open access

Vol 76, No 4 (2017)
Original article
Submitted: 2017-02-06
Accepted: 2017-03-14
Published online: 2017-03-21
Get Citation

Anatomical changes in the East Asian midface skeleton with aging

A. Jeon, K. H. Sung, S. D. Kim, U.-Y. Lee, J.-H. Lee, S.-H. Han, H.-J. Sui
·
Pubmed: 28353305
·
Folia Morphol 2017;76(4):730-735.

open access

Vol 76, No 4 (2017)
ORIGINAL ARTICLES
Submitted: 2017-02-06
Accepted: 2017-03-14
Published online: 2017-03-21

Abstract

Background: Understanding the aging process of the midface skeleton is considered crucial for correct facial rejuvenation. However, the canine fossa, an important morphological feature of the midface skeleton, has not yet been observed in connection with aging, despite the fact that it is the most main part of the maxillary bone. Here, the authors focus on the depression of the canine fossa to evaluate the Asian midface skeleton.

Materials and methods: Computed tomography (CT) scans of the facial skeleton of 114 Koreans (59 males and 55 females) were reconstructed to three-dimensional (3D) images using a 3D analysis software programme. The study subjects included 27 young males, 32 old males, 28 young females and 27 old females. The angular measurements of three bony regions were measured for each 3D model: the canine fossa angle (assessing depth of the canine fossa), the maxillary angle (assessing orientation of the lateral maxilla) and the piriform angle (assessing orientation of the medial maxilla).

Results: The canine fossa angle showed a statistically significant decrease with aging in both sexes, indicating the canine fossa actually becomes more concave with age. In contrast, the maxillary and piriform angle showed statistically insignificant changes with aging in female subjects.

Conclusions: These results suggest that the canine fossa may be one of the effective markers to evaluate the anatomical changes to the facial skeleton with midface aging. (  

Abstract

Background: Understanding the aging process of the midface skeleton is considered crucial for correct facial rejuvenation. However, the canine fossa, an important morphological feature of the midface skeleton, has not yet been observed in connection with aging, despite the fact that it is the most main part of the maxillary bone. Here, the authors focus on the depression of the canine fossa to evaluate the Asian midface skeleton.

Materials and methods: Computed tomography (CT) scans of the facial skeleton of 114 Koreans (59 males and 55 females) were reconstructed to three-dimensional (3D) images using a 3D analysis software programme. The study subjects included 27 young males, 32 old males, 28 young females and 27 old females. The angular measurements of three bony regions were measured for each 3D model: the canine fossa angle (assessing depth of the canine fossa), the maxillary angle (assessing orientation of the lateral maxilla) and the piriform angle (assessing orientation of the medial maxilla).

Results: The canine fossa angle showed a statistically significant decrease with aging in both sexes, indicating the canine fossa actually becomes more concave with age. In contrast, the maxillary and piriform angle showed statistically insignificant changes with aging in female subjects.

Conclusions: These results suggest that the canine fossa may be one of the effective markers to evaluate the anatomical changes to the facial skeleton with midface aging. (  

Get Citation

Keywords

Background: Understanding the aging process of the midface skeleton is considered crucial for correct facial rejuvenation. However, the canine fossa, an important morphological feature of the midface skeleton, has not yet been observed in connection with

About this article
Title

Anatomical changes in the East Asian midface skeleton with aging

Journal

Folia Morphologica

Issue

Vol 76, No 4 (2017)

Article type

Original article

Pages

730-735

Published online

2017-03-21

Page views

2145

Article views/downloads

2769

DOI

10.5603/FM.a2017.0027

Pubmed

28353305

Bibliographic record

Folia Morphol 2017;76(4):730-735.

