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1.
Advances in digital photography have made it an efficient and economically appealing alternative to conventional photography. Nevertheless, as objective observers and clinical photographers, we must realize that all digital cameras are not created equal. Different digital cameras frequently used in plastic surgery practices (Olympus 600DL, Olympus 2500, Sony DSC-D700, Nikon Coolpix 950, and Nikon D1) were evaluated, using a subject photographed with each camera in the identical lighting conditions, to determine inherent differences in quality, color, and contrast of the resultant photographs. Three different lighting conditions were examined: single soft-box lighting, dual studio flash boxes, and operating room lighting with on-camera flash. The same digital settings (program mode, ISO camera default setting, high quality setting with JPEG compression) were used. Each camera was digitally color balanced using an 18 percent gray card. Raw and color-balanced images were viewed side-by-side. The macro-image capabilities of each camera were also examined. Conventional 35-mm photographs using a 105 macro-lens on Kodachrome and Ektachrome slide film were obtained for comparison. All of the digital cameras performed with noticeable differences, but they maintained consistency in the three different lighting conditions. Digital photographs differed most greatly with respect to quality and contrast, which was especially obvious once color balancing was performed. Marked differences in quality and ability were observed with respect to macro-image capabilities. Inherent differences in features among digital cameras produce dramatically different photographic results with regard to color, contrast, focus, and overall quality. With the increasing use of digital photography in plastic surgery journals and presentations, it must be recognized that digital cameras do not all display photographs of similar quality, especially when used to evaluate skin appearance. To standardize digital photography, the surgeon must realize that switching digital cameras is akin to switching film types. Standardization of digital photographs should include image resolution between 1.5 and 2.7 million pixels, ISO default setting, color balancing with an 18 percent gray card and software, consistency in focal distance, JPEG compression of medium-to-high quality, and backgrounds of medium blue or 18 percent gray.  相似文献   

2.
In 254 skulls (22-70 years of age) with orthognathic intact occlusion in 66 maxillodental sawing topographic anatomy of the incisor canal has been studied by means of craniometric and statistical methods. In mature age the average length of the incisor canal and its openings possess certain statistically significant age and sex differences. The incisor canal is situated near the tops of the central incisors roots at the distance of 7.40 +/- 0.11 mm. The incisor opening, independently on the sex, is situated on the inferior surface of the palatile process of the median line at the distance of 9.81 +/- 0.21 mm from the point formed by the medial angles of the crowns of the upper central incisors. In mature age the distance between the incisor opening and the central incisors roots is 3.51 +/- 0.10 mm.  相似文献   

3.
目的:研究Le Fort I型截骨术与上颌牙根尖的关系,为临床合理制订截骨平面提供解剖学依据。方法:选择上颌牙槽清晰或出土后仍有牙保留的颅骨,在颅骨梨状孔下缘至上颌结节作一连线作为模拟Le Fort I型术式截骨水平,以上颌牙槽缘为标志,用游标卡尺测量每侧上颌各牙的牙槽缘至上述模拟截骨水平的距离及牙槽缘至各牙根尖端的长度,然后计算出上颌各牙根尖至Le Fort I型术式截骨线的距离。结果:上颌各牙相对的牙槽缘至Le FortI型术式截骨线的距离,从中切牙至第二磨牙逐渐缩小,右侧中切牙为21.09±1.53mm,左侧中切牙为20.96±1.64mm,右侧第二磨牙为14.94±1.52mm,左侧第二磨牙为14.95±1.59mm;上颌各牙根尖至Le Fort I型术式截骨水平的距离,从中切牙至第二磨牙也逐渐缩小,而两侧尖牙牙根尖距离Le Fort I型术式截骨线的距离右侧为4.49±1.74mm,左侧为4.69±2.14mm,第二磨牙牙根尖距离Le Fort I型术式截骨线的距离右侧为4.65±1.63mm,左侧为4.49±1.89,两侧尖牙牙根尖和第二磨牙牙根尖至Le Fort I型术式截骨水平的距离均比较接近。结论:上颌各牙根尖至LeFortI型术式截骨线的距离均在4mm以上,根据前牙中尖牙牙根尖的位置和后牙中第二磨牙牙根尖的位置,Le Fort I型术式截骨线水平在13、23(3|3)根尖及27、27(7|7)根尖上方4mm以上,按此平面作截骨水平较为安全,不易损伤牙根。  相似文献   

