio Tenhamm

    2014-07-01

    Full Text Available El dolor o algia facial constituye un síndrome doloroso de las estructuras cráneo faciales bajo el cual se agrupan un gran número de enfermedades. La mejor manera de abordar el diagnóstico diferencial de las entidades que causan el dolor facial es usando un algoritmo que identifica cuatro síndromes dolorosos principales que son: las neuralgias faciales, los dolores faciales con síntomas y signos neurológicos, las cefaleas autonómicas trigeminales y los dolores faciales sin síntomas ni signos neurológicos. Una evaluación clínica detallada de los pacientes, permite una aproximación etiológica lo que orienta el estudio diagnóstico y permite ofrecer una terapia específica a la mayoría de los casos

  12. Binary pattern flavored feature extractors for Facial Expression Recognition: An overview

    DEFF Research Database (Denmark)

    Kristensen, Rasmus Lyngby; Tan, Zheng-Hua; Ma, Zhanyu

    2015-01-01

    This paper conducts a survey of modern binary pattern flavored feature extractors applied to the Facial Expression Recognition (FER) problem. In total, 26 different feature extractors are included, of which six are selected for in depth description. In addition, the paper unifies important FER...... terminology, describes open challenges, and provides recommendations to scientific evaluation of FER systems. Lastly, it studies the facial expression recognition accuracy and blur invariance of the Local Frequency Descriptor. The paper seeks to bring together disjointed studies, and the main contribution...

  13. Facial Recognition using OpenCV

    Directory of Open Access Journals (Sweden)

    Valentin Petrut Suciu

    2012-03-01

    Full Text Available

    The growing interest in computer vision of the past decade. Fueled by the steady doubling rate of computing power every 13 months, face detection and recognition has transcended from an esoteric to a popular area of research in computer vision and one of the better and successful applications of image analysis and algorithm based understanding. Because of the intrinsic nature of the problem, computer vision is not only a computer science area of research, but also the object of neuro-scientific and psychological studies, mainly because of the general opinion that advances in computer image processing and understanding research will provide insights into how our brain work and vice versa.

    Because of general curiosity and interest in the matter, the author has proposed to create an application that would allow user access to a particular machine based on an in-depth analysis of a person’s facial features. This application will be developed using Intel’s open source computer vision project, OpenCV and Microsoft’s .NET framework.

  14. Facial Recognition using OpenCV

    Directory of Open Access Journals (Sweden)

    Shervin Emami

    2012-03-01

    Full Text Available The growing interest in computer vision of the past decade. Fueled by the steady doubling rate of computing power every 13 months, face detection and recognition has transcended from an esoteric to a popular area of research in computer vision and one of the better and successful applications of image analysis and algorithm based understanding. Because of the intrinsic nature of the problem, computer vision is not only a computer science area of research, but also the object of neuro-scientific and psychological studies, mainly because of the general opinion that advances in computer image processing and understanding research will provide insights into how our brain work and vice versa. Because of general curiosity and interest in the matter, the author has proposed to create an application that would allow user access to a particular machine based on an in-depth analysis of a person’s facial features. This application will be developed using Intel’s open source computer vision project, OpenCV and Microsoft’s .NET framework.

  15. Extreme skin depth waveguides

    CERN Document Server

    Jahani, Saman

    2014-01-01

    Recently, we introduced a paradigm shift in light confinement strategy and introduced a class of extreme skin depth (e-skid) photonic structures (S. Jahani and Z. Jacob, "Transparent sub-diffraction optics: nanoscale light confinement without metal," Optica 1, 96-100 (2014)). Here, we analytically establish that figures of merit related to light confinement in dielectric waveguides are fundamentally tied to the skin depth of waves in the cladding. We contrast the propagation characteristics of the fundamental mode of e-skid waveguides and conventional waveguides to show that the decay constant in the cladding is dramatically larger in e-skid waveguides, which is the origin of sub-diffraction confinement. Finally, we propose an approach to verify the reduced skin depth in experiment using the decrease in the Goos-H\\"anchen phase shift.

  16. A Review of Facial Nerve Anatomy

    OpenAIRE

    2004-01-01

    An intimate knowledge of facial nerve anatomy is critical to avoid its inadvertent injury during rhytidectomy, parotidectomy, maxillofacial fracture reduction, and almost any surgery of the head and neck. Injury to the frontal and marginal mandibular branches of the facial nerve in particular can lead to obvious clinical deficits, and areas where these nerves are particularly susceptible to injury have been designated danger zones by previous authors. Assessment of facial nerve function is no...

  17. Facial nerve schwannoma in revision stapedotomy surgery.

    Science.gov (United States)

    Schmerber, Sébastien; Lavieille, Jean-Pierre

    2004-05-01

    We describe a male patient who presented a progressive conductive unilateral hearing loss 20 years after otosclerosis surgery. Computed tomography (CT) scan and magnetic resonance imaging (MRI) findings suggested a facial schwannoma in its tympanic segment. At the time of revision surgery, a facial schwannoma was found to originate at the tympanic segment, pushing the prosthesis out of the oval window fenestration. The Teflon-piston was repositioned with difficulties in the central platinotomy, and the facial schwannoma was left intact.

  18. [Peripheral paralysis of facial nerve in children].

    Science.gov (United States)

    Steczkowska-Klucznik, Małgorzata; Kaciński, Marek

    2006-01-01

    Peripheral facial paresis is one of the most common diagnosed neuropathies in adults and also in children. Many factors can trigger facial paresis and most frequent are infectious, carcinoma and demyelinisation diseases. Very important and interesting problem is an idiopathic facial paresis (Bell's palsy). Actually the main target of scientific research is to assess the etiology (infectious, genetic, immunologic) and to find the most appropriate treatment.

  19. Neuronal correlates of voluntary facial movements.

    Science.gov (United States)

    Krippl, Martin; Karim, Ahmed A; Brechmann, André

    2015-01-01

    Whereas the somatotopy of finger movements has been extensively studied with neuroimaging, the neural foundations of facial movements remain elusive. Therefore, we systematically studied the neuronal correlates of voluntary facial movements using the Facial Action Coding System (FACS, Ekman et al., 2002). The facial movements performed in the MRI scanner were defined as Action Units (AUs) and were controlled by a certified FACS coder. The main goal of the study was to investigate the detailed somatotopy of the facial primary motor area (facial M1). Eighteen participants were asked to produce the following four facial movements in the fMRI scanner: AU1+2 (brow raiser), AU4 (brow lowerer), AU12 (lip corner puller) and AU24 (lip presser), each in alternation with a resting phase. Our facial movement task induced generally high activation in brain motor areas (e.g., M1, premotor cortex, supplementary motor area, putamen), as well as in the thalamus, insula, and visual cortex. BOLD activations revealed overlapping representations for the four facial movements. However, within the activated facial M1 areas, we could find distinct peak activities in the left and right hemisphere supporting a rough somatotopic upper to lower face organization within the right facial M1 area, and a somatotopic organization within the right M1 upper face part. In both hemispheres, the order was an inverse somatotopy within the lower face representations. In contrast to the right hemisphere, in the left hemisphere the representation of AU4 was more lateral and anterior compared to the rest of the facial movements. Our findings support the notion of a partial somatotopic order within the M1 face area confirming the "like attracts like" principle (Donoghue et al., 1992). AUs which are often used together or are similar are located close to each other in the motor cortex.

  20. Neuronal correlates of voluntary facial movements

    Directory of Open Access Journals (Sweden)

    Martin eKrippl

    2015-10-01

    Full Text Available Whereas the somatotopy of finger movements has been extensively studied with neuroimaging, the neural foundations of facial movements remain elusive. Therefore, we systematically studied the neuronal correlates of voluntary facial movements using the Facial Action Coding System (FACS,Ekman et al., 2002. The facial movements performed in the MRI scanner were defined as Action Units (AUs and were controlled by a certified FACS coder. The main goal of the study was to investigate the detailed somatotopy of the facial primary motor area (facial M1. Eighteen participants were asked to produce the following four facial movements in the fMRI scanner: AU1+2 (brow raiser, AU4 (brow lowerer, AU12 (lip corner puller and AU24 (lip presser, each in alternation with a resting phase.Our facial movement task induced generally high activation in brain motor areas (e.g. M1, premotor cortex, SMA, putamen, as well as in the thalamus, insula and visual cortex. BOLD activations revealed overlapping representations for the four facial movements. However, within the activated facial M1 areas, we could find distinct peak activities in the left and right hemisphere supporting a rough somatotopic upper to lower face organization within the right facial M1 area, and a somatotopic organization within the right M1 upper face part. In both hemispheres, the order was an inverse somatotopy within the lower face representations. In contrast to the right hemisphere, in the left hemisphere the representation of AU 4 was more lateral and anterior compared to the rest of the facial movements. Our findings support the notion of a partial somatotopic order within the M1 face area confirming the like attracts like principle (Donoghue et al., 1992 . AUs which are often used together or are similar are located close to each other in the motor cortex.

