This study analyzed the three-dimensional morphology of ears in 240 Caucasian volunteers aged 21-65. 3D scans were taken and distances, angles, and proportions between landmarks on the ears were measured. The results showed that the distance between the subaurale and superaurale, as well as the width of the ear, significantly increased with age. The lower quadrant of the ear extended the most with increasing age. The ear continues changing shape in adulthood even after body growth stops. These measurements can help surgeons plan operations to achieve aesthetic outcomes for patients of different ages.
Description of Different Phases of Brain Tumor Classificationasclepiuspdfs
The proposed approach makes contributions in various stages in the development of a computer-aided diagnosis (CAD) system of brain diseases, namely image preprocessing, intermediate processing, detection, segmentation, feature extraction, and classification. Literature study incorporates many important ideas for abnormalities detection and analysis with their advantages and disadvantages. Literature studies have pointed out the needs of dividing task and appropriate ways for accurate abnormality characterization to provide a proper clinical diagnosis.
Comparative Study of Orbital Indices in Human Dry Skulls Obtained from People...BRNSS Publication Hub
Aim: The aim of this study is to measure the known variables of orbital indices with utilization of human
dry skulls among people in eastern region of Nepal. Materials and Methods: The parameters (such as
orbital height [OH], orbital breadth [OB], and orbital index [OI]) were used for comparative analysis of
orbital indices in collected skull samples. Based on these morphological features, each human dry skull
was categorized into megaseme, mesoseme, and microseme groups. The determination of orbital indices
with known parameters (such as OH, OB, and OI) was carried out in next. Results and Discussion: Here,
we observed that abundantly 54% of people had OI >89 that had laid us to report that majority of
population in this area belongs to the megaseme group. Mesoseme was next to grasp population as
32% of collected skulls were having OI values between 83 and 89. The remaining 14% were set into
microseme with OI values <83. We further investigated the pattern of variation in both right- and leftsided
OH, OB, and OI, and their findings were peculiar to interestingly report in our study among people
residing in this part of the world.
Background: Perforated tympanic membrane and middle ear infection are among common complications treated by tympanoplasty. This study was aimed to compare the effects of underlay and overlay tympanoplasty on the improvement of hearing and tympanic membrane landmarks and post-operative complications as well.
The document appears to be a newsletter from the University of Michigan Department of Radiology. It includes short sections on various topics related to the department:
- A letter from the chair discusses recent facility upgrades, new equipment acquisitions, and reading room renovations.
- A research spotlight profiles work being done in the Functional Neuroimaging, Cognitive and Mobility Lab to advance early detection of Alzheimer's and Parkinson's diseases using smell tests and imaging.
- An article discusses how functional MRI is being used clinically to map brain function for better surgical planning and outcomes in neurosurgery and epilepsy patients.
:Extraocular foreign bodies (EOFBs) are a common presentation to the emergency
department (ED). Given that inadequate management can result in severe complications including visual
impairment, ED clinicians may be overly cautious and often schedule patient reviews in the ED even
where it is unnecessary, placing a burden on hospital resources.
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay.
This Journal publishes original research work that contributes significantly to further the scientific knowledge in pharmacy.
This document discusses three types of medical research: (1) basic science research which improves biological understanding but findings may not be applied clinically for 10-20 years, (2) pharmaceutical research conducted by industry to gain FDA approval which has a high likelihood of demonstrating favorable results, and (3) physician-initiated research designed to improve patient care which can implement findings immediately. It notes that 75-90% of cardiology guidelines are based on industry research.
Description of Different Phases of Brain Tumor Classificationasclepiuspdfs
The proposed approach makes contributions in various stages in the development of a computer-aided diagnosis (CAD) system of brain diseases, namely image preprocessing, intermediate processing, detection, segmentation, feature extraction, and classification. Literature study incorporates many important ideas for abnormalities detection and analysis with their advantages and disadvantages. Literature studies have pointed out the needs of dividing task and appropriate ways for accurate abnormality characterization to provide a proper clinical diagnosis.
Comparative Study of Orbital Indices in Human Dry Skulls Obtained from People...BRNSS Publication Hub
Aim: The aim of this study is to measure the known variables of orbital indices with utilization of human
dry skulls among people in eastern region of Nepal. Materials and Methods: The parameters (such as
orbital height [OH], orbital breadth [OB], and orbital index [OI]) were used for comparative analysis of
orbital indices in collected skull samples. Based on these morphological features, each human dry skull
was categorized into megaseme, mesoseme, and microseme groups. The determination of orbital indices
with known parameters (such as OH, OB, and OI) was carried out in next. Results and Discussion: Here,
we observed that abundantly 54% of people had OI >89 that had laid us to report that majority of
population in this area belongs to the megaseme group. Mesoseme was next to grasp population as
32% of collected skulls were having OI values between 83 and 89. The remaining 14% were set into
microseme with OI values <83. We further investigated the pattern of variation in both right- and leftsided
OH, OB, and OI, and their findings were peculiar to interestingly report in our study among people
residing in this part of the world.
Background: Perforated tympanic membrane and middle ear infection are among common complications treated by tympanoplasty. This study was aimed to compare the effects of underlay and overlay tympanoplasty on the improvement of hearing and tympanic membrane landmarks and post-operative complications as well.
The document appears to be a newsletter from the University of Michigan Department of Radiology. It includes short sections on various topics related to the department:
- A letter from the chair discusses recent facility upgrades, new equipment acquisitions, and reading room renovations.
- A research spotlight profiles work being done in the Functional Neuroimaging, Cognitive and Mobility Lab to advance early detection of Alzheimer's and Parkinson's diseases using smell tests and imaging.
- An article discusses how functional MRI is being used clinically to map brain function for better surgical planning and outcomes in neurosurgery and epilepsy patients.
:Extraocular foreign bodies (EOFBs) are a common presentation to the emergency
department (ED). Given that inadequate management can result in severe complications including visual
impairment, ED clinicians may be overly cautious and often schedule patient reviews in the ED even
where it is unnecessary, placing a burden on hospital resources.
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay.
This Journal publishes original research work that contributes significantly to further the scientific knowledge in pharmacy.
This document discusses three types of medical research: (1) basic science research which improves biological understanding but findings may not be applied clinically for 10-20 years, (2) pharmaceutical research conducted by industry to gain FDA approval which has a high likelihood of demonstrating favorable results, and (3) physician-initiated research designed to improve patient care which can implement findings immediately. It notes that 75-90% of cardiology guidelines are based on industry research.
1. The document discusses evaluation techniques for diagnosing keratoconus, a progressive eye disorder characterized by corneal thinning and bulging.
2. It compares central corneal thickness measurements and curvature readings from Pentacam, corneal topography, and ultrasound pachymetry in keratoconic eyes.
3. The study aims to diagnose keratoconus cases using these three methods and evaluate their effectiveness for diagnosing keratoconus.
Powerful processing to three-dimensional facial recognition using triple info...IJAAS Team
Face Detection plays a crucial role in identifying individuals and criminals in Security, surveillance, and footwork control systems. Face Recognition in the human is superb, and pictures can be easily identified even after years of separation. These abilities also apply to changes in a facial expression such as age, glasses, beard, or little change in the face. This method is based on 150 three-dimensional images using the Bosphorus database of a high range laser scanner in a Bogaziçi University in Turkey. This paper presents powerful processing for face recognition based on a combination of the salient information and features of the face, such as eyes and nose, for the detection of three-dimensional figures identified through analysis of surface curvature. The Trinity of the nose and two eyes were selected for applying principal component analysis algorithm and support vector machine to revealing and classification the difference between face and non-face. The results with different facial expressions and extracted from different angles have indicated the efficiency of our powerful processing.
This review paper analyzed 1300 publications in the Journal of Maxillofacial Oral Surgery from 2009 to 2020 to evaluate trends in levels of evidence. The analysis found that case reports and narrative reviews with a level D evidence accounted for 36% of publications. The majority (35%) of articles fell under maxillofacial pathology. The percentage of higher levels of evidence (A and B) increased from 2.09% in 2009/2010 to 12.74% in 2019/2020, indicating improving research quality over time. Categorizing publications by level of evidence and topic can help refine research quality in the journal going forward.
Detection of Glaucoma using Optic Disk and Incremental Cup Segmentation from ...theijes
The document presents a new approach for detecting glaucoma using optic disk and incremental cup segmentation from retinal images. It proposes segmenting the optic disk using an automatic parameterized technique and modeling the cup region as enclosing pallor enclosed by vessel bends (r-bends). An incremental cup segmentation method uses 3D spline interpolation to derive the cup boundary considering anatomical knowledge from glaucoma experts. Results are compared to existing methods on different retinal images and show improved cup segmentation, especially in regions without depth cues where inter-observer variability is high. The approach integrates appearance and anatomical information for more accurate glaucoma assessment through optic disk and cup segmentation.
Framework for progressive segmentation of chest radiograph for efficient diag...IJECEIAES
Segmentation is one of the most essential steps required to identify the inert object in the chest x-ray. A review with the existing segmentation techniques towards chest x-ray as well as other vital organs was performed. The main objective was to find whether existing system offers accuracy at the cost of recursive and complex operations. The proposed system contributes to introduce a framework that can offer a good balance between computational performance and segmentation performance. Given an input of chest x-ray, the system offers progressive search for similar image on the basis of similarity score with queried image. Region-based shape descriptor is applied for extracting the feature exclusively for identifying the lung region from the thoracic region followed by contour adjustment. The final segmentation outcome shows accurate identification followed by segmentation of apical and costophrenic region of lung. Comparative analysis proved that proposed system offers better segmentation performance in contrast to existing system.