4.
This study aims at determining the mean value of the ophthalmic anthropometrics parametar-IPD (Interpupillary distance) and the mean value of NC/D (Near convergence/distance) in 300 subjects aged 5 to 60 years. The influence of IPD on the NC/D ratio in the same subjects will also be investigated. The investigation showed that the mean value of IPD is 60.5 +/- 2.4 cm, and the mean value of NC/D ratio is 4.95 +/- 2.28 prD. Mean IPD of 5.1 cm in 5-year old children increases to 6.3 cm in adult over 20. In adulthood, IPD remains the same, i.e. 6.3 cm. Our study showed that the NC/D ratio is stable during lifetime. Since NC/D is stabile and IPD changes during lifetime, it is evident that factors other than IPD, such as convergence and accommodation, influence the stability of the NC/D ratio.  相似文献   

5.
It is of interest to document data on morphometric (measurement of external form) analysis of maxillary and mandibular anterior teeth collected from a dental set up using mesio-distal (MD) dimension. The mesiodistal dimensions of all permanent anterior teeth (central incisor, lateral incisor and canine) of 25 males and 25 females patients were recorded using digital vernier calipers. Data were charted and statistical analysis was done using Mann Whitney U test. Data shows sexual dimorphism for every tooth between males and females. However, dimorphism was exhibited only in maxillary and mandibular canine, mandibular central incisors, and lateral incisor. Hence,odontometric parameters offer simple, reliable and cost-effective in forensic investigation for recording gender discrimination.  相似文献   

6.
Adult static intraspecific allometry of jaw size and tooth area was evaluated in a sample of 100 Cercopithecus aethiops crania (50 male, 50 female). Tooth areas were calculated from mesiodistal and buccolingual measurements of all the teeth in both arcades and were scaled to four viscero-cranial measurements: bimaxillary breadth, maxillo-alveolar length, mandibular length and bigonial width. Allometric coefficients calculated for jaw dimensions alone indicate tighter viscerocranial integration in females than in males. A finding of note was that half of the variation in maxillo-alveolar length may be accounted for by variation in mandibular length: females are isometric, males negatively allometric.
A similar degree of allometric mosaicism was found when maxillary incisor size was scaled to maxillary length and width. In females, the relationship was negatively allometric, whilst incisor size in males was found to be unrelated to either. Negative allometry characterized the relationship of canine base area to jaw length in both sexes, with males additionally being positively allometric to mandibular width.
The scaling of postcanine tooth areas to jaw length was characterized by a dichotomous pattern: males showed significant mandibular integration whilst females showed only significant maxillary integration. Compensatory tooth size interaction between maxillary canine base area and the summed incisor and postcanine areas was suggested by the significant negative allometric relation between them.  相似文献   

