• Archives of Craniofacial Surgery
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• v.21 no.2
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• pp.106-108
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• 2020

Premature fusion of one or other of the minor sutures can subtly influence the shape of the human skull. Although infrequently reported or not clinically recognized, it can such contribute to a variety of craniofacial dysmorphisms. We herein report a case of late presenting, isolated bilateral synostosis of the squamosal suture dysmorphologies whose presentation mimics aspects of sagittal synostosis.

• Journal of the Korean Home Economics Association
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• v.43 no.6 s.208
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• pp.13-25
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• 2005

The purpose of this study was to analyse craniofacial shape by 3D scanner for Korean adult head shape by age group. The heads of 836 adults were measured by 3D scanner, and the 25 obtained measurements were analyzed by statifical methods. The results can be summarized as follows. 1. From the basic statistical data analysis, the vertex-tagion and the length between the pupils were the longest in the subjects in their twenties, and decreased in elderly groups. 2. According to the analysis of the craniofacial proportion, the typical adult Korea head type was short-headed. 3. Statistically noticeable differences were found in the ectocanthion- opistcranion by the measurement of the left and the right sides of face in the age groups of the 20s, 30s, 40s, and 50s. 4. The order of factor analysis was as follows: the horizontal length, the perpendicular length and the width from the highest in the age group of the 20s, 30s, 40s, and 50s.

• Journal of the Korean Society of Clothing and Textiles
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• v.29 no.2
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• pp.367-378
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• 2005

The purpose of this study was to analyse craniofacial shape by 3D scanner for female adults with age groups. In this study, heads of 452 female adults were measured by 3D scanner. The obtained 25 measurements were analyzed by statistical methods. The results can be summarized as follows; 1. From the basic statistical data analysis, vertex-tragion and the length between the pupils were the longest in their twenties, and grew shorter in elderly groups. The length of nasion-subnasale and the width of mouth increased with an increased in age. 2. According to the analysis of the craniofacial proportions, the head type of female aduls was short-headed. The size of lower face increased with an increase in age. 3. The statistically noticeable differences were found in the measurement of the left and the right sides of face in the age groups of 20, 30, and 40. 4. High correlations were found in two perpendicular lengths, two horizontal lengths and two widths. 5. The order of factor analysis was as follows; the horizontal length, the perpendicular length and the width from highest.

• Journal of the Korean Society of Costume
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• v.55 no.3 s.93
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• pp.69-80
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• 2005

The anatomical structure of the head and face are influenced by environmental factors. Therefore in this study we had undertaken to determine normal values of the head and face by 3D measurement in the 384 normal Korean male adults to find out craniofacial characteristics of Korean male adults by the age group. From the basic statistical data analysis, vertex-tragion and the length between the pupils were the longest in their twenties and grew shorter in elderly groups. According to the analysis of the craniofacial proportion, the head type of Korean male adults was short-headed. The statistically noticeable differences were found in the measurement of the left and the right sides of face in the age groups of 20, 30, 40, and 50. The results of the factor analysis of the age group showed two groups which were classified to 20, 40, 50 ages and 30, 60 ages. The order of factor analysis was as follows; the perpendicular length, the horizontal length, and the width (from highest).

• Journal of Korean Neurosurgical Society
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• v.59 no.3
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• pp.242-246
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• 2016

Craniosynostosis is the premature fusion of calvarial sutures, resulting in deformed craniofacial appearance. Hence, for a long time, it has been considered an aesthetic disorder. Fused sutures restrict growth adjacent to the suture, but compensatory skull growth occurs to accommodate the growing brain. The primary goal for the management of this craniofacial deformity has been to release the constricted skull and reform the distorted shape of the skull vault. However, the intellectual and behavioral prognosis of affected children has also been taken into consideration since the beginning of the modern era of surgical management of craniosynostosis. A growing body of literature indicates that extensive surgery, such as the whole-vault cranioplasty approach, would result in better outcomes. In addition, the age at treatment is becoming a major concern for optimal outcome in terms of cosmetic results as well as neurodevelopment. This review will discuss major concerns regarding neurodevelopmental issues and related factors.

• Archives of Craniofacial Surgery
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• v.15 no.2
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• pp.63-69
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• 2014

Background: A number of studies have reported complication after reduction of nasal bone fractures. Among complicated cases, some showed improvement in shape of the nose with passage of time. Therefore, we examined these changes using computed tomography (CT) images taken over intervals. Methods: CT scans of 50 patients with new nasal bone fractures were reviewed, and the images were compared amongst preoperative, immediately postoperative, and one month scans. Changes in nasal bone shape, were evaluated based on the angle of nasal bone arch between the nasal bone and frontal process of maxilla, overall shape of arch, mal-alignment of fracture segments involving bony irregularity or bony displacement. These evaluations were used to separate postoperative outcomes into 5 groups: excellent, good, fair, poor, and very poor. Results: Immediate postoperative nasal shape was excellent in 10 cases, good in 31 cases, fair in 8 cases, and poor results in a single case. Postoperative shape at one month was excellent in 37 cases, good in 12 cases, fair in a single case. Conclusion: The overall shape of nasal bone after fracture reduction tended to improve with passage of time.