This document summarizes a study that uses genetic algorithms to optimize patient scheduling and resource utilization in hospitals. It describes using genetic algorithms to generate appointment schedules and evaluate them based on minimizing patient wait times, doctor idle times, and overtime. The study simulates patient arrivals and service times over thousands of simulated days to evaluate different scheduling rules, including individual blocks and variable interval rules. The goal is to balance wait times, idle times, and overtime to find optimal scheduling of patients.
Diabetic maculopathy detection using fundus fluorescein angiogram images a ...eSAT Publishing House
This document provides a review of algorithms that have been developed for processing fundus fluorescein angiogram (FFA) images to detect diabetic maculopathy. It begins with an introduction that describes diabetic maculopathy and the role of FFA images in its detection and analysis. It then discusses the goals and structure of the review, which includes classifying literature based on common image processing steps like preprocessing, segmentation, and quantification. The document reviews various algorithms for enhancing FFA images, segmenting the foveal avascular zone, and quantifying areas of macular leakage and lesions. It concludes by identifying opportunities for further research.
APPLY MACHINE LEARNING METHODS TO PREDICT FAILURE OF GLAUCOMA DRAINAGEIJDKP
This study used machine learning methods to predict the failure of glaucoma drainage devices (GDDs) based on patient data. Five classifiers (logistic regression, artificial neural network, random forest, decision tree, and support vector machine) were compared using 165 patient records. Logistic regression and random forest performed best on the small and large datasets respectively. Key predictors of failure identified were race (Black), use of beta-blockers, and glaucoma type (open-angle). Random forest and logistic regression showed potential to predict GDD outcomes based on minimal patient information and could help understand differences between device types.
Ct lecture 8. comparing two groups categorical dataHau Pham
A workshop on analysis of clinical studies was held at Can Tho University of Medicine and Pharmacy in April 2012. The workshop covered topics such as comparing groups using categorical data, metrics to measure treatment effect such as difference, relative risk, odds ratio, and number needed to treat. Examples of randomized controlled trials, case-control studies, and cohort studies were presented to illustrate the appropriate effect measures and statistical tests for different study designs. R software was introduced to demonstrate how to calculate confidence intervals for differences, relative risks, and odds ratios.
Reliability of Med-El Cochlear Implants in children. The Romania Experience.IJERA Editor
Introduction: Early detection of hearing loss significantly lowered the age of cochlear implantation. A failed CI
is a very problematic issue for the child and family and seems to be, for the moment, inevitable. This is a
retrospective review aimed to evaluate the reliability of Med-El devices implanted in children in Romania.
Materials and Methods: We designed a questionnaire to assess the incidence, the time elapsed and the reason
of total device failure. Medical-surgical data were collected from children who received Med-El cochlear
implants since the start of the National Cochlear Implant Program in 2001.
Results: There were 256 patients included. Failure Rate (6,64%) and Cumulative Survival Rate (95,31%) at 5
years were calculated. The majority of the hard and soft failures were encountered in Pulsar devices. Flap
necrosis was the most frequent medical/surgical reason for re-plantation. There was only one case of
posttraumatic device failure. Time elapsed to device failure was short – 22 months on average.
Conclusion: Cochlear implant reliability data should be considered during the choice of an implant for each
individual patient. This study confirms the safety and efficacy of Med-El cochlear implants in children for both
ceramic and non-ceramic devices.
Prevention of Post Operative Complications among Orthopaedic Patients with Ex...ijtsrd
External fixation is a surgical treatment used to bone fractures in which a plaster cast would not permit suitable alignment of the fracture. This type of reduction, holes is drilled into uninjured region of bones around the fracture and special bolts or wires are screwed into the holes. Outside the body, a rod or a curved piece of metal with special ball and socket joints the bolts to make a rigid support. External fixation offers several advantages over other fixation methods but has its complications, the most common being pin site infection Hence the researcher had taken up a pre experimental one group pre test post test research study to evaluate the effectiveness of structured teaching programme on knowledge regarding prevention of post operative complications among orthopedic patients with external fixators in J.K. Hospitals at Bhopal. Afjal Khan "Prevention of Post-Operative Complications among Orthopaedic Patients with External Fixators" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4 , June 2021, URL: https://www.ijtsrd.compapers/ijtsrd43682.pdf Paper URL: https://www.ijtsrd.comhome-science/home-nursing-and-first-aid/43682/prevention-of-postoperative-complications-among-orthopaedic-patients-with-external-fixators/afjal-khan
The document outlines the process and findings from a design studio project focused on developing a portable brain scanner. It summarizes the research phases which included understanding brain anatomy, existing brain scanning technologies, and potential use cases. Analysis determined the focus should be on improving patient outcomes in a hospital setting. The defining phase included creating a patient journey map, identifying key users like paramedics and radiologists, and design requirements. Three potential use cases were developed and pitched to medical professionals to help further understand needs.
This document provides background information on a project to design a new medication distribution system for a hospital in Estonia. It discusses the current paper-based system which is prone to errors due to handwritten notes and multiple documents. The project aims to create a safer digital system to help prevent medication errors by nurses. It provides context on patient safety being an important but under-addressed issue in Estonian healthcare policy. The document outlines the objectives to design a system that makes it harder for errors to occur and easier for nurses to do their job correctly. It also gives an overview of common causes of medication errors to help inform the new design.
Study on Physicians Request for Computed Tomography Examinations for Patients...IRJESJOURNAL
Background and objectives: There is a lot controversy about the use of Computed tomography (CT) for patients with minor head injury. We aimed to determine the practice of guiding rules for the safety of radiation and increasing awareness of physicians about risks of ionizing radiation and find out the reasons of emergency doctors for sending head injury patients to CT scan exams. Materials and Methods: A descriptive questionnaire in the Emergency Department (ED) based study was performed to assess physicians' knowledge of radiation doses received from radiological treatments and knowledge about Clinic Decision Support rules (CDS). The questionnaire consisted of 26 questions distributed to physicians working in the emergency department in six hospitals in East Java. Finally, the data collected have been analyzed by some tests using SPSS version 15 and Smart PLS. Results: In this study 44 participants had taken part. The percentage of general knowledge and awareness that shows the response of people who work in the emergency departments was total 44 respondents, by percent 6.8% of the respondents had passably knowledge, awareness and 84.1% they were having a good knowledge and awareness and 9.1% the respondents had very good knowledge and awareness. That means almost of respondents have good knowledge and awareness. To find out if an indicator is forming a construct (latent variables) testing the convergent validity of the measurement model with a reflexive indicator assessed based on the correlation between the item score to construct scores were calculated with the help of software Smart PLS. Size reflexive considered valid if the individual has a correlation (loading) to construct (latent variables) to be measured ≥ 0.5 or the value of t-statistics should ≥1.96 (test two tailed) at a significance level of α = 0.05. If one of the indicators has a leading value <0.5,><1.96, then the indicator should be discarded (dropped) because it indicates that the indicators are not good enough to measure the construct in right. The positive influence between general knowledge and awareness against to knowledge about radiation doses can be interpreted that the better general knowledge and awareness, then it will be followed by an increase in their knowledge about radiation doses. And vice versa, the worse general knowledge and awareness, then this will decrease their knowledge about radiation doses too. Conclusion: The present study has illustrated that the level of awareness and knowledge physicians who deal with ionizing radiation in CT scan units are adequate overall. There is a good influence between the diligence in applying the principles of guidance and rules stipulated by the nuclear energy in Indonesia by physicians to adjust the use of CT in the emergency department, the majority of participants who have a good awareness & knowledge, there are some of them do not have enough knowledge.
APPLICATION OF BIOMODELS FOR SURGICAL PLANNING BY USING RAPID PROTOTYPING: A ...AM Publications
The application of rapid prototyping (RP) to surgical planning came as a natural extension of the
development of the technology. Current high technology scanners analyzing biological samples present their data in a
layered format providing a straightforward interface to the RP technologies. The highest spatial resolutions are
available from CT and MRI scan data, but other modalities also provide valuable diagnostic information. Presenting
the results in a physical 3D model, either scaled 1:1 or magnified, provides the medical user with invaluable insights
beyond 2D data. Depth is a critical parameter in planning procedures. These techniques allow one to reproduce
human anatomical objects as 3D physical models, which give the surgeon a practical impression of complex
structures before a surgical intervention. This paper will focus on surgical planning and the development of
prostheses in advance of invasive procedures.
Biomodelling is an perceptive, user-friendly technology that facilitated diagnosis and operative planning.
Biomodels allowed surgeons to rehearse procedures readily and improved communication between colleagues and
patients. The paradigm shift from the visual to the visual-tactile representation of anatomical objects introduces a
new kind of interface. The RP models are very well suited for use in the opinion and the precise preoperative
simulations. The case studies included cover applications like the fabrication of custom implants & models for preoperating
surgical planning.
This randomized clinical trial compared the survival of composite resin restorations and metal-ceramic crowns on endodontically treated teeth over a follow-up period of 1 to 5 years. 57 restorations were placed in 47 patients, with 30 being composite resin and 27 being metal-ceramic crowns. One tooth was extracted in the composite group due to root fracture. There were 8 failures in the composite group and 1 failure in the crown group, mostly due to secondary caries or restoration fracture. Metal-ceramic crowns demonstrated better clinical performance and lower need for re-intervention, but both types of restorations showed good survival rates with no significant difference.