7.
Physical traits, such as body size, and processes like growth can be used as indices of primate health and can add to our understanding of life history and behavior. Accurately measuring physical traits in the wild can be challenging because capture is difficult, disrupts animals, and may cause injury. To measure physical traits of arboreal primates remotely, we adapted a parallel laser technique that has been used with terrestrial and marine mammals. Two parallel lasers separated by a known distance (4 cm) and mounted onto a digital camera are projected onto an animal. When a photograph is taken, the laser projections on the target provide a scale bar. We validated the technique for measuring the physical traits of identifiable red colobus monkeys (Procolobus rufomitratus) in Kibale National Park, Uganda. First, we photographed the tails of monkeys with laser projections and compared these with measurements previously obtained when the animals were captured. Second, we manually measured the distance between two markers placed on tree branches at similar heights to those used by monkeys, and compared them with the measurements obtained through digital photographs of the markers with parallel laser projections. The mean tail length of the monkeys via manual measurements was 63.3+/-4.4 cm, and via remote measurements was 63.0+/-4.1 cm. The mean distance between the markers on tree branches via manual measurements was 13.8+/-3.59 cm, and via remote measurements was 13.9+/-3.58 cm. The mean error using parallel lasers was 1.7% in both cases. Although the needed precision will depend on the question asked, our results suggest that sufficiently precise measurements of physical traits or substrates of arboreal primates can be obtained remotely using parallel lasers.  相似文献   

8.
doi: 10.1111/j.1741‐2358.2012.00648.x Biometric ratio in estimating widths of maxillary anterior teeth derived after correlating anthropometric measurements with dental measurements Objective: To correlate dental measurements i.e. combined mesiodistal width of six maxillary anterior teeth with facial measurements i.e. inner canthal distance, interpupillary distance and intercommissural width and acquire a biometric ratio to serve as a preliminary guide in selection of the maxillary anterior teeth. Background: In the absence of pre‐extraction records, the resultant denture can lead to patient dissatisfaction towards the aesthetic appeal of their dentures. The maxillary anterior teeth play a pivotal role in denture aesthetics. Various techniques and biometric ratios have been described in literature for selection of the maxillary anteriors. This study derives a biometric ratio for the same, obtained after correlating anthropometric measurements with dental measurements. Materials and methods: Two standardized digital photographs of the face were generated; one, when the facial muscles were relaxed and the other, when the subject was smiling; thereby, revealing the maxillary anterior teeth upto the canine tip. Inner canthal distance, interpupillary distance, intercommissural distance, distance between the tips of the maxillary canines and distance between the distal surfaces of the canines were measured. On the cast, the distance between tips of maxillary canines and distance between distal surfaces of maxillary canines were noted. The data was analysed using Spearman’s rank correlation coefficient. Results: A high correlation was found between the intercommissural measurement with distance between the tips of the canines on the photograph and between the tips of the canines on the cast with the interpupillary distance, giving a biometric ratio of 1:1.35 and 1:1.41 respectively. The least correlation was between the inner canthal distance and the tips of the canines measured on the photograph. Conclusions: Extra oral anthropometric measurements of the interpupillary distances and the intercommissural distances with the help of standardised photographs can help us determine the combined widths of the anterior teeth accurately, thus aiding their selection in the absence of pre‐extraction records.  相似文献   

9.
Accuracy of determining radiation interception, and hence radiation use efficiency, depends on the method of measuring photosynthetically active radiation intercepted. Methods vary, from expensive instruments such as Sunfleck ceptometers to simple methods such as digital photography. However, before universal use of digital photography there is need to determine its reliability and compare it with conventional, but expensive, methods. In a series of experiments at Lincoln, New Zealand, canopy development for barley, wheat, white clover and four forage brassica species was determined using both digital photographs and Sunfleck ceptometer. Values obtained were used to calculate conversion coefficient (Kf/Ki) ratios between the two methods. Digital photographs were taken at 45° and 90° for barley, wheat and white clover and at only 90° for brassicas. There was an interaction of effects of crop and cultivar for the cereal crops. Barley closed canopies earlier than wheat, and ‘Emir’ barley and ‘Stettler’ wheat had consistently higher canopy cover than ‘Golden Promise’ and ‘HY459′, respectively. Canopy cover was consistently larger at 45° than 90° for cereals. However, for white clover, the angle of digital photography was not important. There was also an interaction between effects of species and method of determining canopy cover for brassicas. Photographs gave higher cover values than ceptometer for forage rape and turnip, but the relationship was variable for forage kale and swede. Kf/Ki ratios of 1.0–1.10 for cereals, white clover and forage rape and turnip show that digital photographs can be used to estimated radiation interception, in place of Sunfleck ceptometer, for these crops.  相似文献   

