This 37 year-old male patient underwent high resolution CT imaging of the face including paranasal sinuses following trauma. Computed tomography (CT) has a well-established role in the assessment of the facial bones in the context of trauma, in particular for fractures involving the paranasal sinuses and orbit. High resolution imaging permits isotropic reconstruction in multiple planes. Its use in imaging the contents of orbit itself is more select, with both direct clinical examination and even orbital ultrasound used to assess the globe and lens of the eye.1 Traumatic dislocation of the lens of the eye may entail the partial or complete translocation of the lens from its normal position within the anterior aspect of the eye.2 The high attenuation lens ‘floats’, within the vitreous of the globe (Figures 1, 2 and 3). Following trauma to the face the injuries may be multiple and cross sub-speciality boundaries, but one should be alert to all injuries. In reviewing CT images one should be forensic in the review of all the anatomy covered, even it is not related to the original clinical query or not pertinent to one’s own clinical speciality. As an old mentor once told me, ‘Before you take the film down, have one last paranoid look.’ Learning Point: Always review the entirety of the imaging performed despite the focus of one’s clinical or speciality interest.
Eye ; Face

Face ; Facial Paralysis ; Humans

Humans ; Child ; Face ; China

OBJECTIVETo evaluate the symmetry rate of nasal floor width and the influencing factor for the unilateral complete cleft lip (UCCL) after repair with Huaxi technique.

METHODS27 UCCL patients repaired with Huaxi technique were photographed before repair, 1 week and 1 year after surgery. The distance from columella point to facial midline, the nasal floor width and the fissure width were measured. The approach rate of the columella point, the symmetry rate and the change of the nasal floor width were calculated. The statistical analysis was completed by SPSS 13.0.

RESULTSThere was statistical difference of the approach rate for the columella point between 1 week and 1 year after surgery (54.06%, 63.96%; P < 0.05), no statistical difference was found of the symmetry rate for the nasal floor between 1 week and 1 year after surgery (69.12%, 75.93%; P > 0.05). There was statistical difference of the change for nasal floor width between the cleft side and the non-cleft side in a week (P = 0.000), but no statistical difference was found in a year (P = 0.262). The linear correlation was obtained between the distance from columella point to facial midline 1 week after surgery and the distance from columella point to facial midline (r = 0.465, P = -0.014) and the fissure width (r = 0.486, P = 0.010) before surgery. No linear correlation was obtained between other index after surgery and before surgery (P > 0.05).

CONCLUSIONThe symmetry rate of nasal floor width is stable after surgery with Huaxi technique, and the growth changes have not significant impact on the effect of the surgery in a short-term.

OBJECTIVETo investigate the hard and soft tissue changes following the treatment of Class II division 1 malocclusion using Twin-block appliance.

METHODS50 Class II division 1 malocclusion subjects whose handwrist radiographs were in FG-G stage were selected. One group (27 patients) was treated with Twin-block appliance, the other group (23 patients) was observed without treatment The acquired data of cephalometric of two groups were analyzed statistically with SPSS 11.0.

RESULTSSoft tissue changes, Ls-E, Li-E, U1-Stms, Stms-Stmi, NsLs-FH, LsNsLi, LsNsPg', the angle of H decreased. Sn-Stms, Stmi-Me', Ns-Me', Sn-Me', NsLi-FH, NsPg'-FH, A'Ls-FH, B'Li-FH, LiB' Pg', CmSnLs, GSnPg', the angle of Z increased, there was statistically significant difference (P < 0.05). Hard tissue changes, SNB, L1-NB, IMPA increased, ANB, U1-SN, U1-NA, FMIA decreased, there was statistically significant difference (P < 0.05).

CONCLUSIONSagittal relationship between upper- and lower-jaws is effectively improved after orthopedics with Twin-block appliance. Lower face height increases. Soft tissue profile tends to be straight-styled.

Objective: To determine the usability of a smartphone application (ImageMeter) by ENT surgeons for pre-operative photographic analysis of facial angles for rhinoplasty using the USE questionnaire. 

Methods:

Design:           Post-Test Only Non-Experimental Evaluation Study

Setting:           Tertiary Private Training Hospital Outpatient Clinic

Participants: Twenty-five (25) ENT residents and consultants

Results: Of 45 ENT surgeons invited, 25 ENT residents and consultants (16 males, 9 females) aged 28 to 52-years-old (mean age 36 years old) trialed the use of the Image Meter application in measuring the naso-facial, naso-frontal, and naso-labial angles of pre-selected lateral images of 10 volunteers and completed our survey.  The usability of the application was measured using the USE questionnaire, through usefulness (Cronbach ? = 0.99), ease of use (? = 0.85), ease of learning (? = 0.66), and satisfaction (?= 0.69).  On a scale of 1-7, results showed that for the ENT surgeons surveyed, the app was generally useful (M = 6.10, SD = 0.73), easy to use (M = 6.13, SD = 0.63), easy to learn (M = 6.31, SD = 0.62) and satisfactory (M = 6.06, SD = 0.7).  As for overall outcome, the ENT surgeons found the application usable (M = 6.15, SD = 0.11).

Conclusion: When applied to human facial analysis, the ImageMeter measurement of angles feature may be a usable tool for ENT surgeons in the pre-operative evaluation of patients undergoing rhinoplasty.  Based on USE questionnaire responses, it is easy to use, quick to learn, useful, and satisfactory in the preoperative measurement of facial angles. 

Keywords: imageMeter; photography; esthetic; rhinoplasty; face; anthropometry

Anxiety ; Face ; Humans ; Mouth ; Syndrome

78 patients with Port wine stains (PWS) were treated by surgical method. The result showed that surgery is useful and effective. However, surgical scars are common and the skin grafts have more dark color than surrounding (if the skin grafts were required). So it must be very carefully in making a decision for surgery and choose a suitable method for each patient. The surgery is attempted to close local skin. And in case of the skin graft is required, it is better to take a full thickness skin graft in areas near to the face and neck.
Port-Wine Stain ; Face ; Neck ; surgery ; therapeutics

The study was conducted on 84 patients with Post-wine stain from January 1995 to April 1999 in the Army Central Hospital 108. This genital condition develops laterally on skin of face and neck and in upper and middle areas of face. Lesions were characterized by colour, prominency, lump, Waner grade and ligh-colour changeability when stretching skin. Usually, this condition is more severe in adult patients and if the lesion occurred on upper lip, the condition were more complicated with lip enlargement and involved in mucous membrane.
Port-Wine Stain ; Face ; Neck ; diagnosis

OBJECTIVETo study the coordination of facial soft tissue in Angle's Class I, II1, III malocclusion, providing reference for the clinical practice.

METHODS60 lateral cephalometric radiographs of three classes of Angle's malocclusion were included. 13 measurements were analyzed by SPSS 10.0.

RESULTSProtrusion of the upper and lower lips increased in Angle's II1 comparing with Angle's I and protrusion of the upper lip was larger than the lower lip, no difference was found in the facial convexity. Increase of upper lip inclination and underdevelopment of maxillary in Angle's III comparing with Angle's I. No significant different was found in the form of lower lip, soft tissue facial angle and Z angle. Comparing Angle's II1 with Angle's III, every measurements were significantly different except upper lip inclination, nasolabial angle, representing the formation mechanism of malocclusion.

CONCLUSIONSome differences were found in form and position of lip in three classes of Angle's malocclusion. However, the deformity was not obvious in Angle's II1 and Angle's III because of compensation mechanism. Nasolabial angle only reflected change of upper lip, but could not reflect characters of facial profile.