A Comparative Study of Age Related Macular Degeneration In Relation To SD-OCT...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Restoration of visual acuity with #Isotine eye drops - An Ayurvedic formulati...Mandeep Basu
Approximately 8 million to 2.3 million people worldwide have impaired vision due to uncorrected refractive error and cataract1. Hence the World Health Organization (WHO) has initiated Vision 2020 global program – “The right to sight”. The main motto of Vision 2020 is to correct refractive errors. The author after years of trial and error has formulated unique Ayurvedic eye drops “ISOTINE”. This has a very precise and balanced combination of Ayurved content that not only corrects the refractive errors but also visual acuity and subjective symptoms.
An assignment for DH Theory 1 was to create an annotated bibliography for a research topic of our choice. This project was designed to challenge our critical thinking and decision making skills. I chose to research dental lasers and their effectiveness in the removal of oral lesions. It was interesting to compare different literature on this subject, and I had a lot of fun determining what articles were valid based on the evidence provided.
This study evaluated the effect of different amounts of mandibular setback surgery on the submental region and aesthetics. The study examined 38 patients who underwent mandibular setback surgery, distinguishing those with less than 5mm of setback from those with 5mm or more. The results found no significant changes in the submental region or aesthetics for patients with less than 5mm of setback. However, for patients with 5mm or more of setback, there were significant decreases in cervical length and changes to the lip-chin-throat angle, lower lip length, and upper lip length. The study suggests these factors should be considered in surgical planning to avoid undesirable aesthetic impacts of mandibular setback surgery.
EVALUATTION OF ANTEGONIAL NOTCH DEPTH FOR GROWTH PREDICTION.pptxSadhuAbhijeet
This study evaluated the use of mandibular antegonial notch depth as a predictor of facial growth. Serial cephalograms of 40 subjects (20 male, 20 female) from ages 8.5 to over 17 years old were analyzed. A statistically significant negative correlation was found between notch depth and horizontal jaw growth, but the correlation was deemed clinically insignificant. The study concluded that notch depth alone is not a reliable predictor of facial growth for general orthodontic treatment planning. A larger sample size and subjects with more extreme notch depths may have provided stronger correlations.
The present study was conducted in Department of Anatomy, MM institute of medical sciences & research, Mullana (Ambala), on 600 Haryanvi adults comprising of 300 males and 300 females aged 18 to 40 years. Prior informed written consent was obtained from subjects. Inclusion and exclusion criteria for the study were predefined. The purpose of study was to create, evaluate data on face anthropometry. Two measurements, the morphological facial length, bizygomatic breadth were taken by using standard anthropometric instruments. From the study it was concluded that the mean morphological facial length was 11.07cm in male and 10.21cm in female. Bizygomatic breadth was 13.08 cm in male & 12.35cm in female. The facial index (mean) was 86.09 in male and 84.84 in female. So all the measurements were more in males as compared to females.It was concluded that the dominant type of face shape in males was mesoproscopic (49.66 %) followed by euriprosopic (24%), leptoprosopic (12.33%), Hypereuriprosopic (11%) & Hyperleptoprosopic (3%). In females the dominant type of face was also mesoprosopic (35%) followed by Hypereuriprosopic (25%), euriprosopic (19.33%), leptoprosopic (19%) and hyperleptoprosopic (1.66%).Data of this study will be useful to anthropologist, plastic surgeons, anatomists and forensic experts.
1. The document discusses evaluation techniques for diagnosing keratoconus, a progressive eye disorder characterized by corneal thinning and bulging.
2. It compares central corneal thickness measurements and curvature readings from Pentacam, corneal topography, and ultrasound pachymetry in keratoconic eyes.
3. The study aims to diagnose keratoconus cases using these three methods and evaluate their effectiveness for diagnosing keratoconus.
Powerful processing to three-dimensional facial recognition using triple info...IJAAS Team
Face Detection plays a crucial role in identifying individuals and criminals in Security, surveillance, and footwork control systems. Face Recognition in the human is superb, and pictures can be easily identified even after years of separation. These abilities also apply to changes in a facial expression such as age, glasses, beard, or little change in the face. This method is based on 150 three-dimensional images using the Bosphorus database of a high range laser scanner in a Bogaziçi University in Turkey. This paper presents powerful processing for face recognition based on a combination of the salient information and features of the face, such as eyes and nose, for the detection of three-dimensional figures identified through analysis of surface curvature. The Trinity of the nose and two eyes were selected for applying principal component analysis algorithm and support vector machine to revealing and classification the difference between face and non-face. The results with different facial expressions and extracted from different angles have indicated the efficiency of our powerful processing.
This review paper analyzed 1300 publications in the Journal of Maxillofacial Oral Surgery from 2009 to 2020 to evaluate trends in levels of evidence. The analysis found that case reports and narrative reviews with a level D evidence accounted for 36% of publications. The majority (35%) of articles fell under maxillofacial pathology. The percentage of higher levels of evidence (A and B) increased from 2.09% in 2009/2010 to 12.74% in 2019/2020, indicating improving research quality over time. Categorizing publications by level of evidence and topic can help refine research quality in the journal going forward.
Detection of Glaucoma using Optic Disk and Incremental Cup Segmentation from ...theijes
The document presents a new approach for detecting glaucoma using optic disk and incremental cup segmentation from retinal images. It proposes segmenting the optic disk using an automatic parameterized technique and modeling the cup region as enclosing pallor enclosed by vessel bends (r-bends). An incremental cup segmentation method uses 3D spline interpolation to derive the cup boundary considering anatomical knowledge from glaucoma experts. Results are compared to existing methods on different retinal images and show improved cup segmentation, especially in regions without depth cues where inter-observer variability is high. The approach integrates appearance and anatomical information for more accurate glaucoma assessment through optic disk and cup segmentation.
Framework for progressive segmentation of chest radiograph for efficient diag...IJECEIAES
Segmentation is one of the most essential steps required to identify the inert object in the chest x-ray. A review with the existing segmentation techniques towards chest x-ray as well as other vital organs was performed. The main objective was to find whether existing system offers accuracy at the cost of recursive and complex operations. The proposed system contributes to introduce a framework that can offer a good balance between computational performance and segmentation performance. Given an input of chest x-ray, the system offers progressive search for similar image on the basis of similarity score with queried image. Region-based shape descriptor is applied for extracting the feature exclusively for identifying the lung region from the thoracic region followed by contour adjustment. The final segmentation outcome shows accurate identification followed by segmentation of apical and costophrenic region of lung. Comparative analysis proved that proposed system offers better segmentation performance in contrast to existing system.
This document summarizes a study that uses genetic algorithms to optimize patient scheduling and resource utilization in hospitals. It describes using genetic algorithms to generate appointment schedules and evaluate them based on minimizing patient wait times, doctor idle times, and overtime. The study simulates patient arrivals and service times over thousands of simulated days to evaluate different scheduling rules, including individual blocks and variable interval rules. The goal is to balance wait times, idle times, and overtime to find optimal scheduling of patients.
Diabetic maculopathy detection using fundus fluorescein angiogram images a ...eSAT Publishing House
This document provides a review of algorithms that have been developed for processing fundus fluorescein angiogram (FFA) images to detect diabetic maculopathy. It begins with an introduction that describes diabetic maculopathy and the role of FFA images in its detection and analysis. It then discusses the goals and structure of the review, which includes classifying literature based on common image processing steps like preprocessing, segmentation, and quantification. The document reviews various algorithms for enhancing FFA images, segmenting the foveal avascular zone, and quantifying areas of macular leakage and lesions. It concludes by identifying opportunities for further research.
APPLY MACHINE LEARNING METHODS TO PREDICT FAILURE OF GLAUCOMA DRAINAGEIJDKP
This study used machine learning methods to predict the failure of glaucoma drainage devices (GDDs) based on patient data. Five classifiers (logistic regression, artificial neural network, random forest, decision tree, and support vector machine) were compared using 165 patient records. Logistic regression and random forest performed best on the small and large datasets respectively. Key predictors of failure identified were race (Black), use of beta-blockers, and glaucoma type (open-angle). Random forest and logistic regression showed potential to predict GDD outcomes based on minimal patient information and could help understand differences between device types.
Ct lecture 8. comparing two groups categorical dataHau Pham
A workshop on analysis of clinical studies was held at Can Tho University of Medicine and Pharmacy in April 2012. The workshop covered topics such as comparing groups using categorical data, metrics to measure treatment effect such as difference, relative risk, odds ratio, and number needed to treat. Examples of randomized controlled trials, case-control studies, and cohort studies were presented to illustrate the appropriate effect measures and statistical tests for different study designs. R software was introduced to demonstrate how to calculate confidence intervals for differences, relative risks, and odds ratios.
Reliability of Med-El Cochlear Implants in children. The Romania Experience.IJERA Editor
Introduction: Early detection of hearing loss significantly lowered the age of cochlear implantation. A failed CI
is a very problematic issue for the child and family and seems to be, for the moment, inevitable. This is a
retrospective review aimed to evaluate the reliability of Med-El devices implanted in children in Romania.
Materials and Methods: We designed a questionnaire to assess the incidence, the time elapsed and the reason
of total device failure. Medical-surgical data were collected from children who received Med-El cochlear
implants since the start of the National Cochlear Implant Program in 2001.
Results: There were 256 patients included. Failure Rate (6,64%) and Cumulative Survival Rate (95,31%) at 5
years were calculated. The majority of the hard and soft failures were encountered in Pulsar devices. Flap
necrosis was the most frequent medical/surgical reason for re-plantation. There was only one case of
posttraumatic device failure. Time elapsed to device failure was short – 22 months on average.
