27 Year Old With A Renal Cyst

By observing the patient the first thing examined is the face and nose in a general context is like a snapshot of the area .

In daily practice we see that there are different face shapes: round (round face ) square (square face ) elongated (long face ) oval (oval shape ) triangular and a mixture of one, two or all of these forms. Then fall into one of these forms approximate the patient under consideration.

face and nose from the front view

(Front view of the face and the nose)

linear measurements of the face, head and skull

These measurements are important, should not be taken as dogmatic, used to locate in the general context of the anatomy of the face and head and Each patient has their ethnic, often a patient is a multiracial world.
Thus we have:

length or height of the face : Trichion is measured hair-implantation in frontal-to chin in his bottom is 160-205 mm with an average of 184 in man, 160-190 mm 176 in women.

Face width : measure the distance between the cheekbones is on average 12.5 to 15cm 13cm

facial Index: used to determine the shape of the face, the formula is the face width x 100 divided by height morphology of the face.

The man is from 73 to 98 with an average of 86, women 77 to 86 with an average of 85 .

physiological facial index: is same as above but the physiological factor is the height (distance between nasal root and bottom of the chin) in man is 66 to 85 with an average of 75, women 67 to 87 with an average of 74, so we have, for example, elongated faces with rate equal to or greater than 90 which is in Western Europe long and narrow face.

L to face is divided into 3 segments using horizontal lines tangent to the hairline, the brow line, nose and chin base .

These segments guide us to know where there is a deficit or excess especially in the 1 / 3 medium where the nose.

We already know that in the middle third of the face is the nose, and measured:

Stitch length L nasal root nasal nasal tip is between 42 and 60mm with an average of 55mm .

nasal Height: midpoint of the nasal root subnasale (Sn) at the height of the ENA - anterior nasal spine - is 51mm.

nasal width: distance between the wings at the outermost measured average 25-38mm 35mm.

nose depth line that goes from subnasale to the tip, it measures 28mm.

nasal Index: us indicates the shape of the nose , nasal width is obtained x 100 divided by height of the nose. Used to indicate whether the relationship nasal width and length nasal are provided, as follows:

leptorhines: of narrow nose and nostrils oblique, depressed, have a index below 70, is seen in Caucasians (Caucasian), prominent nose, long and narrow

mesorhine: with oblique nostrils , Index of 70 to 85, shown in yellow-nosed breed of medium size.

platyrrhine : broad nose with wide nostrils and horizontal , with an index greater than 85. Shown in black, with wide nose .

continues examine visually and mentally see the contours trace lines to locate in the overall context of the face and nose of the patient:

facial symmetry l: we draw an imaginary line from the midpoint of Trichion to lowest point of the chin. To see if there is deviation from the midline of a structure.

alar base width : draw a line from the inner corner of lid goes down to the most outstanding of the nostrils , in practice it is considered that if wings are outside these lines are broad wings , measures approximately 35 mm wide, is also called distance intercanthal .

curvilinear line back: there is a concave line that starts at the root of the eyebrows (supraorbital ridges) and is going around the back and ends at the outer edge the nostrils that go to down and out.

The alar base width is equal to the distance intercanthal and width of an eye.

width bony pyramid: the base marrow is approximately 75-80% of the width of the alar base .