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Computer Imaging Assists With Facial Reconstructive Surgery

line drawn next to the neck
· Facial convexity angle: the intersection of a line drawn from the forehand to the chin and a line drawn from the bottom of the nose to the chin
In all patients, the porion to pogonion distance and the ratio of the distance between the pupil and the pogonion and the distance between the porion and the pogonion increased, the cervicomental angle decreased, the mentocervical angle decreased and the facial convexity angle increased after surgery. These changes brought the patients closer to the normal range for these measurements and angles.

“Surgery for facial disharmony requires artistic judgment and objective evaluation,” the authors conclude. “For surgeons who use computer imaging software, analysis of profile photographs is the most valuable tool. Even when preoperative and postoperative photographs are of different sizes, relative distance comparisons are possible with a new calibration technique using the constant facial landmarks, the porion and the pupil. The porion-pogonion distance is a simple reproducible measurement that can be used along with established soft tissue measurements as a guide for profile facial analysis.”

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