Keywords

Background: Understanding the aging process of the midface skeleton is considered crucial for correct facial rejuvenation. However
the canine fossa
an important morphological feature of the midface skeleton
has not yet been observed in connection with

Authors

A. Jeon
K. H. Sung
S. D. Kim
U.-Y. Lee
J.-H. Lee
S.-H. Han
H.-J. Sui

References (19)
  1. Gu Y, McNamara JA, Sigler LM, et al. Comparison of craniofacial characteristics of typical Chinese and Caucasian young adults. Eur J Orthod. 2011; 33(2): 205–211.
  2. Howells WW. Cranial variation in man. A study by multivariate analysis of patterns of difference. Among recent human populations. Papers of the Peabody Museum of Archaeology and Ethnology. 1973(67): 1–259.
  3. Hwang TS, Song J, Yoon Ho, et al. Morphometry of the nasal bones and piriform apertures in Koreans. Ann Anat. 2005; 187(4): 411–414.
  4. Kim YK, Lee HB. Lift on asian: consideration on third purse string suture and malar region. Journal of the Korean Society for Aesthetic Plastic Surgery. 2009; 15(2): 116–120.
  5. Kim SJ, Kim SoJ, Park JS, et al. Analysis of age-related changes in asian facial skeletons using 3D vector mathematics on picture archiving and communication system computed tomography. Yonsei Med J. 2015; 56(5): 1395–1400.
  6. Lang J, Baumeister R. Über das postnatale Wachstum der Nasenhöhle. Gegenbaurs Morphol Jb. 1982; 128: 354–493.
  7. Lee UY, Nam SH, Han SH, et al. Morphological characteristics of the infraorbital foramen and infraorbital canal using three-dimensional models. Surg Radiol Anat. 2006; 28(2): 115–120.
  8. Mendelson B, Wong CH. Changes in the facial skeleton with aging: implications and clinical applications in facial rejuvenation. Aesthetic Plast Surg. 2012; 36(4): 753–760.
  9. Mendelson BC, Hartley W, Scott M, et al. Age-related changes of the orbit and midcheek and the implications for facial rejuvenation. Aesthetic Plast Surg. 2007; 31(5): 419–423.
  10. Morris DE, Moaveni Z, Lo LJ. Aesthetic facial skeletal contouring in the Asian patient. Clin Plast Surg. 2007; 34(3): 547–556.
  11. Neligan P, Warren RJ. Plastic Surgery-Aesthetic. 3rd ed. Vol. 2. Elsevier Health Sciences 2012: 177–178.
  12. Parfitt A. Morphologic basis of bone-mineral measurements-transient and steady-state effects of treatment in osteoporosis. Miner Electrolyte Metab. 1980; 4: 273–287.
  13. Pessa JE. An algorithm of facial aging: verification of lambros’s theory by three-dimensional stereolithography, with reference to the pathogenesis of midfacial aging, scleral show, and the lateral suborbital trough deformity. Plastic Reconstr Surg. 2000; 106(2): 489–490.
  14. Prein J. Manual of Internal Fixation in the Cranio-Facial Skeleton: Techniques as recommended by the AO/ASIF-Maxillofacial Group. Springer Science & Business Media 1998.
  15. Richard MJ, Morris C, Deen BF, et al. Analysis of the anatomic changes of the aging facial skeleton using computer-assisted tomography. Ophthal Plast Reconstr Surg. 2009; 25(5): 382–386.
  16. Seeman E. Growth in bone mass and size--are racial and gender differences in bone mineral density more apparent than real? J Clin Endocrinol Metab. 1998; 83(5): 1414–1419.
  17. Shaw RB, Kahn DM. Aging of the midface bony elements: a three-dimensional computed tomographic study. Plast Reconstr Surg. 2007; 119(2): 675–81; discussion 682.
  18. Shaw RB, Katzel EB, Koltz PF, et al. Aging of the facial skeleton: aesthetic implications and rejuvenation strategies. Plast Reconstr Surg. 2011; 127(1): 374–383.
  19. Sims NA, Martin TJ. Coupling the activities of bone formation and resorption: a multitude of signals within the basic multicellular unit. Bonekey Rep. 2014; 3: 481.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.: +48 58 320 94 94, faks: +48 58 320 94 60, e-mail: viamedica@viamedica.pl