  1. Neuroticism delays detection of facial expressions

    OpenAIRE

    Sawada, Reiko; Sato, Wataru; Uono, Shota; Kochiyama, Takanori; Kubota, Yasutaka; Yoshimura, Sayaka; Toichi, Motomi

    2016-01-01

    The rapid detection of emotional signals from facial expressions is fundamental for human social interaction. The personality factor of neuroticism modulates the processing of various types of emotional facial expressions; however, its effect on the detection of emotional facial expressions remains unclear. In this study, participants with high- and low-neuroticism scores performed a visual search task to detect normal expressions of anger and happiness, and their anti-expressions within a cr...

  2. Alterações no perfil facial tegumentar, avaliadas em jovens com Classe II, 1ª divisão, após o tratamento ortodôntico Soft tissue changes evaluated in Class II, division 1 cases, after orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Júlio César de Oliveira Brant

    2006-04-01

    .B'.Pog' and the facial profile angle (G'.SN.Pog' in both groups and a significantly decrease in Ls-SNPog' and the interlabial gap (Sts-Sti. The extraction group tends to have an increase of B'-SNPog' and a decrease of Li-SN-Pog'. CONCLUSION: the average soft tissue measurement for both extractions and nonextractions groups were close to the normal standards after the treatment with a significant better position of the lower lip, a decrease of the interlabial gap and an increase of the facial profile angle.

  3. Facial expression recognition using thermal image.

    Science.gov (United States)

    Jiang, Guotai; Song, Xuemin; Zheng, Fuhui; Wang, Peipei; Omer, Ashgan

    2005-01-01

    Facial expression recognition will be studied in this paper using mathematics morphology, through drawing and analyzing the whole geometry characteristics and some geometry characteristics of the interesting area of Infrared Thermal Imaging (IRTI). The results show that geometry characteristic in the interesting region of different expression are obviously different; Facial temperature changes almost with the expression at the same time. Studies have shown feasibility of facial expression recognition on the basis of IRTI. This method can be used to monitor the facial expression in real time, which can be used in auxiliary diagnosis and medical on disease.

  4. Social Use of Facial Expressions in Hylobatids.

    Directory of Open Access Journals (Sweden)

    Linda Scheider

    Full Text Available Non-human primates use various communicative means in interactions with others. While primate gestures are commonly considered to be intentionally and flexibly used signals, facial expressions are often referred to as inflexible, automatic expressions of affective internal states. To explore whether and how non-human primates use facial expressions in specific communicative interactions, we studied five species of small apes (gibbons by employing a newly established Facial Action Coding System for hylobatid species (GibbonFACS. We found that, despite individuals often being in close proximity to each other, in social (as opposed to non-social contexts the duration of facial expressions was significantly longer when gibbons were facing another individual compared to non-facing situations. Social contexts included grooming, agonistic interactions and play, whereas non-social contexts included resting and self-grooming. Additionally, gibbons used facial expressions while facing another individual more often in social contexts than non-social contexts where facial expressions were produced regardless of the attentional state of the partner. Also, facial expressions were more likely 'responded to' by the partner's facial expressions when facing another individual than non-facing. Taken together, our results indicate that gibbons use their facial expressions differentially depending on the social context and are able to use them in a directed way in communicative interactions with other conspecifics.

  5. Neuroticism Delays Detection of Facial Expressions.

    Science.gov (United States)

    Sawada, Reiko; Sato, Wataru; Uono, Shota; Kochiyama, Takanori; Kubota, Yasutaka; Yoshimura, Sayaka; Toichi, Motomi

    2016-01-01

    The rapid detection of emotional signals from facial expressions is fundamental for human social interaction. The personality factor of neuroticism modulates the processing of various types of emotional facial expressions; however, its effect on the detection of emotional facial expressions remains unclear. In this study, participants with high- and low-neuroticism scores performed a visual search task to detect normal expressions of anger and happiness, and their anti-expressions within a crowd of neutral expressions. Anti-expressions contained an amount of visual changes equivalent to those found in normal expressions compared to neutral expressions, but they were usually recognized as neutral expressions. Subjective emotional ratings in response to each facial expression stimulus were also obtained. Participants with high-neuroticism showed an overall delay in the detection of target facial expressions compared to participants with low-neuroticism. Additionally, the high-neuroticism group showed higher levels of arousal to facial expressions compared to the low-neuroticism group. These data suggest that neuroticism modulates the detection of emotional facial expressions in healthy participants; high levels of neuroticism delay overall detection of facial expressions and enhance emotional arousal in response to facial expressions.

  6. Periocular Reconstruction in Patients with Facial Paralysis.

    Science.gov (United States)

    Joseph, Shannon S; Joseph, Andrew W; Douglas, Raymond S; Massry, Guy G

    2016-04-01

    Facial paralysis can result in serious ocular consequences. All patients with orbicularis oculi weakness in the setting of facial nerve injury should undergo a thorough ophthalmologic evaluation. The main goal of management in these patients is to protect the ocular surface and preserve visual function. Patients with expected recovery of facial nerve function may only require temporary and conservative measures to protect the ocular surface. Patients with prolonged or unlikely recovery of facial nerve function benefit from surgical rehabilitation of the periorbital complex. Current reconstructive procedures are most commonly intended to improve coverage of the eye but cannot restore blink.

  7. Reflectance confocal microscopy features of facial angiofibromas

    Science.gov (United States)

    Millán-Cayetano, José-Francisco; Yélamos, Oriol; Rossi, Anthony M.; Marchetti, Michael A.; Jain, Manu

    2017-01-01

    Facial angiofibromas are benign tumors presenting as firm, dome-shaped, flesh-colored to pink papules, typically on the nose and adjoining central face. Clinically and dermoscopically they can mimic melanocytic nevi or basal cell carcinomas (BCC). Reflectance confocal microscopy (RCM) is a noninvasive imaging tool that is useful in diagnosing melanocytic and non-melanocytic facial lesions. To date no studies have described the RCM features of facial angiofibromas. Herein, we present two cases of facial angiofibromas that were imaged with RCM and revealed tumor island-like structures that mimicked BCC, leading to skin biopsy.

  8. The neurosurgical treatment of neuropathic facial pain.

    Science.gov (United States)

    Brown, Jeffrey A

    2014-04-01

    This article reviews the definition, etiology and evaluation, and medical and neurosurgical treatment of neuropathic facial pain. A neuropathic origin for facial pain should be considered when evaluating a patient for rhinologic surgery because of complaints of facial pain. Neuropathic facial pain is caused by vascular compression of the trigeminal nerve in the prepontine cistern and is characterized by an intermittent prickling or stabbing component or a constant burning, searing pain. Medical treatment consists of anticonvulsant medication. Neurosurgical treatment may require microvascular decompression of the trigeminal nerve. Copyright © 2014 Elsevier Inc. All rights reserved.

  9. Three-dimensional facial surface analysis of patients with skeletal malocclusion.

    Science.gov (United States)

    Alves, Patrícia Valéria Milanezi; Zhao, Linping; Patel, Pravin K; Bolognese, Ana M

    2009-03-01

    Three-dimensional (3D) laser surface scanning analysis has taken hold in orthodontics, as well as craniomaxillofacial and plastic surgery as a new tool that can navigate away from the limitations of conventional two-dimensional methods. Various techniques for 3D reconstruction of the face have been used in diagnosis, treatment planning and simulation, and outcomes follow-up. The aim of the current prospective study was to present some technical aspects for the assessment of facial changes after orthodontic and orthognathic surgery treatment using 3D laser surface scanning. The technique proposed for facial surface shape analysis represented three-dimensionally the expected surgical changes, and the reduction of the postoperative swelling was verified. This study provides technical information from the data collection to the 3D virtual soft-tissue analysis that can be useful for diagnostic information, treatment planning, future comparisons of treatment stability or facial postoperative swelling, and soft-tissue profile assessment.

  10. Fulminant cerebral infarction of anterior and posterior cerebral circulation after ascending type of facial necrotizing fasciitis.