Conclusion: Cochlear implant reliability data should be considered during the choice of an implant for each
individual patient. This study confirms the safety and efficacy of Med-El cochlear implants in children for both
ceramic and non-ceramic devices.
Prevention of Post Operative Complications among Orthopaedic Patients with Ex...ijtsrd
External fixation is a surgical treatment used to bone fractures in which a plaster cast would not permit suitable alignment of the fracture. This type of reduction, holes is drilled into uninjured region of bones around the fracture and special bolts or wires are screwed into the holes. Outside the body, a rod or a curved piece of metal with special ball and socket joints the bolts to make a rigid support. External fixation offers several advantages over other fixation methods but has its complications, the most common being pin site infection Hence the researcher had taken up a pre experimental one group pre test post test research study to evaluate the effectiveness of structured teaching programme on knowledge regarding prevention of post operative complications among orthopedic patients with external fixators in J.K. Hospitals at Bhopal. Afjal Khan "Prevention of Post-Operative Complications among Orthopaedic Patients with External Fixators" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4 , June 2021, URL: https://www.ijtsrd.compapers/ijtsrd43682.pdf Paper URL: https://www.ijtsrd.comhome-science/home-nursing-and-first-aid/43682/prevention-of-postoperative-complications-among-orthopaedic-patients-with-external-fixators/afjal-khan
The document outlines the process and findings from a design studio project focused on developing a portable brain scanner. It summarizes the research phases which included understanding brain anatomy, existing brain scanning technologies, and potential use cases. Analysis determined the focus should be on improving patient outcomes in a hospital setting. The defining phase included creating a patient journey map, identifying key users like paramedics and radiologists, and design requirements. Three potential use cases were developed and pitched to medical professionals to help further understand needs.
This document provides background information on a project to design a new medication distribution system for a hospital in Estonia. It discusses the current paper-based system which is prone to errors due to handwritten notes and multiple documents. The project aims to create a safer digital system to help prevent medication errors by nurses. It provides context on patient safety being an important but under-addressed issue in Estonian healthcare policy. The document outlines the objectives to design a system that makes it harder for errors to occur and easier for nurses to do their job correctly. It also gives an overview of common causes of medication errors to help inform the new design.
Study on Physicians Request for Computed Tomography Examinations for Patients...IRJESJOURNAL
Background and objectives: There is a lot controversy about the use of Computed tomography (CT) for patients with minor head injury. We aimed to determine the practice of guiding rules for the safety of radiation and increasing awareness of physicians about risks of ionizing radiation and find out the reasons of emergency doctors for sending head injury patients to CT scan exams. Materials and Methods: A descriptive questionnaire in the Emergency Department (ED) based study was performed to assess physicians' knowledge of radiation doses received from radiological treatments and knowledge about Clinic Decision Support rules (CDS). The questionnaire consisted of 26 questions distributed to physicians working in the emergency department in six hospitals in East Java. Finally, the data collected have been analyzed by some tests using SPSS version 15 and Smart PLS. Results: In this study 44 participants had taken part. The percentage of general knowledge and awareness that shows the response of people who work in the emergency departments was total 44 respondents, by percent 6.8% of the respondents had passably knowledge, awareness and 84.1% they were having a good knowledge and awareness and 9.1% the respondents had very good knowledge and awareness. That means almost of respondents have good knowledge and awareness. To find out if an indicator is forming a construct (latent variables) testing the convergent validity of the measurement model with a reflexive indicator assessed based on the correlation between the item score to construct scores were calculated with the help of software Smart PLS. Size reflexive considered valid if the individual has a correlation (loading) to construct (latent variables) to be measured ≥ 0.5 or the value of t-statistics should ≥1.96 (test two tailed) at a significance level of α = 0.05. If one of the indicators has a leading value <0.5,><1.96, then the indicator should be discarded (dropped) because it indicates that the indicators are not good enough to measure the construct in right. The positive influence between general knowledge and awareness against to knowledge about radiation doses can be interpreted that the better general knowledge and awareness, then it will be followed by an increase in their knowledge about radiation doses. And vice versa, the worse general knowledge and awareness, then this will decrease their knowledge about radiation doses too. Conclusion: The present study has illustrated that the level of awareness and knowledge physicians who deal with ionizing radiation in CT scan units are adequate overall. There is a good influence between the diligence in applying the principles of guidance and rules stipulated by the nuclear energy in Indonesia by physicians to adjust the use of CT in the emergency department, the majority of participants who have a good awareness & knowledge, there are some of them do not have enough knowledge.
APPLICATION OF BIOMODELS FOR SURGICAL PLANNING BY USING RAPID PROTOTYPING: A ...AM Publications
The application of rapid prototyping (RP) to surgical planning came as a natural extension of the
development of the technology. Current high technology scanners analyzing biological samples present their data in a
layered format providing a straightforward interface to the RP technologies. The highest spatial resolutions are
available from CT and MRI scan data, but other modalities also provide valuable diagnostic information. Presenting
the results in a physical 3D model, either scaled 1:1 or magnified, provides the medical user with invaluable insights
beyond 2D data. Depth is a critical parameter in planning procedures. These techniques allow one to reproduce
human anatomical objects as 3D physical models, which give the surgeon a practical impression of complex
structures before a surgical intervention. This paper will focus on surgical planning and the development of
prostheses in advance of invasive procedures.
Biomodelling is an perceptive, user-friendly technology that facilitated diagnosis and operative planning.
Biomodels allowed surgeons to rehearse procedures readily and improved communication between colleagues and
patients. The paradigm shift from the visual to the visual-tactile representation of anatomical objects introduces a
new kind of interface. The RP models are very well suited for use in the opinion and the precise preoperative
simulations. The case studies included cover applications like the fabrication of custom implants & models for preoperating
surgical planning.
This randomized clinical trial compared the survival of composite resin restorations and metal-ceramic crowns on endodontically treated teeth over a follow-up period of 1 to 5 years. 57 restorations were placed in 47 patients, with 30 being composite resin and 27 being metal-ceramic crowns. One tooth was extracted in the composite group due to root fracture. There were 8 failures in the composite group and 1 failure in the crown group, mostly due to secondary caries or restoration fracture. Metal-ceramic crowns demonstrated better clinical performance and lower need for re-intervention, but both types of restorations showed good survival rates with no significant difference.
A Comparative Study of Age Related Macular Degeneration In Relation To SD-OCT...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Restoration of visual acuity with #Isotine eye drops - An Ayurvedic formulati...Mandeep Basu
Approximately 8 million to 2.3 million people worldwide have impaired vision due to uncorrected refractive error and cataract1. Hence the World Health Organization (WHO) has initiated Vision 2020 global program – “The right to sight”. The main motto of Vision 2020 is to correct refractive errors. The author after years of trial and error has formulated unique Ayurvedic eye drops “ISOTINE”. This has a very precise and balanced combination of Ayurved content that not only corrects the refractive errors but also visual acuity and subjective symptoms.
An assignment for DH Theory 1 was to create an annotated bibliography for a research topic of our choice. This project was designed to challenge our critical thinking and decision making skills. I chose to research dental lasers and their effectiveness in the removal of oral lesions. It was interesting to compare different literature on this subject, and I had a lot of fun determining what articles were valid based on the evidence provided.
This study evaluated the effect of different amounts of mandibular setback surgery on the submental region and aesthetics. The study examined 38 patients who underwent mandibular setback surgery, distinguishing those with less than 5mm of setback from those with 5mm or more. The results found no significant changes in the submental region or aesthetics for patients with less than 5mm of setback. However, for patients with 5mm or more of setback, there were significant decreases in cervical length and changes to the lip-chin-throat angle, lower lip length, and upper lip length. The study suggests these factors should be considered in surgical planning to avoid undesirable aesthetic impacts of mandibular setback surgery.
EVALUATTION OF ANTEGONIAL NOTCH DEPTH FOR GROWTH PREDICTION.pptxSadhuAbhijeet
This study evaluated the use of mandibular antegonial notch depth as a predictor of facial growth. Serial cephalograms of 40 subjects (20 male, 20 female) from ages 8.5 to over 17 years old were analyzed. A statistically significant negative correlation was found between notch depth and horizontal jaw growth, but the correlation was deemed clinically insignificant. The study concluded that notch depth alone is not a reliable predictor of facial growth for general orthodontic treatment planning. A larger sample size and subjects with more extreme notch depths may have provided stronger correlations.
The present study was conducted in Department of Anatomy, MM institute of medical sciences & research, Mullana (Ambala), on 600 Haryanvi adults comprising of 300 males and 300 females aged 18 to 40 years. Prior informed written consent was obtained from subjects. Inclusion and exclusion criteria for the study were predefined. The purpose of study was to create, evaluate data on face anthropometry. Two measurements, the morphological facial length, bizygomatic breadth were taken by using standard anthropometric instruments. From the study it was concluded that the mean morphological facial length was 11.07cm in male and 10.21cm in female. Bizygomatic breadth was 13.08 cm in male & 12.35cm in female. The facial index (mean) was 86.09 in male and 84.84 in female. So all the measurements were more in males as compared to females.It was concluded that the dominant type of face shape in males was mesoproscopic (49.66 %) followed by euriprosopic (24%), leptoprosopic (12.33%), Hypereuriprosopic (11%) & Hyperleptoprosopic (3%). In females the dominant type of face was also mesoprosopic (35%) followed by Hypereuriprosopic (25%), euriprosopic (19.33%), leptoprosopic (19%) and hyperleptoprosopic (1.66%).Data of this study will be useful to anthropologist, plastic surgeons, anatomists and forensic experts.
