Quantitative analysis of surgical landmarks of the face in fixed cadaveric heads: clinical and anatomical implications

• Published in: Surgical and radiologic anatomy (English ed.) 2024-11, Vol.46 (11), p.1811-1823
• Main Authors: Alheet, Ghadeer, Barut, Cagatay, Ogut, Eren
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Anatomic Landmarks; Anatomy; Asymmetry; Cadaver; Cadavers; Face - anatomy & histology; Face - surgery; Female; Females; Head; Humans; Imaging; Male; Males; Medicine; Medicine & Public Health; Middle Aged; Original Article; Orthopedics; Patients; Radiology; Reconstructive surgery; Sex Characteristics; Sex differences; Sexual dimorphism; Surgery; Thrombosis
• ISSN: 1279-8517; 0930-1038; 1279-8517
• DOI: 10.1007/s00276-024-03474-y

Purpose This study aimed to examine and analyze the presence of sexual dimorphism and symmetry/asymmetry in fixed cadaveric heads and their contributions to clinical practice. Methods Measurements were conducted on 6 cadavers and 24 fixed cadaveric heads ( n  = 30) using a digital microcaliper to assess cranial dimensions, including surgical landmarks, facial index (FI), orbital index (OI), and the danger triangle of the face, offering crucial references for surgeons during surgical interventions. Results Analyses were conducted on cadavers consisting of 10 females (33.3%) and 20 males (66.7%). Males demonstrated significantly higher values than females in terms of Zy-Zy (Zy = Zygion), nasal body, and width/length of the columella. Hyperleptoprosop types were the most frequently observed, followed by the leptoprosop type. Females exhibited megaseme characteristics according to OI on both sides. Additionally, the danger triangle of the face was greater in males compared than in females, suggesting a higher risk of infection in this region among males. Conclusion The observed sex differences in facial and nasal dimensions, along with facial indices, are crucial for customizing surgical procedures to individual patients. For example, the greater distance in the danger triangle among males highlights the importance of considering anatomical variations to avoid complications, such as septic cavernous sinus thrombosis. Integrating these measurements into preoperative planning can enhance the precision of facial reconstruction and aesthetic surgeries, thereby improving patient outcomes and safety.