    Science.gov (United States)

    Lee, Jun Ho; Choi, Hui-Chul; Kim, Chulho; Sohn, Jong Hee; Kim, Heung Cheol

    2014-01-01

    Necrotizing fasciitis is a soft tissue infection that is characterized by extensive necrosis of the subcutaneous fat, neurovascular structures, and fascia. Cerebral infarction after facial necrotizing fasciitis has been rarely reported. A 61-year-old woman with diabetes was admitted with painful swelling of her right cheek. One day later, she was stuporous and quadriplegic. A computed tomographic scan of her face revealed right facial infection in the periorbital soft tissue, parotid, buccal muscle, and maxillary sinusitis. A computed tomographic scan of the brain revealed cerebral infarction in the right hemisphere, left frontal area, and both cerebellum. Four days later, she died from cerebral edema and septic shock. Involvement of the cerebral vasculature, such as the carotid or vertebral artery by necrotizing fasciitis, can cause cerebral infarction. Facial necrotizing fasciitis should be treated early with surgical treatment and the appropriate antibiotic therapy.

  11. The Relationships between Processing Facial Identity, Emotional Expression, Facial Speech, and Gaze Direction during Development

    Science.gov (United States)

    Spangler, Sibylle M.; Schwarzer, Gudrun; Korell, Monika; Maier-Karius, Johanna

    2010-01-01

    Four experiments were conducted with 5- to 11-year-olds and adults to investigate whether facial identity, facial speech, emotional expression, and gaze direction are processed independently of or in interaction with one another. In a computer-based, speeded sorting task, participants sorted faces according to facial identity while disregarding…

  12. Allometry of facial mobility in anthropoid primates: implications for the evolution of facial expression.

    Science.gov (United States)

    Dobson, Seth D

    2009-01-01

    Body size may be an important factor influencing the evolution of facial expression in anthropoid primates due to allometric constraints on the perception of facial movements. Given this hypothesis, I tested the prediction that observed facial mobility is positively correlated with body size in a comparative sample of nonhuman anthropoids. Facial mobility, or the variety of facial movements a species can produce, was estimated using a novel application of the Facial Action Coding System (FACS). I used FACS to estimate facial mobility in 12 nonhuman anthropoid species, based on video recordings of facial activity in zoo animals. Body mass data were taken from the literature. I used phylogenetic generalized least squares (PGLS) to perform a multiple regression analysis with facial mobility as the dependent variable and two independent variables: log body mass and dummy-coded infraorder. Together, body mass and infraorder explain 92% of the variance in facial mobility. However, the partial effect of body mass is much stronger than for infraorder. The results of my study suggest that allometry is an important constraint on the evolution of facial mobility, which may limit the complexity of facial expression in smaller species. More work is needed to clarify the perceptual bases of this allometric pattern.

  13. American Academy of Facial Plastic and Reconstructive Surgery

    Science.gov (United States)

    ... is the world's largest specialty association for facial plastic surgery. It represents more than 2,700 facial plastic ... the American Board of Otolaryngology , which includes facial plastic surgery. Others are certified in plastic surgery, ophthalmology, and ...

  14. A CLINICAL STUDY OF ACUPUNCTURE TREATMENT FOR FACIAL PARALYSIS

    Institute of Scientific and Technical Information of China (English)

    TOH Foh Fook

    2002-01-01

    @@ Peripheral facial paralysis is a common disease with manifestation of facial paralysis. The author's clinical observation on 50 cases of facial paralysis treated mainly with acupuncture showed an effeclive rate of 98%, and the remarkable effectiveness was reported as follow.

  15. A study on the relationship between maxillary protraction treatment and changes of nasomaxillary complex facial soft tissue of children with skeletal Class m malocclusion%上颌前方牵引矫治骨性Ⅲ类错(牙合)儿童鼻上颌复合体部软组织变化的研究

    Institute of Scientific and Technical Information of China (English)

    朱吉坤; 张桂荣; 郭艳明; 李济强; 刘继辉

    2014-01-01

    目的 评价上颌前方牵引矫治上颌骨发育不足所致的骨性Ⅲ类错(牙合)儿童鼻上颌复合体部软组织变化,为临床治疗上颌后缩的患者提供理论基础和参考依据.方法 选取上颌发育不足、骨性Ⅲ类错(牙合)患儿30例,男女各15例,年龄9 ~11(平均10.5)岁,均处于生长发育高峰前期或高峰期.采取上颌前方牵引矫形治疗,前方牵引时间6~8个月.试验前后拍摄头颅侧位定位X线片,并测量各项鼻部形态及口颌部软组织侧面形态指标,综合分析矫治前后差异.结果 矫治前后鼻部软组织鼻根点距离(Ns-Y)、鼻尖角的差异无统计学意义(P>0.05);治疗后,鼻中点距离(M-Y)增大(P<0.05),鼻尖点距离(Prn-Y)、鼻额角增大(P<0.01),鼻唇角减小(P<0.05).唇部及颏部软组织上唇凹点至Y轴的距离(As-Y)、上唇突点至Y轴的距离(UL-Y)、上唇凸距(UL-E)、上唇基角(S-Ns-Sn)均增大(P<0.01);下唇凸距(LL-E)、软组织颏前点距离(Pos-Y)均减小(P<0.05);矫治前后下唇凹点至Y轴的距离(Bs-Y)的差异无统计学意义.结论 上颌前方牵引不仅可以早期矫治上颌后缩Ⅲ类错(牙合)、改善上下颌骨不调关系,同时有助于鼻上颌复合体部软组织良好外形的形成.鼻部及上唇前移、颏部后移,使患儿侧貌突度更趋于协调美观.%Objective To investigate nasomaxlllary complex facial soft tissue changes after the treatment with maxillary protraction appliance with skeletal Class Ⅲ malocclusion with a retruded maxilla.Methods Thirty growing subjects with skeletal Class Ⅲ malocclusions with maxillary retrognathism were selected and treated by facial mask(male 15,female 15,with an average age of 10.5).They were given a maxillary protraction treatment with face mask for 6-8 months.Cephalometric measurements about nasomaxillary complex soft tissue changes were analyzed to draw the statistic conclusion.Results After maxillary protraction treatment

  16. Simulating the three-dimensional deformation of in vivo facial skin.

    Science.gov (United States)

    Flynn, Cormac; Taberner, Andrew J; Nielsen, Poul M F; Fels, Sidney

    2013-12-01

    Characterising the mechanical properties of human facial skin is a challenging but important endeavour with applications in biomedicine, surgery simulation, forensics, and animation. Many existing computer models of the face are not based on in vivo facial skin deformation data but rather on experiments using in vitro facial skin or other soft tissues. The facial skin of five volunteers was subjected to a rich set of deformations using a micro-robotic device. The force-displacement response was recorded for each deformation. All volunteers' facial skin exhibited a non-linear, anisotropic, and viscoelastic force-displacement response. We propose a finite element model that simulated the experimental deformations with error-of-fits ranging from 11% to 23%. The skin was represented by an Ogden strain energy function and a quasi-linear viscoelastic law. From non-linear optimisation procedures, we determined material parameters and in vivo pre-stresses for the central cheek area of five volunteers and five other facial points on one volunteer. Pre-stresses ranged from 15.9kPa to 89.4kPa.

  17. Depth as randomness deficiency

    NARCIS (Netherlands)

    Antunes, L.; Matos, A.; Souto, A.; Vitányi, P.

    2008-01-01

    Depth of an object concerns a tradeoff between computation time and excess of program length over the shortest program length required to obtain the object. It gives an unconditional lower bound on the computation time from a given program in absence of auxiliary information. Variants known as

  18. Depth as Randomness Deficiency

    NARCIS (Netherlands)

    L.F. Antunes (Luis); A. Matos; A. Souto (Andre); P.M.B. Vitányi (Paul)

    2009-01-01

    htmlabstractDepth of an object concerns a tradeoff between computation time and excess of program length over the shortest program length required to obtain the object. It gives an unconditional lower bound on the computation time from a given program in absence of auxiliary information. Variants

  19. Depth as randomness deficiency

    NARCIS (Netherlands)

    Antunes, L.; Matos, A.; Souto, A.; Vitányi, P.

