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Evaluation Of The Relationship Between The Development Of Nasal Septum Development And Face Asymmetry Development With Anthropometric Measurements
Turkey (TurkMSIC) – İnönü University LC, Malatya
Inonu University Faculty of Medicine, Department of Anatomy, Bulgurlu, Elazig Road 15. Km., 44000,
Type of Research Project
- Clinical Project without Laboratory work
What is the background of the project?
Please, provide the background of the project (Provide information about the project; min. 10 lines, max. 25 lines) A deviated septum is a condition in which the nasal septum -- the bone and cartilage that divide the nasal cavity of the nose in half -- is significantly off center, or crooked, making breathing difficult. Most people have some sort of imbalance in the size of their breathing passages. In fact, estimates indicate that 80% of people, most unknowingly, have some sort of misalignment to their nasal septum. Only the more severe imbalances cause significant breathing problems and require treatment. We will look for an answer to the question whether there is a specific somatotype of patients with septum deviation. In a hospital (Ozel Kayseri Tekden Hastenesi) of the province of Turkey Kayseri, there is a study made about the prevelance of Nasal Septum Deviaton: 7958 of the 20596 patients that visited the Otorhinolaryngist polyclinic were diagnosed with Nasal Septum Deviaton (https://www.journalagent.com/scie/pdfs/KEAH_21_2_72_76.pdf) The Turkish Society of Anatomy and Clinical Anatomy, founded in 1991, organizes annual meetings in order to further knowledge of its respective field, and to strengthen the connections between other branches of science. It also aims to prevent malpractice of its respective field by giving lab training on new methods and tools.
What is the aim of the project?
The project primarily aims to elucidate the ideal age for performing septoplasty for best outcomes of life quality and aesthetics.
What techniques and methods are used?
What techniques and methods are used? Mention the steps/stages in this project. (Provide examples and avoid abbreviations; which tools will be used in general in this project?) Patients will be divided into 3 groups between 9-13, 14-18, 19-23 years and control group. At least 72 patients will be taken by anthropometric and photometric measurements. When the effect size was predicted to be 0.41 to compare the control group and the 3-year age group with 95% confidence level (α = 0.05) and 80% power (β = 0.20), the minimum number of patients required to be included in the study was calculated as 18 per group. Patients will be informed about the study and informed consent will be given and the photographs will be used for measurements only and will not be used on any other platform. Afterwards, an apparatus will be used to maintain the 90 degree position of the head made from the wire passing through the orbital commissure and meatus acusticus externus based on the Frankfurt horizontal line from a distance of 1 meter and placed in a platform where the patient can place his chin on the face. In the anatomical posture position, a 14 m Canon digital camera is fixed at a distance of 1 meter from the front with a tripod and the lens is at eye level so that all the participants are aligned with each camera and the camera settings will be fixed. With the help of the other program, measurements will be taken on the most commonly used parameters determined in the literature searches. One half of the face will be compared with the other half and the asymmetries in the parameters will be determined. In addition, anthropometric and cephalometric measurements will be taken from patients and somatotype will be determined with heath carter system. A total of 25 measurements will be taken as 11 photometric parameters, 10 anthropometric parameters and 4 cephalometric parameters. Photometric measurements; 1) Between the glabella and orbital lateral commissure 2) Between orbital lateral commissure and commissura labiorum 3) Between the midsagittal plane and the pivot point in the plane passing through the zygomatic 4) Between the prominent point of the nose wing and the pivot point in the plane passing through the zygomatic 5) Between the pivot point in the plane passing through the zygomatic and the commissura labiorum 6) Between the pivot point in the plane passing through the zygon and the angulus mandible 7) Between the inferior point of the nose wing and the commissura labiorum 8) Between Commissura labiorum and angulus mandible 9) Basis mandible length 10) Ramus mandible length 11) Nose widths 12) Nose height 13) Anatomical face height Heath Carter somatochart system will be used to quantitatively determine the somatotype of the patients. The necessary tools for this are; stadiometer, weighing scale, digital caliper and skinfold scale. These measurements; 1. Size 2 kilos 3. Knee width 4. Elbow width 5. Muscular arm circumference 6. Calf circumference 7. Subscapular skinfold thickness 8. Suprailiac skin crimp thickness 9. Triceps scalp crimp thickness 10. Calf skinfold thickness Cephalometric measurements; 1) Head circumference 2) Neck circumference 3) Head width 4) Head height Statistical comparisons will be made between men and women in the same age group and control group, and between different age groups of the same sex and control group. As a result, it will be determined on the basis of the parameters how the asymmetries developing in the face develop according to years in the same sex, and how much the two sexes develop according to each other, and whether there are asymmetries in the control group. In the literature, there are no studies that have been somato typed at this rate according to gender and age groups. Therefore, the anatomical examination of the study will be effective in terms of areas such as plastic surgery, facial aesthetics, anatomy and anthropology in the literature.
What is the role of the student?
- The student will mainly observe
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
What are the tasks expected to be accomplished by the student? (Minimum 10 lines, provide detailed explanation) The following tasks are expected to be accomplished by the student: -Taking photometric measurements of the face. The specific measurement locations are detailed above. -Taking anthropometric measurements from patients. -Learning about causes of facial asymmetry. -Analyzing the data using programs such as SPSS(Statistical Package for the Social Sciences) 26, and Excel. -Operating a 14 mm Canon digital camera used for recording facial structure.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
Will there be any theoretical teaching provided for the student (preliminary readings, lectures, courses, seminars)? Please describe how much teaching and by whom. Necessary background information such as facial asymmetry between the ages of 9-23, the detection of asymmetry in healthy people by photometric measurements will be given once per week by Prof.Dr.Davut Ozbag depending on the availability.
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a poster - The student will prepare a presentation - The student will prepare a scientific report
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
No specific skills are required.
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students
- Correlation of asymmetric facial growth with deviated nasal septum.(2011) DOI: 10.1002/lary.21785 Kim YM; Rha KS; Weissman JD; Hwang PH; Most SP.
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