20例正常颅颌面立体结构美学的研究  

Aesthetic evaluation of craniofacial architecture in 20 adults

作　　者：杨斌[1] 黄洪章[1] 张涤生[2] 

机构地区：[1]中山医科大学孙逸仙纪念医院整形外科,颅颌面外科中心,广州510120 [2]上海第二医科大学附属第九人民医院整形外科

出　　处：《中华医学美学美容杂志》2002年第4期178-181,共4页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：上海市医学领先学科科研基金项目 (95 1 15 )

摘　　要：目的　探讨正常颅颌面立体结构相互间比例协调、和谐对称的美学关系和内在规律。方法　应用计算机辅助颅颌面结构立体测量分析方法 ,对 2 0例正常青年的颅眶颧颌诸结构的形态特征及其相互间的关系进行了研究。结果　颅颌面诸结构表现出显著的性别特征差异 ,但反映颅颌面结构相互关系的比例指数在两种性别间极为相近。两侧颅颌面结构的非对称率未超过 5 % ,显示出良好的对称性。颧骨、下颌角部的非对称率及其标准差相对较大 ,提示两个部位个体差异较大且富于变化 ,是影响整个容貌的特征性部位。颅颌面部主要结构在冠状轴向宽度、矢状轴向突度间存在着高度相关关系 ,这种相互依存关系可由直线回归方程予以表达。结论　正常颅颌面三维结构间存在着比例协调、和谐对称的相互关系 ,这种内在的结构基础和美学规律 ,决定着外在的端庄美好的容貌。Objective To investigate the aesthetic relations and internal regularities in normal craniofacial stereoscopic architecture. Methods By means of computer aided three dimensional measurement and analysis, a study on morphological features and inter relations of the cranio orbitozygomatic maxilla structures of twenty youths with pretty facial appearance was carried out. Results There were remarkable differences between each craniofacial structure in different sexes, but the ratio indices that represented the inter-relations of different craniofacial structures were closely similar in both sexes. In the group of youths the asymmetry ratios between bilateral craniofacial structures were below 5 % , presenting the perfect symmetry feature. The asymmetry ratios and their standard deviations of the zygomas and angulus mandibulae were relatively large . The results suggested that these two characteristic parts which influence the whole appearance were easily changeable with different individuals. There were close co relations between coronal axis width and sagittal axis protrusion in main structures of craniofacial region. These relationships could sum up in linear regression equations. Conclusion There are internal aesthetic regularities of coordinative ratios and harmonious symmetry in normal three dimensional craniofacial architecture, which determines the pretty appearance of youths. These internal regularities and aesthetic principles should be considered in designing and performing craniofacial aesthetic plastic operation so as to get excellent surgical results.

关 键 词：颅骨测量法 图像处理 计算机辅助 口腔颌面部 美容 

分 类 号：R782.2[医药卫生—口腔医学]