    2009-01-01

    Depth of an object concerns a tradeoff between computation time and excess of program length over the shortest program length required to obtain the object. It gives an unconditional lower bound on the computation time from a given program in absence of auxiliary information. Variants known as

  20. Moderate systemic hypothermia decreases burn depth progression.

    Science.gov (United States)

    Rizzo, Julie A; Burgess, Pamela; Cartie, Richard J; Prasad, Balakrishna M

    2013-05-01

    Therapeutic hypothermia has been proposed to be beneficial in an array of human pathologies including cardiac arrest, stroke, traumatic brain and spinal cord injury, and hemorrhagic shock. Burn depth progression is multifactorial but inflammation plays a large role. Because hypothermia is known to reduce inflammation, we hypothesized that moderate hypothermia will decrease burn depth progression. We used a second-degree 15% total body surface area thermal injury model in rats. Burn depth was assessed by histology of biopsy sections. Moderate hypothermia in the range of 31-33°C was applied for 4h immediately after burn and in a delayed fashion, starting 2h after burn. In order to gain insight into the beneficial effects of hypothermia, we analyzed global gene expression in the burned skin. Immediate hypothermia decreased burn depth progression at 6h post injury, and this protective effect was sustained for at least 24h. Burn depth was 18% lower in rats subjected to immediate hypothermia compared to control rats at both 6 and 24h post injury. Rats in the delayed hypothermia group did not show any significant decrease in burn depth at 6h, but had 23% lower burn depth than controls at 24h. Increased expression of several skin-protective genes such as CCL4, CCL6 and CXCL13 and decreased expression of tissue remodeling genes such as matrix metalloprotease-9 were discovered in the skin biopsy samples of rats subjected to immediate hypothermia. Systemic hypothermia decreases burn depth progression in a rodent model and up-regulation of skin-protective genes and down-regulation of detrimental tissue remodeling genes by hypothermia may contribute to its beneficial effects. Published by Elsevier Ltd.

  1. Facial nucleus up-regulation of brain-derived neurotrophic factor mRNA following electroacupuncture treatment in a rabbit model of facial nerve injury

    Institute of Scientific and Technical Information of China (English)

    Hong Gao; Bangyu Ju; Guohua Jiang

    2008-01-01

    BACKGROUND: The effect of acupuncture treatment on peripheral facial nerve injury is generally accepted. However, the mechanisms of action remain poorly understood. OBJECTIVE: To validate the effect of acupoint electro-stimulation on brain-derived neurotrophic factor (BDNF) mRNA expression in the facial nucleus of rabbits with facial nerve injury, with the hypothesis that acupuncture treatment efficacy is related to BDNE DESIGN, TIME AND SETTING: Peripheral facial nerve injury, in situ hybridization, and randomized, controlled, animal trial. The experiment was performed at the Laboratory of Anatomy, Heilongjiang University of Chinese Medicine from March to September 2005. MATERIALS: A total of 120 healthy, adult, Japanese rabbits, with an equal number of males and females were selected. Models of peripheral facial nerve injury were established using the facial nerve pressing method. METHODS: The rabbits were randomly divided into five groups (n = 24): sham operation, an incision to the left facial skin, followed by suture; model, no treatment following facial nerve model establishment; western medicine, 10 mg vitamin B1, 50 μg vitamin B12, and dexamethasone (2 mg/d, reduced to half every 7 days) intramuscular injection starting with the first day following lesion, once per day; traditional acupuncture, acupuncture at Yifeng, Quanliao, Dicang, Jiache, Sibai, and Yangbai acupoints using a acupuncture needle with needle twirling every 10 minutes, followed by needle retention for 30 minutes, for successive 5 days; electroacupuncture, similar to the traditional acupuncture group, the Yifeng (negative electrode), Jiache (positive electrode), Dicang (negative electrode), and Sibai (positive electrode) points were connected to an universal pulse electro-therapeutic apparatus for 30 minutes per day, with disperse-dense waves for successive 5 days, and resting for 2 days. MAIN OUTCOME MEASURES: Left hemisphere brain stem tissues were harvested on post-operative days 7, 14

  2. The Joint Facial and Invasive Neck Trauma (J-FAINT) Project, Iraq and Afghanistan 2003-2011

    Science.gov (United States)

    2013-01-01

    immediate vs delayed exploration of penetrating neck wounds was also developed through experience in OIF.10 These practices are now the standard...Facial nerve 35 0.14 Optic nerve 27 0.10 Nerve 14 0.05 Total 25,834 Abbreviation: TMJ, temporomandibular joint. Figure 1. Soft tissue injuries. TMJ... temporomandibular joint. Figure 2. Facial fractures. Feldt et al 405 at BROOKE ARMY MEDICAL CENTER on December 23, 2014oto.sagepub.comDownloaded from

  3. Slowing down Presentation of Facial Movements and Vocal Sounds Enhances Facial Expression Recognition and Induces Facial-Vocal Imitation in Children with Autism

    Science.gov (United States)

    Tardif, Carole; Laine, France; Rodriguez, Melissa; Gepner, Bruno

    2007-01-01

    This study examined the effects of slowing down presentation of facial expressions and their corresponding vocal sounds on facial expression recognition and facial and/or vocal imitation in children with autism. Twelve autistic children and twenty-four normal control children were presented with emotional and non-emotional facial expressions on…

  4. Slowing down Presentation of Facial Movements and Vocal Sounds Enhances Facial Expression Recognition and Induces Facial-Vocal Imitation in Children with Autism

    Science.gov (United States)

    Tardif, Carole; Laine, France; Rodriguez, Melissa; Gepner, Bruno

    2007-01-01

    This study examined the effects of slowing down presentation of facial expressions and their corresponding vocal sounds on facial expression recognition and facial and/or vocal imitation in children with autism. Twelve autistic children and twenty-four normal control children were presented with emotional and non-emotional facial expressions on…

  5. Facial exposure dose assessment during intraoral radiography by radiological technologists

    Energy Technology Data Exchange (ETDEWEB)

    Yu, Hwan; Yang, Han Joon [Dept. of International Radiological Science, Hallym University of Graduate Studies, Chuncheon (Korea, Republic of)

    2014-09-15

    The study examined the changes in the decreased facial exposure dose for radiological technologists depending on increased distance between the workers and the X-ray tube head during intraoral radiography. First, the facial phantom similar to the human tissues was manufactured. The shooting examination was configured to the maxillary molars for adults (60 kVp, 10 mA, 50 msec) and for children (60 kVp, 10 mA, 20 msec), and the chamber was fixed where the facial part of the radiation worker would be placed using the intraoral radiography equipment. The distances between the X-ray tube head and the phantom were set to 10 cm, 15 cm, 20 cm, 25 cm, 30 cm, 35 cm, and 40 cm. The phantom was radiated 20 times with each examination condition and the average scattered doses were examined. The rate at the distance of 40 cm decreased by about 92.6% to 7.43% based on the scattered rays radiated at the distance of 10 cm under the adult conditions. The rate at the distance of 40 cm decreased by about 97.6% to 2.58% based on the scattered rays radiated at the distance of 10 cm under the children conditions. Protection from the radiation exposure was required during the dental radiographic examination.

  6. Facial image identification using Photomodeler

    DEFF Research Database (Denmark)

    Lynnerup, Niels; Andersen, Marie; Lauritsen, Helle Petri

    2003-01-01

    consist of many images of the same person taken from different angles. We wanted to see if it was possible to combine such a suite of images in useful 3-D renderings of facial proportions.Fifteen male adults were photographed from four different angles. Based on these photographs, a 3-D wireframe model......We present the results of a preliminary study on the use of 3-D software (Photomodeler) for identification purposes. Perpetrators may be photographed or filmed by surveillance systems. The police may wish to have these images compared to photographs of suspects. The surveillance imagery will often...

  7. Early Observations on Facial Palsy.

    Science.gov (United States)

    Pearce, J M S

    2015-01-01

    Before Charles Bell's eponymous account of facial palsy, physicians of the Graeco-Roman era had chronicled the condition. The later neglected accounts of the Persian physicians Abu al-Hasan Ali ibn Sahl Rabban al-Tabari and Abu Bakr Muhammad ibn Zakarīya Rāzi ("Rhazes") and Avicenna in the first millennium are presented here as major descriptive works preceding the later description by Stalpart van der Wiel in the seventeenth century and those of Friedreich and Bell at the end of the eighteenth and the beginning of the nineteenth centuries.