This document summarizes a study that evaluated the efficacy of ultrasonography and computed tomography in diagnosing palpable neck masses. 40 patients with neck masses were examined clinically and underwent ultrasound and CT scans. The results found that ultrasound was useful for characterizing masses as solid or cystic and identifying features like margins, calcifications and necrosis. CT provided additional information on tissue attenuation, extent of lesions, and involvement of surrounding structures or distant spread. The study concluded that ultrasound combined with CT provides valuable information to accurately diagnose neck masses and guide their management.
This study analyzed 43 patients with facial asymmetry using 3D CT scans to classify the asymmetry into objective groups. Measurements of the maxilla and mandible were analyzed using statistical tests and cluster analysis. Four groups were identified: Group 1 with a shifted mandibular body (44%); Group 2 with a significant difference in ramus height and menton deviation to the short side (39%); Group 3 with atypical asymmetry including menton deviation and prominence on one side (12%); and Group 4 with severe maxillary canting and ramus/menton differences (5%). The study aims to improve diagnosis and treatment of facial asymmetry through an objective classification system.
This document outlines a thesis protocol for evaluating temporal bone pathologies using high resolution computed tomography (HRCT). It provides background on the complex anatomy of the temporal bone and limitations of plain radiography. HRCT is presented as an excellent tool for depicting boundaries, localizing disease, and evaluating complications. The study aims to evaluate various temporal bone pathologies using HRCT and assess extent of involvement, intracranial complications, and relationship to neurovascular structures. It describes the research methodology, including patient selection criteria, HRCT techniques, statistical analysis, and ethics approval that will be followed.
This document outlines a thesis protocol for evaluating temporal bone pathologies using high resolution computed tomography (HRCT). The introduction discusses the complex anatomy of the temporal bone and limitations of plain radiography. HRCT provides excellent spatial resolution to depict boundaries between ear cavities and assess extent of disease. The aim is to study HRCT's role in evaluating temporal bone pathologies. Objectives include assessing distributions of conditions like infections and tumors, evaluating involvement of middle ear and mastoid air cells, intracranial complications, and relationships with neurovascular structures. The methodology will involve prospective data collection from HRCT scans of referred patients which will then be analyzed.
Transverse growth of the maxilla and mandible in untreated girls with low, av...EdwardHAngle
The purpose of this study was to investigate maxillary and mandibular transverse growth in
untreated female subjects with low, average, and high mandibular plane angles longitudinally from ages 6 to 18.
Digital images of oral cavities were analyzed by 7 raters to test inter-rater reliability of measurements. Raters measured areas of the total oral cavity, tongue, teeth, and empty spaces. Low average standard deviations and variances between raters demonstrated high inter-rater reliability for the digital imaging analysis method. This objective analysis technique aims to improve predictions of difficult intubation by eliminating subjectivity compared to prior subjective tests.
This ultrasound study of 41 volunteers found that:
1) The superior and inferior labial arteries were most often located in the submucosal plane (58.5%) followed by the intramuscular (36.2%) and subcutaneous planes (5.3%).
2) The depth of the superior labial artery in the upper lip was 5.6 mm on average, and the depth of the inferior labial artery in the lower lip was 5.2 mm.
3) Both arteries were more often located within the red lip portion of the lips rather than the cutaneous portion.
This study developed and tested a non-language specific speech test using made-up syllables to evaluate speech in cleft patients from different cultural and language backgrounds. The test was administered to 41 cleft patients and 39 non-cleft individuals from Germany, Iran, and India. Two speech pathologists independently rated audio recordings of the tests and found significant differences in hypernasality, nasal emissions, and consonant errors between cleft patients and non-cleft controls from the same language group. While inter-rater agreement was poor, the test was able to distinguish speech characteristics between cleft and non-cleft individuals across different languages and cultures.
Cancer Practitioner Personal StatementSusan Tullis
This document discusses and compares the strengths of qualitative and quantitative research methods. It begins by defining Q-methodology, which was developed by William Stephenson, as a method that combines strengths of both qualitative and quantitative approaches. Specifically, Q-methodology studies subjectivity and can be applied to various research topics. The method allows researchers to quantify subjective viewpoints and rank-order them statistically. It also facilitates the comparison of perspectives across many individuals. In conclusion, Q-methodology harness strengths of qualitative and quantitative methods by enabling the quantification and statistical analysis of subjective viewpoints and experiences.
Relationship between dental arch width and vertical facial morphology in unt...EdwardHAngle
The objectives of this study were to investigate if a relationship exists between dental arch width and the vertical facial pattern determined by the steepness of the mandibular plane, and to examine the differences in dental arch widths between male and female untreated adults. Lateral cephalograms and dental casts were obtained from 185 untreated Caucasians and measurements of arch width and mandibular plane angle were taken. The results showed that male arch widths were significantly larger than females and that as the mandibular plane angle increased, arch width decreased for both males and females. It was concluded that dental arch width is associated with gender and facial vertical morphology.
Subjective classification and objective analysis of the mandibular dental arc...EdwardHAngle
Our objective was to evaluate the relationship between subjective classification of dental-arch shape, objective analyses via arch-width measurements, and the fitting with the fourth-order polynomial equation.
CEPHALOMETRIC NORMS FROM POSTEROANTERIOR RICKETTS’ CEPHALOGRAMS FROM HISPANIC...Iván E Pérez
Aim: The purpose of the present study was to describe the posteroanterior cephalometric norm values from Hispanic
Americans Peruvian non adults patients between years 2009 to 2010, identify possible differences between sexes and compare our results with similar studies in the literature.
Material and methods: Data from posteroanterior cephalograms from 318 patients (177 females and 141 males) between 9 and 18 years old were collected from our database; mean and standard deviation were calculated for each gender and age group.
Results: Independent samples T-test found statistically significant differences between males and females results in the intermolar width, right molar to maxillae distance, nasal width, nasal height, maxillary width, mandibular width and facial width.
Conclusions: statistically differences between sexes were found in seven from twelve transversal measurements. The norm values found in this study are similar to those reported by Ricketts’.
Identifying a safe zone for midface augmentation using anatomic landmarks for...Nhat Nguyen
The study identifies a safe zone for dissection during midface augmentation to avoid injury to the infraorbital nerve. Measurements were taken on 44 CT scans of adult faces to determine the average distance between the infraorbital foramen and nearby bony landmarks. For men, the average distances were 8.61 mm from the infraorbital rim, 17.43 mm from the piriform aperture, 41.81 mm from the second premolar tip, and 25.93 mm from the lateral orbital rim. For women, the averages were 8.25 mm, 15.69 mm, 37.33 mm, and 24.21 mm, respectively. Defining this safe zone can help clinicians locate the infraorbital for
Neural Network in Developing Software for Indentifying Arch Formijaia
The treatment of Class I malocclusion treatment is to arrange the teeth position in a good arch form. Arch
form consists of tooth size and arch dimension (intercanine width, canine depth, intermolar width, molar
depth). Several ways are developed to describe arch form. A lot of methods used to describe arch form
qualitatively. The objective of this study is to develop qualitative arch form diagnostic references using
artificial neural network from pre-post treatment dental cast scanning result. Pre-post orthodontic
treatment dental casts (1990-2006) from Post Graduate Clinic Faculty of Dentistry University of Indonesia
and 3 other orthodontists were gathered and scanned. Data were measured using Image Tool and analyzed
using Stata 9. ANOVA was used to compare arch forms (square, oval, tapered) and gender (male and
female), with each component of arch dimension upper and lower jaw, before and after treatment; and also
arch perimeter to kinds of treatment The results were compiled to determine variables in building the
software for analyzing arch form qualitatively. The data from190 pre-post orthodontic treatment dental
casts consisted of 42 male (22.1%) and 148 female (77.9%) treated without extraction (32.63%), 4
Premolars extraction (48.42%), Upper Premolars extraction (11.05%), atypical extraction (7.90%).
Gender and all variables from pre treatment did not influence arch form, except kinds of treatment.
Therefore, only post treatment data are included for arch form analysis. The shape of arch form (square,
oval and tapered) can be described qualitatively by software using artificial neural network. This software
could describe arch form with the accuracy of 76.3158%. This study concluded that Intercanine width,
Canine depth, Intermolar width, and molar depth were variables that influenced arch form. A software
using artificial neural network to describe arch form qualitatively could be used for diagnostic reference to
Class I malocclusion orthodontic post treatment
Three key findings from the document:
1. The study evaluated perioral soft tissue changes after orthognathic surgery using 3DCT scans in 10 patients. It assessed changes in lip width, nasolabial angle, and mentolabial angle.
2. Maxillary advancement of 4.5mm on average increased the nasolabial angle by 1.81 degrees per 1mm of movement. Maxillary setback of 2.6mm on average decreased the nasolabial angle by 2.73 degrees per 1mm of movement.
3. Mandibular setback of various amounts decreased the mentolabial angle on average by 3.27 degrees per 1mm of
Tiwari R, Chakravarthi PS, Kattimani VS, Lingamaneni KP. A Perioral Soft Tissue evaluation after Orthognathic Surgery Using Three-Dimensional Computed Tomography Scan. The Open Dentistry Journal. 2018; 12:366-376. doi:10.2174/1874210601812010366.
The document provides an overview of cephalometric analysis. It defines cephalometry as the scientific measurement of the bones of the cranium and face using lateral radiographic images. It discusses the history and key figures in the development of cephalometry. The document outlines several commonly used cephalometric analyses including Downs analysis, Steiner analysis, and Tweed analysis. It describes the landmarks, planes, angles, and linear measurements used in cephalometric assessment. The principles, goals, types, and techniques of cephalometric analysis are summarized. Limitations and sources of error in cephalometrics are also mentioned.