10.
The objective of this study was to assess the precision and accuracy of a nonproprietary, optical three-dimensional (3D) motion analysis system for the simultaneous measurement of soft tissue strains and joint kinematics. The system consisted of two high-resolution digital cameras and software for calculating the 3D coordinates of contrast markers. System precision was assessed by examining the variation in the coordinates of static markers over time. Three-dimensional strain measurement accuracy was assessed by moving contrast markers fixed distances in the field of view and calculating the error in predicted strain. Three-dimensional accuracy for kinematic measurements was assessed by simulating the measurements that are required for recording knee kinematics. The field of view (190 mm) was chosen to allow simultaneous recording of markers for soft tissue strain measurement and knee joint kinematics. Average system precision was between +/-0.004 mm and +/-0.035 mm, depending on marker size and camera angle. Absolute error in strain measurement varied from a minimum of +/-0.025% to a maximum of +/-0.142%, depending on the angle between cameras and the direction of strain with respect to the camera axes. Kinematic accuracy for translations was between +/-0.008 mm and +/-0.034 mm, while rotational accuracy was +/-0.082 deg to +/-0.160 deg. These results demonstrate that simultaneous optical measurement of 3D soft tissue strain and 3D joint kinematics can be performed while achieving excellent accuracy for both sets of measurements.  相似文献   

11.
Eighty dentate students participated as a study group and another 74 as a control group. The aim was to determine a possibility to reconstruct maxillary frontal teeth dimensions by use of certain hard palate dimensions. The height (IH) and the incisal (IW), contact point (CtW) and cervical width (CW) of maxillary central incisors (MCI), hamular width (HW) and the distance between the incisive papilla and the palatine foveas (IP-FP) were measured on the maxillary casts. CtW of maxillary lateral incisors and canines were measured too. In the study group the ratios were computed: HW/IW (5.71), HW/CtW (5.69), HW/CW (5.51) and IP-FP/IH (4.76). These ratios were multiplied by incisor's dimensions (obtained from the control group) to calculate the hard palate dimensions. No significant differences were obtained between the calculated and the measured (study group) hard palate dimensions. Furthermore, there was no significant difference between the HW and the Sum of contact-point widths of all maxillary frontal teeth (p > 0.05) in the both groups. The results revealed: 1. MCI width and height might be calculated by dividing dimensions of a patient's hard palate and appropriate ratio; 2. hamular width dimension can be used as a selection guide for the sum of contact-point widths of six maxillary frontal teeth.  相似文献   

12.
2015年7~9月在贵州省兴仁县、平坝县和兴义市的五屯镇及敬南镇捕获鼠耳蝠33只,鉴定为高颅鼠耳蝠(Myotis siligorensis),为贵州省新纪录物种。标本保存于贵州师范大学生命科学学院生态实验室。主要特征:体型较小,前臂长(36.03±1.50)mm(32.66~38.98 mm,n=33);耳狭长;耳屏直而细长;第Ⅲ掌骨最长,第Ⅴ掌骨最短;阴茎长(4.52±0.84)mm(2.85~5.75 mm,n=21);头骨狭长,颅骨凸显;颅全长(13.87±0.74)mm(13.00~14.88 mm,n=8),颅高(6.36±0.24)mm(6.03~6.74 mm,n=8);听泡较小;矢状脊细弱;上颌第1、2门齿向中央倾斜,上颌第1门齿有1个主尖和1个附尖;上颌第2门齿较第1门齿小,且与犬齿分离;上颌第2前臼齿(P3)位于齿列中。基于Cyt b基因(1 141 bp)序列进行的分子系统学分析显示,此次捕获鼠耳蝠物种与高颅鼠耳蝠聚在一起,二者遗传距离最近(仅为0.03),进一步确认所采集物种为高颅鼠耳蝠。  相似文献   