  8. Facial trauma: how dangerous are skiing and snowboarding?

    Science.gov (United States)

    Tuli, Tarkan; Haechl, Oliver; Berger, Natalie; Laimer, Klaus; Jank, Siegfried; Kloss, Frank; Brandstätter, Anita; Gassner, Robert

    2010-02-01

    The aim of this study was to investigate maxillofacial injuries sustained in both skiing and snowboarding accidents and correlate injury mechanisms and patterns evaluating a large population. Between 1991 and 2003, all patients with maxillofacial injuries due to skiing and snowboarding accidents (1,393 cases) were reviewed and statistically analyzed according to age, gender, type of injury, cause of accident, location of trauma, and associated injuries. Skiing accidents resulted in a total of 1,250 injuries, and snowboarding resulted in 143. In this study 686 skiers presented with 1,452 facial bone fractures and 80 snowboarders sustained 160 fractures of the face. Skiers had dentoalveolar trauma in 810 cases and 1,295 soft tissue injuries, whereas snowboarders had 88 dental injuries and 187 soft tissue lesions. Mechanisms of injury included 542 cases due to skiing and 85 falls due to snowboarding (a 1.79-fold higher risk for snowboarders). The gender distribution showed a male-female ratio of 3:1 in skiers and 5.5:1 in snowboarders. In both groups male patients were more prone to have a facial bone fracture than female patients. Snowboarders aged between 10 and 29 years had a 2.14-fold higher risk of sustaining a maxillofacial injury than skiers. In both groups facial bone fractures occurred more often in male patients, and they were more likely to result from falls and collisions with other persons. Young snowboarders had a higher risk of maxillofacial injuries (especially soft tissue lesions) than skiers, whereas for children and old persons, skiing posed a much higher risk. Wearing a helmet while skiing and snowboarding should be mandatory to prevent serious trauma to the head. Copyright 2010 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  9. Facial Profile Characteristics Evaluation in a Population of Central Romania Region

    Directory of Open Access Journals (Sweden)

    Chibelean (Cires-Marginean Manuela

    2014-04-01

    Full Text Available Objectives: The aim of the study was to evaluate the variables that define the facial profile of a sample of the population in the centre of Romania, and to compare male’s and female’s soft tissue profile. These values could be useful in elaborating the aesthetic objectives for treating the population in this area.

  10. Monocular transparency generates quantitative depth.

    Science.gov (United States)

    Howard, Ian P; Duke, Philip A

    2003-11-01

    Monocular zones adjacent to depth steps can create an impression of depth in the absence of binocular disparity. However, the magnitude of depth is not specified. We designed a stereogram that provides information about depth magnitude but which has no disparity. The effect depends on transparency rather than occlusion. For most subjects, depth magnitude produced by monocular transparency was similar to that created by a disparity-defined depth probe. Addition of disparity to monocular transparency did not improve the accuracy of depth settings. The magnitude of depth created by monocular occlusion fell short of that created by monocular transparency.

  11. The relationships between processing facial identity, emotional expression, facial speech, and gaze direction during development.

    Science.gov (United States)

    Spangler, Sibylle M; Schwarzer, Gudrun; Korell, Monika; Maier-Karius, Johanna

    2010-01-01

    Four experiments were conducted with 5- to 11-year-olds and adults to investigate whether facial identity, facial speech, emotional expression, and gaze direction are processed independently of or in interaction with one another. In a computer-based, speeded sorting task, participants sorted faces according to facial identity while disregarding facial speech, emotional expression, and gaze direction or, alternatively, according to facial speech, emotional expression, and gaze direction while disregarding facial identity. Reaction times showed that children and adults were able to direct their attention selectively to facial identity despite variations of other kinds of face information, but when sorting according to facial speech and emotional expression, they were unable to ignore facial identity. In contrast, gaze direction could be processed independently of facial identity in all age groups. Apart from shorter reaction times and fewer classification errors, no substantial change in processing facial information was found to be correlated with age. We conclude that adult-like face processing routes are employed from 5 years of age onward.

  12. Guiding atypical facial growth back to normal. Part 1: Understanding facial growth.

    Science.gov (United States)

    Galella, Steve; Chow, Daniel; Jones, Earl; Enlow, Donald; Masters, Ari

    2011-01-01

    Many practitioners find the complexity of facial growth overwhelming and thus merely observe and accept the clinical features of atypical growth and do not comprehend the long-term consequences. Facial growth and development is a strictly controlled biological process. Normal growth involves ongoing bone remodeling and positional displacement. Atypical growth begins when this biological balance is disturbed With the understanding of these processes, clinicians can adequately assess patients and determine the causes of these atypical facial growth patterns and design effective treatment plans. This is the first of a series of articles which addresses normal facial growth, atypical facial growth, patient assessment, causes of atypical facial growth, and guiding facial growth back to normal.

  13. Predicting facial characteristics from complex polygenic variations

    DEFF Research Database (Denmark)

    Fagertun, Jens; Wolffhechel, Karin Marie Brandt; Pers, Tune

    2015-01-01

    genetic principal components across a population of 1,266 individuals. For this we perform a genome-wide association analysis to select a large number of SNPs linked to specific facial traits, recode these to genetic principal components and then use these principal components as predictors for facial...

  14. Facial Mimicry in its Social Setting

    Directory of Open Access Journals (Sweden)

    Beate eSeibt

    2015-08-01

    Full Text Available In interpersonal encounters, individuals often exhibit changes in their own facial expressions in response to emotional expressions of another person. Such changes are often called facial mimicry. While this tendency first appeared to be an automatic tendency of the perceiver to show the same emotional expression as the sender, evidence is now accumulating that situation, person, and relationship jointly determine whether and for which emotions such congruent facial behavior is shown. We review the evidence regarding the moderating influence of such factors on facial mimicry with a focus on understanding the meaning of facial responses to emotional expressions in a particular constellation. From this, we derive recommendations for a research agenda with a stronger focus on the most common forms of encounters, actual interactions with known others, and on assessing potential mediators of facial mimicry. We conclude that facial mimicry is modulated by many factors: attention deployment and sensitivity, detection of valence, emotional feelings, and social motivations. We posit that these are the more proximal causes of changes in facial mimicry due to changes in its social setting.

  15. Immunobiology of Facial Nerve Repair and Regeneration

    Institute of Scientific and Technical Information of China (English)

    QUAN Shi-ming; GAO Zhi-qiang

    2006-01-01

    Immunobiological study is a key to revealing the important basis of facial nerve repair and regeneration for both research and development of clinic treatments. The microenvironmental changes around an injuried facial motoneuron, i.e., the aggregation and expression of various types of immune cells and molecules in a dynamic equilibrium, impenetrate from the start to the end of the repair of an injured facial nerve. The concept of "immune microenvironment for facial nerve repair and regeneration", mainly concerns with the dynamic exchange between expression and regulation networks and a variaty of immune cells and immune molecules in the process of facial nerve repair and regeneration for the maintenance of a immune microenvironment favorable for nerve repair.Investigation on microglial activation and recruitment, T cell behavior, cytokine networks, and immunological cellular and molecular signaling pathways in facial nerve repair and regeneration are the current hot spots in the research on immunobiology of facial nerve injury. The current paper provides a comprehensive review of the above mentioned issues. Research of these issues will eventually make immunological interventions practicable treatments for facial nerve injury in the clinic.

  16. Facial nerve palsy and hemifacial spasm.

    Science.gov (United States)

    Valls-Solé, Josep

    2013-01-01

    Facial nerve lesions are usually benign conditions even though patients may present with emotional distress. Facial palsy usually resolves in 3-6 weeks, but if axonal degeneration takes place, it is likely that the patient will end up with a postparalytic facial syndrome featuring synkinesis, myokymic discharges, and hemifacial mass contractions after abnormal reinnervation. Essential hemifacial spasm is one form of facial hyperactivity that must be distinguished from synkinesis after facial palsy and also from other forms of facial dyskinesias. In this condition, there can be ectopic discharges, ephaptic transmission, and lateral spread of excitation among nerve fibers, giving rise to involuntary muscle twitching and spasms. Electrodiagnostic assessment is of relevance for the diagnosis and prognosis of peripheral facial palsy and hemifacial spasm. In this chapter the most relevant clinical and electrodiagnostic aspects of the two disorders are reviewed, with emphasis on the various stages of facial palsy after axonal degeneration, the pathophysiological mechanisms underlying the various features of hemifacial spasm, and the cues for differential diagnosis between the two entities.

  17. Facial Asymmetry Evaluation in Juvenile Idiopathic Arthritis Patients Based On Cone-Beam Computed Tomography And 3D Photography

    DEFF Research Database (Denmark)

    Economou, Stalo; Stoustrup, Peter Bangsgaard; Kristensen, Kasper Dahl

    AIMS: The aim of the study was to assess the degree of and correlation between facial hard and soft tissue asymmetry in patients with juvenile idiopathic arthritis, identify valid soft tissue points for clinical examination and assess the smallest clinical detectable level of dentofacial asymmetr...