An 83-year-old female patient was admitted to the hospital with breathing difficulties and weight loss. An autopsy revealed adenocarcinoma of the lung and colon in the late stages. Molecular testing found that both cancers had a BRAF V600E mutation, which is rare for two separate cancers to share. The autopsy also uncovered several other previously unknown medical conditions, demonstrating the importance of autopsies for quality control and teaching.
Kongressplakat pathologie dworak grading system prof. hansen_din a0Klinikum Lippe GmbH
This study evaluated the Dworak tumor regression grading (TRG) system as a prognostic indicator for 159 rectal cancer patients treated with neoadjuvant chemoradiotherapy. Patients were observed for a mean of 42.5 months. A univariate Kaplan-Meier analysis found that patients with Dworak TRG grades 3+4 had a mean progression-free survival of 121 months, significantly higher than the 53.6 months for patients with grades 1+2. A multivariate analysis identified Dworak TRG grade and postoperative nodal stage as independent risk factors. The study concludes that Dworak TRG is an important prognostic indicator of progression-free survival and that subclassifying into grades 1+2 and 3
This study evaluated the use of vascularised fatty tissue flaps to replace excised parotid tissue and prevent Frey's syndrome in 37 patients who underwent parotidectomy between 2008-2017. The fatty flaps took an average of 17 minutes to dissect and were stable for up to 9 years of follow up. None of the patients reported symptoms of Frey's syndrome such as flushing or sweating when eating. The flaps were an easy technique that avoided donor site morbidity compared to other options and successfully prevented Frey's syndrome in all patients.
1) The study compared the effects of dexamethasone, tranexamic acid, and a combination of both on post-rhinoplasty edema and ecchymosis in 60 patients who underwent primary open rhinoplasty.
2) Patients were divided into 4 groups: dexamethasone only, tranexamic acid only, combination, and placebo. Medications were given intravenously before and after surgery.
3) Edema and ecchymosis were evaluated on a scale of 0-4 on postoperative days 1, 3, and 7. The dexamethasone, tranexamic acid, and combination groups had significantly lower edema and ecchymosis ratings compared to the placebo
This study compared information obtained from standard computed tomographic angiography (s-CTA) scans and modified CTA (m-CTA) scans of the deep circumflex iliac artery (DCIA) flap to cadaver dissections. The m-CTA scans showed longer visible DCIA lengths, better visualization of branching patterns, and more detail on vessel course compared to s-CTA scans. However, s-CTA scans allowed bilateral evaluation while m-CTA only showed the injected side. Both CTA methods provided more information than cadaver dissections for preoperative planning of DCIA flaps.
This document describes a new minimally invasive technique for harvesting a deep circumflex iliac artery (DCIA) flap for jaw reconstruction using virtual surgical planning and 3D printed surgical guides. Virtual planning based on CT scans allows for precise preoperative design of the bone flap and surgical guide. The guide enables a medial approach to the pelvis to harvest the flap, preserving important anatomical structures and muscles to reduce donor site morbidity. Initial results found the new technique allowed for shorter recovery times and less complaints about walking or hip profile changes compared to standard approaches.
This study assessed parental risk factors for cleft lip and palate (CL/P) in 187 children with CL/P and 190 non-cleft children. The study found that family history of clefts, lack of folic acid consumption during pregnancy, and consanguineous marriage were strongly associated with increased risk of a child being born with CL/P. Children with CL/P also had significantly higher rates of other congenital abnormalities and physical problems compared to non-cleft children. The findings suggest expecting mothers with a family history of CL/P or who engage in consanguineous marriages should take extra precautions to prevent CL/P in their children.
2016 wahl-immunotherapy with imiquimod and interferon alfa for metastasized m...Klinikum Lippe GmbH
1) The document describes the case of a 90-year-old woman with metastatic Merkel cell carcinoma (MCC) that was treated with a combination of local and systemic immunotherapy.
2) Treatment included weekly intralesional injections of interferon alfa-2a along with topical imiquimod cream 3 times per week, as well as subcutaneous injections of pegylated interferon alfa-2b.
3) This combination led to the regression of all cutaneous metastases and lymph node metastases within 4 months, and the patient remained alive 30 months after starting immunotherapy, suggesting locally metastasized MCC can be controlled with local and systemic immunotherapy.
1) The study examined the effect of using acellular dermal grafts in combination with Z-plasty technique for secondary cleft lip deformities.
2) 18 patients underwent scar revision, submucosal tunneling, Z-plasty, and placement of an acellular dermal graft.
3) Quantitative measurements before and after surgery found significant improvements in symmetry, defect height, and lip thickness, indicating acellular dermal grafts with Z-plasty can effectively treat secondary cleft lip deformities.
This document describes a technique for reconstructing full-thickness defects of the lower third of the nose using a three-layer approach. A reversed nasolabial flap is used to reconstruct the nasal lining, an auricular cartilage graft provides structural support, and a forehead flap provides skin coverage. The technique was used in 21 patients and resulted in satisfactory aesthetic and functional outcomes in most cases. Combined flaps from local and distant sites incorporating cartilage can effectively reconstruct large nasal defects while restoring the three anatomical layers.
2016 heinz-two-step reconstruction of non-marginal auricular defectsKlinikum Lippe GmbH
This document describes a two-step surgical technique for reconstructing non-marginal full-thickness defects of the auricle. In the first step, tissue from the preauricular and retroauricular regions is used to reconstruct the anterior and posterior surfaces of the auricle defect. In the second step, performed two weeks later, the tissue pedicles are separated and adjusted. Thirteen patients underwent this procedure with excellent esthetic outcomes, low morbidity, and patient satisfaction. Vertical and horizontal dimensions of the reconstructed auricles changed minimally. The two-step technique provides an improved method for reconstructing central auricle defects.
This study retrospectively evaluated 34 patients with class III dentofacial deformities who underwent either maxillary advancement or mandibular setback surgery. Pre- and post-operative lateral cephalograms were analyzed to compare changes in 14 soft tissue parameters between the two surgical approaches. Statistically significant differences were found for cervical length, which increased after maxillary advancement but decreased after mandibular setback. Some other aesthetic parameters were found to be superior after maxillary advancement compared to mandibular setback. The study aims to help determine the best surgical approach for correcting class III deformities while optimizing aesthetic outcomes.
This study compared the clinically usable bone regions of the ilium and fibula for mandible reconstruction. Measurements were taken of 241 ilia, 91 mandibles, and 60 fibulas. The ilium offered a similar total usable bone length to the fibula but maintained a more constant bone thickness throughout, whereas the fibula's dimensions varied significantly. In some fibulas, only a small portion of the total bone length could actually be used. The study suggests the ilium may be a better donor site than the fibula, especially for women requiring occlusal rehabilitation after mandible reconstruction.
This study compared outcomes of 86 patients who underwent reconstruction of facial soft tissue defects following tumor excision using various surgical techniques, including non-vascularised skin grafts, local flaps, a modified face-lift technique, and microvascular free flaps. The face-lift technique resulted in shorter hospital stays and lower rates of ectropion than other methods for defects under 60 cm2. It provided the best aesthetic outcomes but was limited to smaller defects. Microvascular free flaps were necessary for the largest defects over 60 cm2 due to the amount of tissue needed.
2015 heinz-repairing a non-marginal full-thickness auricular defect using a r...Klinikum Lippe GmbH
This document describes a surgical technique using an anterior pedicled retroauricular flap (APRF) to reconstruct full-thickness defects of the central non-marginal area of the ear. The APRF is harvested from the postauricular skin in two stages and used to reconstruct both the posterior and anterior surfaces of the defect. The procedure was performed successfully in 11 patients to repair conchal defects, with good aesthetic outcomes, minimal donor site morbidity, and high patient satisfaction. The APRF provides an effective method to reconstruct central ear defects while maintaining ear size and shape with minimal stress on the flap.
This document discusses the use of techniques from aesthetic rhinoplasty in reconstructive nasal surgery after tumor resection. The authors used osteotomy and tip shaping techniques in 17 patients to reshape the nasal framework after removing underlying bone or cartilage. This increased the margin of safety and reduced the size of the defect, allowing tension-free primary closure with local tissue flaps. Patients were satisfied with the aesthetic and functional outcomes. The techniques require knowledge of procedures from aesthetic rhinoplasty but can improve reconstruction results.
This study evaluated the effect of maxillary advancement of less than 6 mm versus 6 mm or more on soft tissue changes in 53 patients treated for Class III malocclusion. For advancements under 6 mm, there were no significant changes in the nasolabial angle but significant changes in lip and chin positions. For advancements of 6 mm or more, submental and nasolabial soft tissues significantly improved, indicating better aesthetics. The degree of maxillary advancement significantly impacts soft tissue changes and should be considered in treatment planning.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
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2017 modabber-ear-aps
1. ORIGINAL ARTICLE FACIAL SURGERY
Three-Dimensional Analysis of the Ear Morphology
Ali Modabber1 • Helmut Galster1 • Florian Peters1 • Stephan Christian Mo¨hlhenrich1 •
Kristian Kniha1 • Matthias Knobe2 • Frank Ho¨lzle1 • Alireza Ghassemi1
Received: 20 August 2017 / Accepted: 2 November 2017
Ó Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2017
Abstract
Background For surgical treatment of the face, detailed
surgical planning is necessary to avoid later unaesthetic
results. Most of the studies in the literature concentrate on
the ears’ anatomy during childhood and adolescence.