• The korean journal of orthodontics
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• v.50 no.1
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• pp.13-25
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• 2020

Objective: The aim of this study was to compare the accuracy and reliability of measurements performed using two different software programs on digital models generated using two types of plaster model scanners (a laser scanner and a computed tomography [CT] scanner). Methods: Thirty plaster models were scanned with a 3Shape laser scanner and with a Flash CT scanner. Two examiners performed measurements on plaster models by using digital calipers and on digital models by using Ortho Analyzer (3Shape) and Digimodel^® (OrthoProof) software programs. Forty-two measurements, including tooth diameter, crown height, overjet, overbite, intercanine and intermolar distances, and sagittal relationship, were obtained. Results: Statistically significant differences were not found between the plaster and digital model measurements (ANOVA); however, some discrepancies were clinically relevant. Plaster and digital model measurements made using the two scanning methods showed high intraclass coefficient correlation values and acceptable 95% limits of agreement in the Bland-Altman analysis. The software used did not influence the accuracy of measurements. Conclusions: Digital models generated from plaster casts by using laser and CT scanning and measured using two different software programs are accurate, and the measurements are reliable. Therefore, both fabrication methods and software could be used interchangeably.

• Archives of Craniofacial Surgery
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• v.15 no.3
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• pp.129-132
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• 2014

Facial skeletal remodeling was revolutionized more than 30 years ago, by the work of Tessier and other craniofacial surgeons. However, the need to correct the skeleton in the upper third of the face is not frequently diagnosed or treated in aesthetic facial surgery. Here, we report on the aesthetic correction of a protrusive forehead. A patient visited our hospital for aesthetic contouring with a prominent forehead. The anterior wall of the frontal sinus was removed with a craniotome via the bicoronal approach. After the excised bone was repositioned, it was fixed with a titanium mesh plate and screws. An electric burr was used to contour the supraorbital rim and frontal bone. Once the desired shape was achieved, the periosteum was replaced, and the wound was closed in layers. When performed properly, frontal sinus contouring could significantly improve the appearance in patients with a prominent forehead. Plastic surgeons must carefully evaluate patients with a prominent forehead for skeletal remodeling that involves the accurate and safe repositioning of the anterior wall of the frontal sinus.

• Archives of Craniofacial Surgery
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• v.20 no.6
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• pp.347-353
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• 2019

Most orbital surgeons believe that it's difficult to restore the primary orbital wall to its previous position and that the orbital wall is so thin that cannot be firmly its primary position. Therefore, orbital wall fractures generally have been reconstructed by replacing the bony defect with a synthetic implant. Although synthetic implants have sufficient strength to maintain their shape and position in the orbital cavity, replacement surgery has some drawbacks due to the residual permanent implants. In previous studies, the author has reported an orbital wall restoring technique in which the primary orbital wall fragment was restored to its prior position through a combination of the transorbital and transantral approaches. Simple straight and curved elevators were introduced transnasally to restore the orbital wall and to maintain temporary extraorbital support in the maxillary and ethmoid sinus. A transconjunctival approach provided sufficient space for implant insertion, while the transnasal approach enabled restoration of the herniated soft tissue back into the orbit. Fracture defect was reduced by restoring the primary orbital wall fragment to its primary position, making it possible to use relatively small size implant, furthermore, extraorbital support from both sinuses decreased the incidence of implant displacement. The author could recreate a natural shape of the orbit with the patient's own orbital bone fragments with this dual approach and effectively restored the orbital volume and shape. This procedure has the advantages for retrieving the orbital contents and restoring the primary orbital wall to its prior position.

• Archives of Craniofacial Surgery
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• v.20 no.6
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• pp.405-407
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• 2019

Due to the variety in the shape of dysmorphic cartilage, tragus reconstruction is one of the most challenging goals in otoplasty. The authors describe a method to reconstruct a prominent tragus in a simple way suitable for accounting for the size, shape, and location of the remaining ear. We present a case of tragus deformity in an 11-year-old female patient after a previous excision of pretragal skin tags. There was a small remnant of the deeply located dystopic cartilage in a horizontal orientation. The dystopic cartilage was used to reconstruct the tragus using a chondrocutaneous transposition flap. Only a small portion of the pre-existing cartilage was used to create a chondrocutaneous transposition flap that supplemented the portion of cartilage during tragus reconstruction. The result was a new tragus that showed acceptable improvement in shape, location, and projection. Patients with a small portion of pre-existing cartilage near the tragal wall may benefit from the use of this method for tragus reconstruction.