13.
Using digital photography to study animal coloration   总被引:1,自引:0,他引:1  
In understanding how visual signals function, quantifying the components of those patterns is vital. With the ever-increasing power and availability of digital photography, many studies are utilizing this technique to study the content of animal colour signals. Digital photography has many advantages over other techniques, such as spectrometry, for measuring chromatic information, particularly in terms of the speed of data acquisition and its relatively cheap cost. Not only do digital photographs provide a method of quantifying the chromatic and achromatic content of spatially complex markings, but also they can be incorporated into powerful models of animal vision. Unfortunately, many studies utilizing digital photography appear to be unaware of several crucial issues involved in the acquisition of images, notably the nonlinearity of many cameras' responses to light intensity, and biases in a camera's processing of the images towards particular wavebands. In the present study, we set out step-by-step guidelines for the use of digital photography to obtain accurate data, either independent of any particular visual system (such as reflection values), or for particular models of nonhuman visual processing (such as that of a passerine bird). These guidelines include how to: (1) linearize the camera's response to changes in light intensity; (2) equalize the different colour channels to obtain reflectance information; and (3) produce a mapping from camera colour space to that of another colour space (such as photon catches for the cone types of a specific animal species).  © 2007 The Linnean Society of London, Biological Journal of the Linnean Society , 2007, 90 , 211–237.  相似文献   

14.
Original data for mesiodistal diameter of deciduous anterior teeth on 180 White children show: (1) mean size is smallest for the lower central incisor and largest for the upper canine, (2) means from combining widths on the left anterior teeth of each arch are larger in the maxilla than the mandible by 4.0 mm, (3) individual differences for widths of the upper central and lateral incisors extend from one child with these teeth of similar size to another child with the central incisor larger than the lateral by 2.3 mm, and (4) anterior tooth correlations are positive, varying from r = 0.4 for upper canine width with width of lower central incisor, to r = 0.8 for combined widths of left anterior teeth in the maxilla with combined widths of their antagonists. Comparative findings are drawn from investigations on Australian aborigines, South African Bushmen, Liberian Negroes, Tristan da Cunha islanders, Japanese, Japanese-Negro admixtures, Japanese-White admixtures, White groups living in several parts of Europe, and North American Whites. Among these ethnic groups, Australian aborigines have the largest deciduous anterior teeth. Composite means on each sex for North American Whites show boys to have slightly larger anterior deciduous teeth than girls.  相似文献   

15.
Lip-nasal aesthetics following Le Fort I osteotomy   总被引:2,自引:0,他引:2  
Forty-one patients undergoing Le Fort I osteotomy for superior and/or anterior repositioning of the maxilla were prospectively studied for changes in soft-tissue morphology of the nasomaxillary region. Nasal parameters studied were changes in interalar rim width and nasal tip projection. It was observed that alar rim width increases with anterior and/or superior repositioning of the maxilla, but increases in nasal tip projection occur only when there is an anterior vector of maxillary movement. These nasal changes could not be quantitatively correlated to magnitude of maxillary movement. Lip changes studied were the horizontal displacement at the vermilion border and subnasale versus that of the incisal edge and point A, respectively, when the maxilla is sagittally advanced and the vertical shortening of the lip versus that of the incisal edge when the maxilla is shortened. Using linear regression analysis, horizontal displacement of the upper lip at the vermilion border was 0.82 +/- 0.13 mm for every 1 mm of maxillary advancement at the incisal edge (p less than 0.001) and 0.51 +/- 0.13 at the subnasale for every 1 mm of maxillary advancement at point A (p less than 0.001). Eighty percent of patients undergoing maxillary intrusive procedures had lip shortening ranging from 20 to 50 percent of the vertical maxillary reduction. Surprisingly, no statistically significant correlation could be demonstrated for lip shortening versus extent of vertical maxillary reduction. Previous literature in disagreement with these findings is discussed. Guidelines for treatment planning utilizing these data are suggested.  相似文献   