Nearly no study evaluates the anatomy of ears of people
aged 50 or older. It was our aim to measure and evaluate
the ear’s anatomy in Caucasians between the ages of 21
and 65.
Methods Three-dimensional scans of 240 volunteers were
taken. The subjects were divided into groups of males and
females and each of them into three groups by age (21–35,
36–50, 51–65). Landmarks were placed in these scans.
Distances, relations and angles between them were
recorded.
Results The distance between the subaurale and superau-
rale significantly increases (p 0.001) during the aging
process in males and females. Also, the width of the ear,
measured between the preaurale and postaurale, signifi-
cantly increased (p = 0.007) with advancing age. When
the length of the ear is divided into four parts by anatom-
ical landmarks, it extended the most in the lower quadrant
with increasing subject age.
Conclusion The ear of Caucasians does not stop changing
its shape during adulthood. Even after the body has stopped
growing, the ear still does. With the measured values in this
study, it should be possible for the surgeon to plan the
operation in advance and achieve satisfactory aesthetic
outcomes.
Level of Evidence V This journal requires that authors
assign a level of evidence to each article. For a full
description of these Evidence-Based Medicine ratings,
please refer to the Table of Contents or the online
Instructions to Authors www.springer.com/00266.
Keywords Ear morphology Á Facial scanning Á Three-
dimensional
Introduction
Since antiquity, humans have assessed facial proportions as
the basis for attractiveness [1]. These studies investigate
facial morphology with regard to ethnic variations [2], age
differences [3], gender differences [4] and characteristics
of attractiveness. Some studies described attractiveness as:
averageness [5, 6], sexual dimorphism [7], the appearance
of childlikeness [8] and symmetry [9]. All studies in this
field reported specific standard values of different ages and
ethnic groups. Such data are useful for surgeons to recon-
struct facial proportions and to achieve aesthetic results in
regular clinical practice.
Surgeons rely on personal experience for aesthetic
results. Whereas, nearby structures or symmetry may help
in orientation during the operation, there are not always
natural contours on which to rely. In that case, it is
important to be aware of certain distances and angles of
particular facial parts. Detailed therapy planning is
required to determine what operation and transplantation
methods and materials fit the best; for example, proper
placement of the incision line without destroying the
& Ali Modabber
amodabber@ukaachen.de
1
Department of Oral, Maxillofacial and Facial Plastic Surgery,
RWTH Aachen University Hospital, Pauwelsstr. 30, 52074
Aachen, Germany
2
Department of Orthopaedic Trauma, RWTH Aachen
University Hospital, Aachen, Germany
123
Aesth Plast Surg
https://doi.org/10.1007/s00266-017-1027-4
2. natural proportions, and the use of the incision line to
conceal prospective scars to make it look natural [10].
Surgeons do not only need this knowledge for average
patients, but also for patients of different ages and gender.
Because certain parts of the ear undergo various changes
during a lifetime, the surgeon has to account for such
variations to provide a suitable treatment for patients of
varying ages [3]. Most existing publications concentrated
on morphological changes during childhood and adoles-
cence and extended to about 18 years [11]. Abundant
measurements and norms have been reported for people
aged 18–35 [2, 12]. However, the progress of morpholog-
ical changes in adult ears is fragmentarily documented. To
facilitate individual treatment planning for various ages,
age-dependent standard values are strongly needed [3]. For
example, following the norms of a mid-20s person, on
which most of the available standard values are based, may
look artificial in a 50-year-old.
Calculated standard values are essential for diverse
surgical adult treatments. The ear undergoes surgical
treatment for various reasons including: tumor therapy,
trauma therapy, bite wounds and use of the cartilage for
other reconstructions. Besides that, the ear is the subject of
aesthetic-plastic interventions.
In view of these observations, the purpose of this study
was to supply anthropometric data on the ears of Caucasian
subjects using a modern measurement technique.
Materials and Methods
After institutional approval and informed consent, we
divided 240 volunteers (120 female and 120 male Cau-
casians) into six groups of 40 subjects each. The groups
consisted of three female subgroups: F1 (age 21–35), F2
(age 36–50), F3 (age 51–65) and three male subgroups: M1
(age 21–35), M2 (age 36–50), M3 (age 51–65). All vol-
unteers were scanned with FaceScan3D (FaceScan3D; 3D-
Shape GmbH, Erlangen, Germany). The acquired 3D data
were imported into OnyxCeph version 3.2.45 (Image
Instruments, Chemnitz, Germany). Facial landmarks were
set to the volunteers’ 3D scans and the software calculated
distances, angles and proportions.
Exclusion criteria for the study were: prior injuries or
operative treatments of the ears, wearing earrings, and non-
Caucasian subjects.
FaceScan3D
FaceScan3D is an optical 3D scanner for acquiring a digital
surface scan of the human face. The structured light tech-
nique is used to acquire 3D surface information. No
physical contact or ionizing radiation is employed. To
acquire this information, the scanner utilizes two black and
white cameras, a commercial digital SLR camera and an
LCD projector, as well as two professional flashes. A
mirror configuration surrounds a volunteer’s face permit-
ting a 180° panoramic record to be taken in one single shot.
One recording takes 800 ms. As stated in the technical data
provided by 3D-Shape, FaceScan3D has a precision of
0.1 mm. A commercial personal computer controls the
scanner. This computer uses Slim3D software (3D-Shape
GmbH, Erlangen, Germany) for post-processing raw data
acquired by the cameras. Finally, a 3D model consisting of
triangles with texture information is exported as a Wave-
front Object (.obj) file with its texture information stored in
a Joint Photographic Experts Group File Interchange For-
mat (.jpg) and a Material Template Library file (.mtl) file.
The mean error in measuring distances using this method is
1.17 mm [13]. Each volunteer was scanned similarly:
seated inside the mirror construction and aligned with the
crosshairs projected by FaceScan3D. Subjects were
instructed to relax their face and look towards the scanning
unit.
Scan Analysis
The facial datasets were imported into commercially
available orthognathic planning software (OnyxCeph ver-
sion 3.2.45). Using this software, distances, angles and
proportions were measured. Ultimately, for adequate
orthognathic therapy, measurement parameters can be set
by the user. Points necessary for planned facial analysis
were patched into this software. All distances, angles and
proportions between these landmarks were calculated
automatically.
The landmarks to optimally show extensions and pro-
portionality of the ear were selected. A clearly definable
position of the landmark, typically a point of strong con-
vexity or concavity, was required. The definitions of the
landmarks (Table 1) were described previously by Swen-
nen et al. and Sforza et al. [14, 15].
The angle between SupAu–SubAu and PreAu–PostAu
could not be measured in the three-dimensional view
because the points did not have an intersection in common.
Thus, reference planes were constructed. These were the
Camper projection plane, defined by the two Tragion points
and Subnasale, as well as the sagittal plane, vertically
positioned on the Camper projection plane meeting Sub-
nasale, and the midpoint between the two Tragion points.
SupAu–SubAu and PreAu–PostAu were projected per-
pendicularly on the sagittal plane and the measurement of
the angle between them taken within that plane.
Chosen measuring points for the lateral ear are shown in
Fig. 1. Figure 2 shows the measured relation.
Aesth Plast Surg
123
3. Statistical Analysis
First, we averaged the values of a total of 480 ears for each
volunteer and the resulting 240 datasets were statistically
analyzed with Prism GraphPad Version 6 (GraphPad
Software, Inc. La Jolla USA). The data were checked for
normality using the D’Agostino-Pearson normality test in
omnibus K2 variant. The data were normally distributed.
For statistical analysis between the male and female
groups, a t test was used. For analysis between groups of
different ages, a one-way ANOVA analysis of variance
was performed. The level of significance was set to
p B 0.05. All data were expressed as mean values ± s-
tandard deviation.
Fig. 1 Measuring points ear lateral Fig. 2 Four quadrants of the ear
Table 1 Definitions and abbreviations of chosen landmarks
Abbreviation Landmark Definition
Tra Tragion Point at the upper margin of the tragus
SupAu Superaurale Most cranial point of the ear
SubAu Subaurale Most caudal point of the ear
PreAu Preaurale Most ventral point of the ear
PostAu Postaurale Most dorsal point of the ear
Osup Otobasion superius Cranial point of the attachment of the ear to the cheek
Oinf Otobasion inferius Caudal point of the attachment of the ear to the cheek
Ia Incisura anterior Point of highest concavity at the anterior notch between the cranial origin of the helix and the tragion
ITra Incisura intertragica Point of highest concavity on the inner helix between tragion and antitragion
Aesth Plast Surg
123
4. Results
Ear Lateral
Table 2 shows measured values for SubAu–SupAu and
associated p values. With increasing age, the distance
between superaurale and subaurale increased significantly
in males and females (p 0.001) with increasing age.
Figure 3 demonstrates the increase of the distance between
superaurale and subaurale.
Table 3 illustrates the results of the other measured
distances. Also, the distances increase with advancing
age—in particular, the distance between preaurale and
postaurale is age-dependent. All values are significantly
higher for men than for woman. The angle between the
distances SubAu–SupAu and PreAu–PostAu does not
show a correlation with the aging process, but shows a
significant dependence on gender. The difference between
men and women in the relation Ia–Itra: Osup–Oinf is sta-
tistically significant also.
