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4 - The relationship between hard and soft tissues of the face

Published online by Cambridge University Press:  05 June 2013

Caroline Wilkinson
Affiliation:
University of Manchester
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Summary

Knowledge of common morphological terms is necessary when carrying out an assessment of the face. Figs. 4.1 to 4.5 illustrate these facial surface anatomical terms. There has been a long history of research into quantifying the relationship between the skeletal structure of the skull and the overlying soft tissues of the face, with the express purpose of facilitating facial reconstruction. Gerasimov (1971) was convinced that there was a clear correlation between the relief of the skull and the surface of the soft stratum. He claimed that this could be illustrated by the asymmetry of the skull, which is also exhibited in the asymmetry of the face. He clarified this with a photographic study of faces to create totally right-sided and left-sided faces from an original face. He took a frontal-view photograph of a subject and split the photograph on a line that dissected the glabella and the philtrum. He then created two faces by mirror imaging each side and attaching it to its mirror image: one made up of two right sides and one of two left sides. He found for every subject two distinct faces were created: a ‘fine’ face and a ‘rough’ face. He suggested that asymmetry is a basic element of individuality and that since the asymmetry is natural, any reconstruction of the soft tissues will define the character of this asymmetry and secure similarity to the actual face (see Fig. 4.6).

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Publisher: Cambridge University Press
Print publication year: 2004

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