  18. Fetal facial profile in Pallister-Killian syndrome.

    Science.gov (United States)

    Liberati, Marco; Melchiorre, Karen; D'Emilio, Ilenia; Guanciali-Franchi, Paolo Emilio; Iezzi, Irene; Rotmensch, Sigfried; Celentano, Claudio

    2008-01-01

    Pallister-Killian syndrome (PKS) is a sporadic chromosomal anomaly, caused by a tissue-specific mosaic distribution of an additional isochromosome 12p. About 60 cases of prenatal diagnosis of PKS have been reported. Only 1 case of PKS is described on the basis of prenatal screening, presenting increased nuchal translucency. An abnormal fetal facial profile is described prenatally as sonographic evidence of PKS. We report a case of prenatal diagnosis in a fetus undergoing second-level scan due to positive triple screen with ultrasound features of PKS.

  19. MANIFEST OF DEPTH SOCIOPSYCHOLOGY

    OpenAIRE

    ZELITCHENKO ALEXANDER

    2013-01-01

    The observations of motives of activity of big groups (nations, confessions etc.) as a whole result in discovery of the part of unconscious mind that is common for all members of big group a collective unconscious. Two parts of collective unconscious may be determined: the collective superconscious known first as a group archetype and the collective subconscious, which manifest itself for example in phenomenon of collective trauma. Depth sociopsychology is a science about the collective uncon...

  20. Younger and Older Users’ Recognition of Virtual Agent Facial Expressions

    Science.gov (United States)

    Beer, Jenay M.; Smarr, Cory-Ann; Fisk, Arthur D.; Rogers, Wendy A.

    2015-01-01

    As technology advances, robots and virtual agents will be introduced into the home and healthcare settings to assist individuals, both young and old, with everyday living tasks. Understanding how users recognize an agent’s social cues is therefore imperative, especially in social interactions. Facial expression, in particular, is one of the most common non-verbal cues used to display and communicate emotion in on-screen agents (Cassell, Sullivan, Prevost, & Churchill, 2000). Age is important to consider because age-related differences in emotion recognition of human facial expression have been supported (Ruffman et al., 2008), with older adults showing a deficit for recognition of negative facial expressions. Previous work has shown that younger adults can effectively recognize facial emotions displayed by agents (Bartneck & Reichenbach, 2005; Courgeon et al. 2009; 2011; Breazeal, 2003); however, little research has compared in-depth younger and older adults’ ability to label a virtual agent’s facial emotions, an import consideration because social agents will be required to interact with users of varying ages. If such age-related differences exist for recognition of virtual agent facial expressions, we aim to understand if those age-related differences are influenced by the intensity of the emotion, dynamic formation of emotion (i.e., a neutral expression developing into an expression of emotion through motion), or the type of virtual character differing by human-likeness. Study 1 investigated the relationship between age-related differences, the implication of dynamic formation of emotion, and the role of emotion intensity in emotion recognition of the facial expressions of a virtual agent (iCat). Study 2 examined age-related differences in recognition expressed by three types of virtual characters differing by human-likeness (non-humanoid iCat, synthetic human, and human). Study 2 also investigated the role of configural and featural processing as a

  1. Genome-Wide Association Study Reveals Multiple Loci Influencing Normal Human Facial Morphology.

    Directory of Open Access Journals (Sweden)

    John R Shaffer

    2016-08-01

    Full Text Available Numerous lines of evidence point to a genetic basis for facial morphology in humans, yet little is known about how specific genetic variants relate to the phenotypic expression of many common facial features. We conducted genome-wide association meta-analyses of 20 quantitative facial measurements derived from the 3D surface images of 3118 healthy individuals of European ancestry belonging to two US cohorts. Analyses were performed on just under one million genotyped SNPs (Illumina OmniExpress+Exome v1.2 array imputed to the 1000 Genomes reference panel (Phase 3. We observed genome-wide significant associations (p < 5 x 10-8 for cranial base width at 14q21.1 and 20q12, intercanthal width at 1p13.3 and Xq13.2, nasal width at 20p11.22, nasal ala length at 14q11.2, and upper facial depth at 11q22.1. Several genes in the associated regions are known to play roles in craniofacial development or in syndromes affecting the face: MAFB, PAX9, MIPOL1, ALX3, HDAC8, and PAX1. We also tested genotype-phenotype associations reported in two previous genome-wide studies and found evidence of replication for nasal ala length and SNPs in CACNA2D3 and PRDM16. These results provide further evidence that common variants in regions harboring genes of known craniofacial function contribute to normal variation in human facial features. Improved understanding of the genes associated with facial morphology in healthy individuals can provide insights into the pathways and mechanisms controlling normal and abnormal facial morphogenesis.

  2. A review of facial nerve anatomy.

    Science.gov (United States)

    Myckatyn, Terence M; Mackinnon, Susan E

    2004-02-01

    An intimate knowledge of facial nerve anatomy is critical to avoid its inadvertent injury during rhytidectomy, parotidectomy, maxillofacial fracture reduction, and almost any surgery of the head and neck. Injury to the frontal and marginal mandibular branches of the facial nerve in particular can lead to obvious clinical deficits, and areas where these nerves are particularly susceptible to injury have been designated danger zones by previous authors. Assessment of facial nerve function is not limited to its extratemporal anatomy, however, as many clinical deficits originate within its intratemporal and intracranial components. Similarly, the facial nerve cannot be considered an exclusively motor nerve given its contributions to taste, auricular sensation, sympathetic input to the middle meningeal artery, and parasympathetic innervation to the lacrimal, submandibular, and sublingual glands. The constellation of deficits resulting from facial nerve injury is correlated with its complex anatomy to help establish the level of injury, predict recovery, and guide surgical management.

  3. Mutual information-based facial expression recognition

    Science.gov (United States)

    Hazar, Mliki; Hammami, Mohamed; Hanêne, Ben-Abdallah

    2013-12-01

    This paper introduces a novel low-computation discriminative regions representation for expression analysis task. The proposed approach relies on interesting studies in psychology which show that most of the descriptive and responsible regions for facial expression are located around some face parts. The contributions of this work lie in the proposition of new approach which supports automatic facial expression recognition based on automatic regions selection. The regions selection step aims to select the descriptive regions responsible or facial expression and was performed using Mutual Information (MI) technique. For facial feature extraction, we have applied Local Binary Patterns Pattern (LBP) on Gradient image to encode salient micro-patterns of facial expressions. Experimental studies have shown that using discriminative regions provide better results than using the whole face regions whilst reducing features vector dimension.

  4. Robust facial expression recognition via compressive sensing.

    Science.gov (United States)

    Zhang, Shiqing; Zhao, Xiaoming; Lei, Bicheng

    2012-01-01

    Recently, compressive sensing (CS) has attracted increasing attention in the areas of signal processing, computer vision and pattern recognition. In this paper, a new method based on the CS theory is presented for robust facial expression recognition. The CS theory is used to construct a sparse representation classifier (SRC). The effectiveness and robustness of the SRC method is investigated on clean and occluded facial expression images. Three typical facial features, i.e., the raw pixels, Gabor wavelets representation and local binary patterns (LBP), are extracted to evaluate the performance of the SRC method. Compared with the nearest neighbor (NN), linear support vector machines (SVM) and the nearest subspace (NS), experimental results on the popular Cohn-Kanade facial expression database demonstrate that the SRC method obtains better performance and stronger robustness to corruption and occlusion on robust facial expression recognition tasks.

  5. Warfare facial trauma: who will treat?

    Science.gov (United States)

    Holmes, D K

    1996-09-01

    Most of the facial trauma in the United States is treated in trauma centers in large urban or university medical centers, with limited trauma care taking place in our military medical treatment facilities. In many cases, active duty facial trauma surgeons may lack the current experience necessary for the optimal care of facial wounds of our inquired military personnel in the early stages of the conflict. Consequently, the skills of the reservist trauma surgeons who staff our civilian trauma centers and who care for facial trauma victims daily will be critical in caring for our wounded. These "trauma-current" reservists may act as a cadre of practiced surgeons to aid those with less experience. A plan for refresher training of active duty facial trauma surgeons is presented.