Four Quadrants of the Ear
As shown in Fig. 2, the ear was divided into four distances
by anatomical tissue points. Distances between them are
shown in Table 4 for the different groups. Because the
distances between superaurale, L1, L2 and L3 show a
slight dependence on age, the largest increase during
adulthood takes place in the distance L3–Subaurale. This
increase is significant. Figure 4 demonstrates the increase
of the distance between L3 and SubAu.
Using the anatomical tissue landmarks to divide the ear
into four parts, the percentage distribution for both genders
is as shown in Fig. 5. The lengths between the selected
tissue landmarks in Fig. 5 are expressed as part of the total
length.
Discussion
The techniques of anthropometry include: classical mea-
surements using a spreading caliper, two-dimensional
photographs, laser-scanning, cephalometry, computed
tomography, magnetic resonance tomography and three-
dimensional surface imaging based on passive or active
triangulation [12, 16–20]. Regarding anthropometrical
surface measurements, the triangulation systems are
advantageous. This is because performing the investigation
that way only needs a few minutes—mainly for positioning
the volunteer. Moreover, taking the three-dimensional
photograph requires less than 1 s. Additionally, the vol-
unteer is not exposed to ionizing radiation throughout the
Table2MeasuredvaluesforthedistancebetweenSubAu–SupAuandassociatedpvalues
EarlateralM1M2M3F1F2F3MFAll
SubAu–SupAu(mm)62.72±3.6666.15±3.6068.19±4.0458.85±3.0261.65±4.4063.08±4.3665.68±3.7761.19±3.9363.44±3.85
pvalue0.0010.0010.001
Aesth Plast Surg
123
5. investigation [13, 19, 21]. Optical three-dimensional face
scans are used in craniofacial surgery for diagnostics and
therapy planning—customarily in addition to common
techniques such as radiographs. Furthermore, they can be
applied as a control tool during operations and postoper-
atively in the context of follow-ups of surgical interven-
tions [22–24]. The accuracy of modern optical 3D scanners
is sufficient for this medical purpose [13, 21, 25]. In con-
trast, many of the existing measurements—and especially
those with a larger number of Caucasian test persons and
landmarks—were performed with outdated techniques, e.g.
measuring with a spreading caliper [2, 3, 12]. Nowadays,
superior techniques like the above-mentioned triangulation
systems are available [13, 19].
Another shortcoming in the existing literature is that the
overwhelming majority of existing studies concentrate on
measurements over the entire face [2, 12, 26, 27], whereas
only few focus on specific parts of the face, e.g. the ear
[28, 29]. So far, the benefit to surgical interventions that
usually take place in limited facial areas, e.g. the upper lip
or nose is small. Concerning the selection of volunteers,
prior investigations used mainly younger adult volunteers,
mostly between 18 and 35 years [2, 12, 17]. In contrast, the
morbidity and thus the necessity of reconstructive inter-
ventions, grow with increasing age. Hence, the surgeon
should perform an aesthetic facial reconstruction consid-
ering the actual age of the patient. However, gathering
information for natural proportions of older adults is
difficult.
The shape of the ear of each human being is asym-
metric, but there is no accordance in the literature of how
the asymmetry exactly occurs, e.g. that the right ear would
always be 3% bigger than the left ear [12, 15]. In the
present study the mean values of right and left ear were
used due this knowledge and to give a database of average
ears for different ages and gender.
As a result of these observations, the aim of the present
study was to create a database of measurements of the ear
as a part of the face, which can impact various surgical
Table3Measuredvaluesforthedistancebetweenlandmarksonthelateralearandassociatedpvalues
EarlateralM1M2M3F1F2F3MFAll
PreAu–PostAu(mm)32.66±3.2734.06±2.8236.34±2.8331.61±2.5733.08±2.7833.82±2.2734.35±2.9732.84±2.5433.60±2.76
pvalue0.0070.0020.007
Tra–PostAu(mm)37.94±2.6938.19±2.8238.93±2.9734.20±2.5934.78±3.0236.01±2.9538.35±2.8334.99±2.8536.67±2.84
pvalue0.1860.0250.001
Osup–Oinf(mm)46.27±4.1149.51±5.2648.50±3.703.71±3.3344.14±3.8045.58±4.8648.10±4.3644.48±4.0046.29±4.18
pvalue0.0090.0940.001
Ia–ITra(mm)17.86±1.2417.77±1.1818.75±1.5816.05±1.1516.29±1.5916.54±1.3518.13±1.3316.29±1.3617.21±1.35
pvalue0.0020.2930.001
(SubAu-
SupAu)-(PreAu-
PostAu)(°)
79.98±6.7680.67±6.8878.63±6.2976.56±7.6777.89±7.0178.70±6.8179.76±6.7677.72±7.1778.74±6.90
pvalue0.3440.3840.025
Ia–ITra:Osup–Oinf(%)38.6035.8938.6636.7136.9036.2937.6936.6337.16
pvalue0.0040.7890.016
Fig. 3 Increase of distance between SubAu and SupAu in different
groups depending on gender
Aesth Plast Surg
123
6. treatments. Therefore, one of the main goals was to acquire
a homogenous collection of volunteers from the age of
21–65 to simplify individual therapy planning for people of
varying ages.
Another consideration involves the lateral part of the ear
during photography—mainly using the mirror construction
of FaceScan3D. A difficulty for three-dimensional pho-
tography for longhaired volunteers, was to get a clear view
of each part of the ear. If it was not possible to place the
hair behind the ear, then a surgical cap was used. There
was the possibility that hair or the surgical cap affected the
cranial part of the ear by slight pressure. However, the
potential effect on the final results was negligible because
the calculated height and width of the ear correlated with
the results in other studies [15, 28].
Because the selected landmarks are used for orientation
during surgical interventions, they must therefore be
clearly definable in the three-dimensional photography as
well as in real life. The landmarks Tra, SupAu, SubAu,
PreAu and PostAu were frequently used in previous studies
[15, 28] and thus are readily compared with the current
study. Thus, the age-dependent increasing distances and
gender-dependent variations for certain parts of the ear can
be confirmed. Conversely, the landmarks, Ia, ITra, Osup
and Oinf, have not been commonly used in the literature.
Therefore, they provide new findings to the anthropometry
of the external ear.
Table4Measuredvaluesfortheeardividedinquartersandassociatedpvalues
QuadrantsofearM1M2M3F1F2F3MFAll
SupAu–L1(mm)12.88±2.5812.56±2.0112.90±2.2411.70±1.8312.66±2.3912.81±2.5112.78±2.2712.39±2.2412.58±2.26
pvalue0.7420.0510.217
L1–L2(mm)18.27±2.5819.91±2.4820.04±2.2917.46±1.7617.38±2.4217.22±2.5319.41±2.4517.35±2.2418.38±2.35
pvalue0.0220.8880.001
L2–L3(mm)16.94±1.3216.95±1.2817.76±1.4815.11±1.2015.31±1.6515.58±1.4917.22±1.3615.33±1.4516.28±1.40
pvalue0.0070.4040.001
L3–SubAu(mm)14.63±2.4916.63±2.7417.49±2.6814.58±1.7216.29±2.4817.47±2.5816.25±2.6416.11±2.2616.18±2.45
pvalue0.0010.0010.592
Fig. 4 Increase of distance between L3 and SubAu in different
groups depending on gender
Fig. 5 Distribution of length in the four quadrants of the ear in both
genders
Aesth Plast Surg
123
7. Some difficulties occurred while positioning the outer
landmarks of the ear, e.g. Osup and PreAu sometimes
appear to lie almost at the same position. This is caused by
the convexity of the ventral area of the ear and varies
between subjects. Also, for SupAu and PostAu, it was
difficult to clearly define the point of highest convexity.
Therefore, correct positioning of the subject during the
scan was important.
All lateral ear measurements (Fig. 1), showed a signif-
icant dependence on gender. All measured values were
higher in men than in women. Remarkably, the relation
between Ia–Itra and Osup–Oinf in every age and gender
was slightly lower than the golden section with a signifi-
cant difference between men and women. Some dis-
tances—especially SupAu–SubAu and PreAu–PostAu—
showed a significant relation to the volunteer’s age. The
measured values not only showed an increase of the ver-
tical height of the ear with greater age, but also the main
reason for this increase was noted in the lowest quadrant of
the ear, which grows the most. The dependence of this part
on age demonstrated significance for both sexes. A reason
for this may be that the earlobe only consists of skin, fat
and connective tissue and—in contrast to other parts of the
ear—does not contain any cartilage. Therefore, the higher
elasticity of the tissue together with gravity could be the
reason for the growth change during adulthood.
Symmetry of the ears is important for facial aesthetics.
From a surgical standpoint, a defect of one-fourth of the ear
permits direct closure without a creating an aesthetic
catastrophe. For this investigation, we divided the ear into
four parts of equal height [30]. It is unclear whether a
division of the ear by distance or by landmarks into four
parts is more practical in surgery. The present study forms
the basis for such considerations. To get four parts of
almost the same height, the following anatomical land-
marks were used in the investigation: superaurale, incisura
anterior, tragion, incisura intertragica, subaurale. When the
distances between these landmarks were compared to the
total length of the ear, rounded values from cranial to
caudal of 20, 30, 25 and 25% were detectable. Only the
cranial half of the ear differed from the classical metrical
division.
In total, the measured values for males and females in an
expansive age range should be helpful for planning resec-
tions of the ear and the subsequent reconstruction.
Compliance with Ethical Standards
Conflict of interest The authors declare that they have no conflict of
interest to disclose.
Ethical Approval All procedures performed in studies involving
human participants were in accordance with the ethical standards of
the institutional and/or national research committee and with the 1964
Helsinki declaration and its later amendments or comparable ethical
standards.
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