16.
Facial approximation techniques rely on the prediction of soft tissues from the skull, yet few prediction methods have been scientifically evaluated, despite being frequently used in the past. This study tests several published and commonly used methods for determining mouth width from the skull. The methods tested are: 1) that mouth width is equal to the distance between the pupils; 2) that mouth width is equal to the distance between the medial borders of the iris; and 3) that mouth width is equal to the distance between the most lateral junctions of the canines and the first premolars. The study primarily examines living Australian European and Central/South East Asian participants (of both sexes) using photogrammetric methods. The results of this study indicate that methods 1 and 3 are highly inaccurate. Method 1 overestimated mouth width, on average, by approximately 11 mm (SD, 4 mm), while method 3 underestimated mouth width by approximately 13 mm (SD, 3 mm). Method 2 was the most accurate of the methods evaluated, but on average underrepresented mouth width by approximately 2 mm (SD, 4 mm). All three methods produced mouth-width predictions that, in general, were statistically different from actual mouth widths (P < 0.05). A new guideline, describing mouth width as canine width plus 57% of the cumulative distance between the lateral canine borders and the pupil centers on each side was found not to differ at statistically significant levels from actual mouth widths (P > 0.05). On average, this guideline did not under/overestimate actual mouth width, with the difference between them being 0 mm (SD, 3 mm). The increased accuracy of this new guideline in comparison to others suggests that it is the most appropriate for facial approximation. However, it should be further tested using independent samples. The finding that commonly used mouth-width prediction guidelines are not accurate suggests that many facial approximations previously made have incorrect mouth widths. This could reduce the recognition of these facial approximations and may, especially if other guidelines are inaccurate, render the facial approximations unrecognizable as their respective target individual (individual to whom the skull belongs).  相似文献   

17.
To determine the effect of gas composition on the accuracy of measurements of airway area and distance using an acoustic reflection technique, we employed glass-tube models to simulate pharyngeal (Phar-model), laryngeal (Lar-model), and tracheal (Trach-model) regions of upper and central airways. We made repeated measurements of area-distance functions using gas mixtures containing 0, 2, 4, 6, 8, and 10% CO2, 80% He, and balance O2. The actual area of the model was calculated from the roentgenographic data and compared favorably with an area measured by acoustic reflections using a gas mixture containing 0% CO2. With the different gas mixtures, calculated area was overestimated only at the highest levels of CO2, with Phar-model area increasing from (mean +/- SD) 4.66 +/- 0.03 cm2 measured with 0% CO2 to 4.93 +/- 0.05 cm2 (P less than 0.05) measured with CO2 concentration of 10%. To assess the effect of CO2 concentration on measurements of distance, we isolated two discrete points located in the Phar-model and Lar-model regions. When measurements were performed using 10% CO2 mixture, Phar-model point was shifted by 1.02 +/- 0.03 cm and Lar-model point was shifted by 2.16 +/- 0.09 cm away from the microphone compared with their axial position determined, using 0% CO2 mixture (P less than 0.05). Differences in area-distance calculations at the higher levels of CO2 did not exceed the within-run variability of the technique (10 +/- 4%). We conclude that CO2 absorbers are not required during measurements of airway area by acoustic reflections, provided CO2 concentration does not exceed 10%.  相似文献   

