Abstract
Purpose
As ethnic influences can result in different appearances of the nose, the purpose of this study was to provide a set of standard values of the external form of the nose with special emphasis on the influence of age and sex on these values to establish norms for the Egyptians.
Methods
Several soft-tissue landmarks on the external nose were obtained by a non-invasive, photogrammetric analysis in 1,000 healthy Egyptians aged 20–70 years. From these landmarks, ten linear distances and six nasal angles were measured and six nasal indices were calculated.
Results
A significant sexual dimorphism was found for nasal external volume and area and most linear distances where males presented with higher values than those in females of the corresponding age except for alar length where females showed higher values. Moreover, age significantly influenced nasal volume, area and distances as they showed statistically significant increase till old age. Concerning angles, nasofrontal, nasofacial, nasomental and nasolabial angles were wider in females while mentocervical angle was wider in males. Moreover, nasofrontal, mentocervical and alar slope angles showed significant increase with advancing age while nasofacial, nasomental and nasolabial showed significant decrease. Regarding nasal indices, sexual dimorphism was recognized for anatomic nasal index, nasal tip protrusion, nasal height ratio and nasal tip protrusion-nasal width indices. Moreover, results also showed that the Egyptians have a Mesorrhine type of nose.
Conclusion
Data collected in the present investigation could serve as a database for the quantitative description of the Egyptian nasal morphology.
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References
Abigail AB (2006) Anatomical changes in the emerging adult brain: a voxel-based morphometry study. Hum Brain Mapp 27:766–777
Abraham MT, Romo T (2003) Rhinoplasty multiracial. Otolaryngology and facia. Plast Surg 1:11
Anderson KJ, Henneberg M, Norris RM (2008) Anatomy of the nasal profile. J Anat 213:210–216
Anic-Milosevic C, Lapter-Varga SM, Slaj M (2008) Analysis of soft tissue profile by means of angular measurements. Eup J of Orthod 30:135–140
Antibor E, Etetafia MO, Eboh DE, Akpobasha O (2011) Anthropometric study of the nasal parameters of the Isokos in delta state of Nigeria. Ann Biol Res 2(6):408–413
Aung SC, Foo CL, Lee ST (2000) Three dimensional laser scan assessment of the oriental nose with a new classification of oriental nasal types. Br J Plast Surg 53:109–116
Choe KS, Yalamanchili HR, Litner JA, Sclafani AP, Quatela VC (2006) The Korean American woman’s nose: an in-depth nasal photogrammatic analysis. Arch Facial Plast Surg 8:319–323
Cohen H, Heaton I, Congdon SL, Sharon L, Congdo N, Herman A, Jenkin S (2006) Changes in sensory organization test scores with age. Age Ageing 25:39–44
Costa JR, Prates JC, De Castilho HT, Santos RA (2005) Estudio craneométrico de los huesos nasales y proceso frontal de la maxila. Int J Morphol 23(1):9–12
Epker BN (1992) Adjunctive aesthetic patients. In: Mcmamara JA, Carlson DS, Ferrara A (eds) Aesthetic and the treatment of facial forms monograph no 28 craniofacial growth series, center for human growth and development, University of Michagan. Ann Arbor pp 187–216
Farkas LG, Bryson W, Klotz J (1980) Is photogrammetry of the face reliable? Plast Reconstr Surg 66(3):346–355
Farkas LG, Kolar JC, Munro IR (1986) Geography of the nose: a morphometric study. Aesthetic Plast Surg 70(4):191–223
Farkas LG, Hreczko TA, Katic MJ (1994) Craniofacial norms in North American Caucasians from birth (one year) to young adulthood. In: Farkas L G (ed) Anthropometry of the head and face raven Press, New York, pp 285–301
Ferrario VF, Sforza C, Poggio C, Schmitz JH (1997) Three–dimensional study of growth and development of the nose. Cleft Palate-Craniof J 34:309–317
Garandawa HI, Nwaorgu OGB, Oluwatosin OB (2009) Morphometric nose parameters in adult Nigerians. Int J Otorhinolaryngol 10 (2)
Genecov JS, Sinclair PM, Dechow PC (1990) Development of the nose and soft tissue profile. Angle Orthod 60:191–198
Hochman B, Castilho HT, Ferreira LM (2002) Padronização fotográfica e morfométrica na fotogrametria computadorizada do nariz. Acta cir bras 77(4):258–266
Hwang TS, Song J, Yoon H, Cho BP, Kang HS (2005) Morphometry of the nasal bones and piriform apertures in Koreans. Ann Anat 187:411–414
Janis JE, Rohrich RJ (2007) Rhinoplasty. In: Throne CH, Beasley RW, Aston SJ, Barlett SP, Gutner GC, Spear SL (eds) Gabb and Smith’s plastic surgery, 6th edn. Lippincott Williams and Wilkins, Philadelphia, pp 517–518
Jimoh RO, Alabi SB, Kayode AS, Salihu AM, Ogidi OD (2011) Rhinometry: spectrum of nasal profile among Nigerian Africans. Braz J Otorhinolaryngol 77(5):589–593
Ngeow WC, Aljunid ST (2009) Craniofacial anthropometric norms of Malays. Singapore Med J 50:525–528
Oghenemavwe AE, Osunwoke SKO, Omovigho O (2010) Photometric analysis of soft tissue facial profile of adult Urhobos. Asian J Med Sci 2(6):248–252
Oladipo GS, Olabiyi AO, Aremosu AA, Noronha CC (2007) Nasal indices among major ethnic groups in southern Nigeria. Sci Res Essay 2(1):20–22
Ozdemir ST, Sigirli D, Ercan I, Cankur NS (2009) Photographic facial soft tissue analysis of healthy Turkish young adults: anthropometric measurements. Aesthetic Plast Surg 33:175–184
Pérez DAS (2004) Influencia de la prominencia facial en la apreciación estética del perfil facial. Tesis para optar al Título de Cirujano Dentista. Universidad de Talca, Chile
Risley HH (1915) The people of Indian. In: Crooke W. 2nd edn Puplishing Company, Philedephia, pp 395–399
Sforza C, Grandi G, De Menezes M, Tartaglia GM, Ferrario VF (2010) Age- and sex-related changes in the normal human external nose. Forensic Sci Int 204:205.e1–205.e9
Uzun A, Akbas H, Bilgic S, Emirzeoglu M, Bostanc O, Sahin B, Bek Y (2006) The average values of the nasal anthropometric measurements in 108 young Turkish males. Auris Nasus Larynx 33:31–35
Zankl A, Eberle L, Molinari L, Schinzel A (2002) Growth charts for nose length, nasal protrusion, and philtrum length from birth to 97 years. Am J Med Genet 111:388–391
Zankl A, Molinari L (2003) A Base-a tool for the rapid assessment of anthropometric measurements on handheld computers. Am J Med Genet 121:146–150
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The author would like to express her gratitude to those who participated in the research.
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The author declares no conflict of interest.
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The author declares that this research complies with the current laws of Egypt.
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Mohammed Ali, M.H. External nasal parameters in Egyptians: an in-depth nasal photogrammatic analysis. Surg Radiol Anat 36, 633–641 (2014). https://doi.org/10.1007/s00276-013-1215-0
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DOI: https://doi.org/10.1007/s00276-013-1215-0