  6. Acro-cardio-facial syndrome

    Directory of Open Access Journals (Sweden)

    Dallapiccola Bruno

    2010-09-01

    Full Text Available Abstract Acro-cardio-facial syndrome (ACFS is a rare genetic disorder characterized by split-hand/split-foot malformation (SHFM, facial anomalies, cleft lip/palate, congenital heart defect (CHD, genital anomalies, and mental retardation. Up to now, 9 patients have been described, and most of the reported cases were not surviving the first days or months of age. The spectrum of defects occurring in ACFS is wide, and both interindividual variability and clinical differences among sibs have been reported. The diagnosis is based on clinical criteria, since the genetic mechanism underlying ACFS is still unknown. The differential diagnosis includes other disorders with ectrodactyly, and clefting conditions associated with genital anomalies and heart defects. An autosomal recessive pattern of inheritance has been suggested, based on parental consanguinity and disease's recurrence in sibs in some families. The more appropriate recurrence risk of transmitting the disease for the parents of an affected child seems to be up to one in four. Management of affected patients includes treatment of cardiac, respiratory, and feeding problems by neonatal pediatricians and other specialists. Prognosis of ACFS is poor.

  7. A Micro-GA Embedded PSO Feature Selection Approach to Intelligent Facial Emotion Recognition.

    Science.gov (United States)

    Mistry, Kamlesh; Zhang, Li; Neoh, Siew Chin; Lim, Chee Peng; Fielding, Ben

    2017-06-01

    This paper proposes a facial expression recognition system using evolutionary particle swarm optimization (PSO)-based feature optimization. The system first employs modified local binary patterns, which conduct horizontal and vertical neighborhood pixel comparison, to generate a discriminative initial facial representation. Then, a PSO variant embedded with the concept of a micro genetic algorithm (mGA), called mGA-embedded PSO, is proposed to perform feature optimization. It incorporates a nonreplaceable memory, a small-population secondary swarm, a new velocity updating strategy, a subdimension-based in-depth local facial feature search, and a cooperation of local exploitation and global exploration search mechanism to mitigate the premature convergence problem of conventional PSO. Multiple classifiers are used for recognizing seven facial expressions. Based on a comprehensive study using within- and cross-domain images from the extended Cohn Kanade and MMI benchmark databases, respectively, the empirical results indicate that our proposed system outperforms other state-of-the-art PSO variants, conventional PSO, classical GA, and other related facial expression recognition models reported in the literature by a significant margin.

  8. STANDARDISATION OF SOFT TISSUE THICKNESS IN FACIAL RECONSTRUCTION

    Directory of Open Access Journals (Sweden)

    Kumari

    2015-08-01

    Full Text Available It is well known that the skull helps in cephalic identification of an individual. Reconstruction of face from an available skull is one of the standard techniques that are often practiced to established the identity of a deceased person in Medico legal in vestigations

  9. Naumoff short-rib polydactyly syndrome compounded with Mohr oral-facial-digital syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Young, L.W.; Wilhelm, L.L. [Loma Linda Univ., CA (United States). Medical Center; Zuppan, C.W. [Div. of Pediatric Pathology, Loma Linda University Medical Center, CA (United States); Clark, R. [Div. of Medical Genetics, Loma Linda University Medical Center, CA (United States)

    2001-01-01

    A stillborn baby boy had findings of severe constitutional dwarfism with short limbs, short ribs, and polydactyly that were consistent with Naumoff (type III) short-rib polydactyly syndrome. He also had additional congenital anomalies, including cleft palate, notching of the upper lip, small tongue with accessory sublingual tissue. These oral and pharyngeal anomalies were consistent with Mohr (type II) oral-facial-digital syndrome. We suggest the stillborn infant represented a compound of Naumoff short-rib polydactyly syndrome (SRPS-III) and Mohr oral-facial-digital syndrome (OFDS-II). (orig.)

  10. Facial orientation and facial shape in extant great apes: a geometric morphometric analysis of covariation.

    Directory of Open Access Journals (Sweden)

    Dimitri Neaux

    Full Text Available The organization of the bony face is complex, its morphology being influenced in part by the rest of the cranium. Characterizing the facial morphological variation and craniofacial covariation patterns in extant hominids is fundamental to the understanding of their evolutionary history. Numerous studies on hominid facial shape have proposed hypotheses concerning the relationship between the anterior facial shape, facial block orientation and basicranial flexion. In this study we test these hypotheses in a sample of adult specimens belonging to three extant hominid genera (Homo, Pan and Gorilla. Intraspecific variation and covariation patterns are analyzed using geometric morphometric methods and multivariate statistics, such as partial least squared on three-dimensional landmarks coordinates. Our results indicate significant intraspecific covariation between facial shape, facial block orientation and basicranial flexion. Hominids share similar characteristics in the relationship between anterior facial shape and facial block orientation. Modern humans exhibit a specific pattern in the covariation between anterior facial shape and basicranial flexion. This peculiar feature underscores the role of modern humans' highly-flexed basicranium in the overall integration of the cranium. Furthermore, our results are consistent with the hypothesis of a relationship between the reduction of the value of the cranial base angle and a downward rotation of the facial block in modern humans, and to a lesser extent in chimpanzees.

  11. Automated Facial Action Coding System for dynamic analysis of facial expressions in neuropsychiatric disorders.

    Science.gov (United States)

    Hamm, Jihun; Kohler, Christian G; Gur, Ruben C; Verma, Ragini

    2011-09-15

    Facial expression is widely used to evaluate emotional impairment in neuropsychiatric disorders. Ekman and Friesen's Facial Action Coding System (FACS) encodes movements of individual facial muscles from distinct momentary changes in facial appearance. Unlike facial expression ratings based on categorization of expressions into prototypical emotions (happiness, sadness, anger, fear, disgust, etc.), FACS can encode ambiguous and subtle expressions, and therefore is potentially more suitable for analyzing the small differences in facial affect. However, FACS rating requires extensive training, and is time consuming and subjective thus prone to bias. To overcome these limitations, we developed an automated FACS based on advanced computer science technology. The system automatically tracks faces in a video, extracts geometric and texture features, and produces temporal profiles of each facial muscle movement. These profiles are quantified to compute frequencies of single and combined Action Units (AUs) in videos, and they can facilitate a statistical study of large populations in disorders known to impact facial expression. We derived quantitative measures of flat and inappropriate facial affect automatically from temporal AU profiles. Applicability of the automated FACS was illustrated in a pilot study, by applying it to data of videos from eight schizophrenia patients and controls. We created temporal AU profiles that provided rich information on the dynamics of facial muscle movements for each subject. The quantitative measures of flatness and inappropriateness showed clear differences between patients and the controls, highlighting their potential in automatic and objective quantification of symptom severity. Copyright © 2011 Elsevier B.V. All rights reserved.

  12. Facial Expression Spacial Charts for Describing Dynamic Diversity of Facial Expressions

    Directory of Open Access Journals (Sweden)

    H. Madokoro

    2012-08-01

    Full Text Available This paper presents a new framework to describe individual facial expression spaces, particularly addressing the dynamic diversity of facial expressions that appear as an exclamation or emotion, to create a unique space for each person. We name this framework Facial Expression Spatial Charts (FESCs. The FESCs are created using Self– Organizing Maps (SOMs and Fuzzy Adaptive Resonance Theory (ART of unsupervised neural networks. For facial images with emphasized sparse representations using Gabor wavelet filters, SOMs extract topological information in facial expression images and classify them as categories in the fixed space that are decided by the number of units on the mapping layer. Subsequently, Fuzzy ART integrates categories classified by SOMs using adaptive learning functions under fixed granularity that is controlled by the vigilance parameter. The categories integrated by Fuzzy ART are matched to Expression Levels (ELs for quantifying facial expression intensity based on the arrangement of facial expressions on Russell’s circumplex model. We designate the category that contains neutral facial expression as the basis category. Actually, FESCs can visualize and represent dynamic diversity of facial expressions consisting of ELs extracted from facial expressions. In the experiment, we created an original facial expression dataset consisting of three facial expressions—happiness, anger, and sadness— obtained from 10 subjects during 7–20 weeks at one-week intervals. Results show that the method can adequately display the dynamic diversity of facial expressions between subjects, in addition to temporal changes in each subject. Moreover, we used stress measurement sheets to obtain temporal changes of stress for analyzing psychological effects of the stress that subjects feel. We estimated stress levels of four grades using Support Vector Machines (SVMs. The mean estimation rates for all 10 subjects and for 5 subjects over more than

  13. Facial Beautification Method Based on Age Evolution

    Institute of Scientific and Technical Information of China (English)

    CHEN Yan; DING Shou-hong; HU Gan-le; MA Li-zhuang

    2013-01-01

    This paper proposes a new facial beautification method using facial rejuvenation based on the age evolution. Traditional facial beautification methods only focus on the color of skin and deformation and do the transformation based on an experimental standard of beauty. Our method achieves the beauty effect by making facial image looks younger, which is different from traditional methods and is more reasonable than them. Firstly, we decompose the image into different layers and get a detail layer. Secondly, we get an age-related parameter:the standard deviation of the Gaussian distribution that the detail layer follows, and the support vector machine (SVM) regression is used to fit a function about the age and the standard deviation. Thirdly, we use this function to estimate the age of input image and generate a new detail layer with a new standard deviation which is calculated by decreasing the age. Lastly, we combine the original layers and the new detail layer to get a new face image. Experimental results show that this algo-rithm can make facial image become more beautiful by facial rejuvenation. The proposed method opens up a new way about facial beautification, and there are great potentials for applications.