18.
Circulating met-enkephalin-like immunoreactivity (MLI) rises in man after chlorpropamide and ethanol although the origin and molecular forms of circulating MLI are not well defined. We have studied the response to oral ethanol in conscious and anaesthetised dogs pretreated with chlorpropamide. In conscious dogs MLI rose from a basal level of 29 +/- 7 pg/ml to a peak of 55 +/- 14 pg/ml 10 min after ethanol (P less than 0.001). In anaesthetised animals, following ethanol, plasma MLI rose in caval (35 +/- 6 pg/ml to a peak of 70 +/- 10 pg/ml), in portal (28 +/- 6 pg/ml to 51 +/- 6 pg/ml) and in adrenal blood (897 +/- 316 pg/ml to 1483 +/- 298 pg/ml; P less than 0.001). Biogel P-4 chromatography of caval and portal basal plasma showed 87% of MLI measured coeluted with the synthetic pentapeptide, while chromatography of peak plasma showed that only 65% coeluted with the pentapeptide and the remaining 35% was of larger molecular size. Sephadex G75 chromatography of adrenal vein plasma revealed three peaks of MLI of differing molecular sizes (8 k = 69.7%; 3-5 k = 12.1% and the pentapeptide = 18.2%). Treatment of the column fractions with trypsin and carboxypeptidase B resulted in the generation of new MLI with peaks of approximate molecular sizes 31 k (10.4%), and 18 k (37.1%) in addition to 8 k (40.0%), 3-5 k (5.0%) and the pentapeptide (7.5%). Acetaldehyde involvement in MLI release was investigated. Following acetaldehyde infusion, plasma MLI rose both in caval (35 +/- 9 pg/ml to 86 +/- 8 pg/ml) and adrenal vein (417 +/- 121 pg/ml to 1768 +/- 433 pg/ml) bloods. Thus we have established an animal model which enables further study of the mechanisms of MLI release and characterisation of the molecular forms. The adrenal medulla, unlike the gut, may be an important source of circulating met-enkephalin and acetaldehyde formation an essential intrinsic component of chlorpropamide-ethanol induced met-enkephalin release.  相似文献   

19.
ABSTRACT The size and distribution of measurement errors associated with major techniques for estimating numbers of hibernating bats are unstudied, although this is the principle method of enumerating several endangered bat species. However, decisions concerning the listing status of a species under the Endangered Species Act require consistent and accurate estimation of population size and trends. Recent advances in digital photography have improved the ability to produce a quantitative record of the numbers of bats in hibernacula. We surveyed clusters of Indiana bats in a hibernaculum and compared results from counts of digital photographs of clusters to results from 4 variations of visual estimation. We counted bats in photographs using Geographic Information System digitization over the photograph. Total counts from 2 sets of photographs varied by <1.5%. Nonphotographic estimation techniques varied from 76% to 142% of counts from photographs for clusters for which estimation (rather than counting) was used. Where feasible, photography can improve status and trend information for species of concern, permitting more timely and specific management actions.  相似文献   

20.
We present a series of 24 consecutive cleft lip and palate patients aged 16 to 46 years (mean age 27 years) who underwent Le Fort I maxillary advancement by the senior author over the past 8 years. Two groups, one of 12 patients with wire fixation and one of 12 patients with miniplate fixation, were evaluated. Each group had 10 unilateral and 2 bilateral clefts. All patients were grafted with autogenous bone (8 cranial, 14 iliac, and 2 mandibular). Horizontal advancement was 3 mm to 2 cm (with a mean of 7.8 mm). Vertical movement ranged from a shortening of 5 mm to a lengthening of 1.3 cm (mean 2.3 mm of lengthening). The amount and timing of relapse were compared in both the horizontal and vertical dimensions. The plated group was more stable in both the horizontal and vertical dimensions (p < 0.05). No significant skeletal relapses occurred after the first year. Statistically significant dental relapse occurred only in the wired group. Three patients developed transverse collapse of the small maxillary cleft segment, and four developed incisor angulation to compensate for maxillary skeletal relapse. The presence of a pharyngeal flap at the time of advancement appeared to increase relapse in both horizontal and vertical dimensions (p < 0.03), but there were too few patients (7 of 24) with pharyngeal flaps to prove this conclusively. We also concluded that pterygomandibular grafting is not necessary to achieve excellent results using miniplate fixation; autogenous grafting of the anterior maxillary osteotomy alone provides the necessary stability.  相似文献   

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