  14. Amblyopia Associated with Congenital Facial Nerve Paralysis.

    Science.gov (United States)

    Iwamura, Hitoshi; Kondo, Kenji; Sawamura, Hiromasa; Baba, Shintaro; Yasuhara, Kazuo; Yamasoba, Tatsuya

    2016-01-01

    The association between congenital facial paralysis and visual development has not been thoroughly studied. Of 27 pediatric cases of congenital facial paralysis, we identified 3 patients who developed amblyopia, a visual acuity decrease caused by abnormal visual development, as comorbidity. These 3 patients had facial paralysis in the periocular region and developed amblyopia on the paralyzed side. They started treatment by wearing an eye patch immediately after diagnosis and before the critical visual developmental period; all patients responded to the treatment. Our findings suggest that the incidence of amblyopia in the cases of congenital facial paralysis, particularly the paralysis in the periocular region, is higher than that in the general pediatric population. Interestingly, 2 of the 3 patients developed anisometropic amblyopia due to the hyperopia of the affected eye, implying that the periocular facial paralysis may have affected the refraction of the eye through yet unspecified mechanisms. Therefore, the physicians who manage facial paralysis should keep this pathology in mind, and when they see pediatric patients with congenital facial paralysis involving the periocular region, they should consult an ophthalmologist as soon as possible. © 2016 S. Karger AG, Basel.

  15. Evaluation of Facial Beauty Using Anthropometric Proportions

    Directory of Open Access Journals (Sweden)

    Jovana Milutinovic

    2014-01-01

    Full Text Available The improvement of a patient’s facial appearance is one of the main goals of contemporary orthodontic treatment. The aim of this investigation was to evaluate the difference in facial proportions between attractive and anonymous females in order to establish objective facial features which are widely considered as beautiful. The study included two groups: first group consisted of 83 Caucasian female subjects between 22 and 28 years of age who were selected from the population of students at the University of Belgrade, and the second group included 24 attractive celebrity Caucasian females. The en face facial photographs were taken in natural head position (NHP. Numerous parameters were recorded on these photographs, in order to establish facial symmetry and correlation with the ideal set of proportions. This study showed significant difference between anonymous and attractive females. Attractive females showed smaller face in general and uniformity of the facial thirds and fifths, and most of the facial parameters meet the criteria of the ideal proportions.

  16. The identification of unfolding facial expressions.

    Science.gov (United States)

    Fiorentini, Chiara; Schmidt, Susanna; Viviani, Paolo

    2012-01-01

    We asked whether the identification of emotional facial expressions (FEs) involves the simultaneous perception of the facial configuration or the detection of emotion-specific diagnostic cues. We recorded at high speed (500 frames s-1) the unfolding of the FE in five actors, each expressing six emotions (anger, surprise, happiness, disgust, fear, sadness). Recordings were coded every 10 frames (20 ms of real time) with the Facial Action Coding System (FACS, Ekman et al 2002, Salt Lake City, UT: Research Nexus eBook) to identify the facial actions contributing to each expression, and their intensity changes over time. Recordings were shown in slow motion (1/20 of recording speed) to one hundred observers in a forced-choice identification task. Participants were asked to identify the emotion during the presentation as soon as they felt confident to do so. Responses were recorded along with the associated response times (RTs). The RT probability density functions for both correct and incorrect responses were correlated with the facial activity during the presentation. There were systematic correlations between facial activities, response probabilities, and RT peaks, and significant differences in RT distributions for correct and incorrect answers. The results show that a reliable response is possible long before the full FE configuration is reached. This suggests that identification is reached by integrating in time individual diagnostic facial actions, and does not require perceiving the full apex configuration.

  17. Targeted gene transfer into rat facial muscles by nanosecond pulsed laser-induced stress waves

    Science.gov (United States)

    Kurita, Akihiro; Matsunobu, Takeshi; Satoh, Yasushi; Ando, Takahiro; Sato, Shunichi; Obara, Minoru; Shiotani, Akihiro

    2011-09-01

    We investigate the feasibility of using nanosecond pulsed laser-induced stress waves (LISWs) for gene transfer into rat facial muscles. LISWs are generated by irradiating a black natural rubber disk placed on the target tissue with nanosecond pulsed laser light from the second harmonics (532 nm) of a Q-switched Nd:YAG laser, which is widely used in head and neck surgery and proven to be safe. After injection of plasmid deoxyribose nucleic acid (DNA) coding for Lac Z into rat facial muscles, pulsed laser is used to irradiate the laser target on the skin surface without incision or exposure of muscles. Lac Z expression is detected by X-gal staining of excised rat facial skin and muscles. Strong Lac Z expression is observed seven days after gene transfer, and sustained for up to 14 days. Gene transfer is achieved in facial muscles several millimeters deep from the surface. Gene expression is localized to the tissue exposed to LISWs. No tissue damage from LISWs is observed. LISW is a promising nonviral target gene transfer method because of its high spatial controllability, easy applicability, and minimal invasiveness. Gene transfer using LISW to produce therapeutic proteins such as growth factors could be used to treat nerve injury and paralysis.

  18. 16 Cases of Depression in Patients with Free Tissue Flap to Repair Facial Defects Perioperative Care%16例抑郁患者行游离组织瓣移植修复颌面部缺损的围手术期护理

    Institute of Scientific and Technical Information of China (English)

    任凌; 易力; 陶秀健

    2015-01-01

    Objective To investigate 16 cases underwent preoperative assessment of depression free tissue flap to repair facial defects perioperative care. Methods Zung's Self-Rating Depression Scale (SDS), on the admission of patients to do screening for depressive symptoms in caregivers of patients given nursing intervention. Results In 16 cases,Preoperative evaluation of patients with severe depression score of 51,Assessment score the remaining 15 patients were lower than 50 ,Free flap transplantation in 16 patients were successful,The average hospitalization time 16.7 days and discharged the functions of the patients were able to meet the basic needs of life. Conclusion Think before surgery, timely and effective psychological interventions, wel prepared, after close observation, rational functional training is the key to successful operation.%目的:探讨16例术前评估抑郁患者行游离组织瓣移植修复颌面部缺损的围手术期护理。方法应用 Zung 氏抑郁自评量表(SDS),对入院患者做筛查,护理人员针对有抑郁症状的患者给予护理干预。结果16例患者除术前评估为重度抑郁的患者得分为51分外,其余15例患者的评估得分均低于50分。16例患者游离移植皮瓣均成活,平均住院天数为16.7天,出院时各项功能均能满足基本生活需要。结论认为术前、术后及时有效的心理干预、充分的准备,术后密切的观察,合理的功能训练是手术成功的关键。

  19. A comparison of facial expression properties in five hylobatid species

    NARCIS (Netherlands)

    Scheider, Linda; Liebal, Katja; Oña, Leonardo; Burrows, Anne; Waller, Bridget

    2014-01-01

    Little is known about facial communication of lesser apes (family Hylobatidae) and how their facial expressions (and use of) relate to social organization. We investigated facial expressions (defined as combinations of facial movements) in social interactions of mated pairs in five different hylobat

  20. A dynamic appearance descriptor approach to facial actions temporal modeling

    NARCIS (Netherlands)

    Jiang, Bihan; Valstar, Michel; Martinez, Brais; Pantic, Maja

    2014-01-01

    Both the configuration and the dynamics of facial expressions are crucial for the interpretation of human facial behavior. Yet to date, the vast majority of reported efforts in the field either do not take the dynamics of facial expressions into account, or focus only on prototypic facial expression