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Dental damage: Creating 3D anatomical models to illustrate destructive effects on human teeth 牙齿损伤:创建 3D 解剖模型,说明对人类牙齿的破坏作用
Q3 Medicine Pub Date : 2024-08-30 DOI: 10.1016/j.morpho.2024.100911

Forensic odontologists often must identify human remains with damaged teeth. This damage is due to high-impact accidents, violence, or disasters. This 2-part study aimed to create two 3D digital models. They should show the destructive effects of physical and chemical agents on human teeth and popular dental materials. Researchers created an e-survey to investigate how digital models are perceived as an educational tool for Forensic Odontology. Also, a systematic review assessed experimental studies on the effects of high temperature on various prosthodontic materials. According to the results of the survey, most participants (n = 69; 79%) agreed that they would find a 3D model useful for training. Participants misidentify images of burned and broken teeth under Ellis and Davey system (1970). The systematic review identified dental implant and dental crown as the most studied prosthodontic materials exposed to heat. The researchers designed dental damage model 1 to represent restored and unrestored burnt teeth, postmortem pink teeth, and traumatic injuries. The dental damage model 2 was created to demonstrate the effects of various types of damage to different prosthetic and restorative dental materials, as well as the impact of acid, water, and burial on restorative materials as additional information. Both models were edited, sculpted and painted using 3D modelling software ZBrush (2020. 1.4) and Blender (version 3.6.2). The dental damage models were uploaded and labelled on Sketchfab (Cédric Pinson, Paris, France). The study's materials could transform the teaching of complex tooth changes.

法医牙科专家经常必须鉴定牙齿受损的人类遗骸。这种损坏是由高冲击力事故、暴力或灾难造成的。这项由两部分组成的研究旨在创建两个三维数字模型。它们应能显示物理和化学试剂对人类牙齿和常用牙科材料的破坏作用。研究人员制作了一份电子调查表,以调查人们如何看待数字模型作为法医牙科学教育工具的作用。此外,还对有关高温对各种修复材料影响的实验研究进行了系统回顾评估。根据调查结果,大多数参与者(n = 69;79%)都认为三维模型对培训有用。在 Ellis 和 Davey 系统(1970 年)下,参与者会错误识别烧伤和断裂牙齿的图像。系统综述确定牙种植体和牙冠是研究最多的受热修复材料。研究人员设计了牙齿损伤模型 1,以表示修复和未修复的烧焦牙齿、死后粉色牙齿和外伤。制作牙科损伤模型 2 的目的是展示各种损伤对不同牙科修复材料的影响,以及酸、水和掩埋对修复材料的影响作为补充信息。两个模型均使用三维建模软件 ZBrush(2020.1.4)和 Blender(3.6.2 版)进行编辑、雕刻和绘制。牙齿损伤模型被上传到 Sketchfab(Cédric Pinson,法国巴黎)并贴上标签。该研究的材料可以改变复杂牙齿变化的教学。
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引用次数: 0
Morphological dental age estimation of adults using the radiographic canine pulp/tooth area ratio 利用放射线牙髓/牙齿面积比估算成年人的牙齿形态年龄
Q3 Medicine Pub Date : 2024-08-24 DOI: 10.1016/j.morpho.2024.100903

The reduction of the pulpal space following the deposition of secondary dentin is a radiographically visible morphological feature associated with aging. Currently, there is no reference morphological sample for the Northern Brazilian population when it comes to the radiographically visible dental features for age estimation. This study aimed to test an existing method for age estimation based on the canine pulp/tooth area (PTA) ratio and develop a population-specific equation. The sample consisted of 100 peri-apical radiographs of Brazilian males (n = 46) and females (n = 54) from the Northern geographic region. The age of the sampled participants was between 18 and 72 years (mean age = 45.43 ± 14.39 years). The estimated age was obtained with the Cameriere's method. A statistically significant negative (r = −0.595) association was observed between the permanent canine PTA and the chronological age (P = 0.0001). A population-specific equation was structured with a 4-fold (75% × 25%) cross-validation, leading to a mean absolute error of 9.59 years, and root mean square error of 11.66 years (r2 = 0.363). This study provided evidence to support the use of Cameriere's pulp/tooth area ratio for the radiographic dental age estimation of Northern Brazilian adults, especially adjusted with a population-specific equation.

继发性牙本质沉积后牙髓间隙的缩小是与衰老相关的放射学可见形态特征。目前,巴西北部人口还没有可用于年龄估计的放射学可见牙齿特征的参考形态样本。本研究旨在测试现有的基于牙髓/牙齿面积(PTA)比值的年龄估算方法,并建立一个针对特定人群的方程。样本包括来自北部地区的巴西男性(n = 46)和女性(n = 54)的 100 张根尖周射线照片。样本参与者的年龄在 18 至 72 岁之间(平均年龄为 45.43 ± 14.39 岁)。估计年龄是用卡默里尔法得出的。从统计学角度看,犬永久性 PTA 与实际年龄之间存在明显的负相关(r = -0.595)(P = 0.0001)。通过 4 倍(75% × 25%)交叉验证构建了一个特定人群方程,得出平均绝对误差为 9.59 岁,均方根误差为 11.66 岁(r2 = 0.363)。这项研究提供了证据,支持使用卡梅里尔的牙髓/牙齿面积比值来估算巴西北部成年人的放射学牙科年龄,特别是使用特定人群方程进行调整。
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引用次数: 0
The morphology of internal elastic lamina corrugations in arteries under physiological conditions 生理条件下动脉内弹力层波纹的形态
Q3 Medicine Pub Date : 2024-08-23 DOI: 10.1016/j.morpho.2024.100902

Background

In elastic and resistance arteries, an elastin-rich membrane, the Internal Elastic Lamina (IEL), separates the tunica intima from the underlying tunica media. The IEL often appears wrinkled or corrugated in histological images. These corrugations are sometimes ascribed to vessel contraction ex vivo, and to fixation artifacts, and therefore regarded as not physiologically relevant. We examine whether the IEL remains corrugated even under physiological conditions.

Methods

The diameters of carotid arteries of anesthetized pigs were measured by ultrasound. The arteries were then excised, inflated within a conical sleeve, fixed, and imaged by confocal microscopy. The conical sleeve allows fixing each artery across a wide range of diameters, which bracket its ultrasound diameter. Thus the study was designed to quantify how corrugations change with diameter for a single artery, and test whether corrugations exist when the fixed artery matches the ultrasound diameter.

Results

At diameters below the ultrasound diameter (i.e. when the artery was constricted as compared to ultrasound conditions), the IEL corrugations were found to decrease significantly with increasing diameter, but not fully flatten at the ultrasound diameter. The contour length of the IEL was found to be roughly 10% larger than the circumference of the artery measured by ultrasound. The physiological diameter is likely to be even smaller than the ultrasound diameter since ultrasound was conducted with the animal under general anesthesia, which leads to vasodilation, suggesting a higher level of corrugation under physiological conditions. For arterial cross sections constricted below the ultrasound diameter, the IEL contour length decreased roughly with the square root of the diameter.

Conclusion

The primary conclusions of this study are: a) the IEL is corrugated when the artery is constricted and flattens as the artery diameter increases; b) the IEL is corrugated under physiological conditions and has a contour length at least 10% more than the physiological arterial diameter; and c) the IEL despite being relatively stiffer than the surrounding arterial layers, does not behave like an inextensible membrane.

背景在弹力动脉和阻力动脉中,富含弹性蛋白的膜--内弹力层(IEL)将内膜和下层中膜分隔开来。在组织学图像中,IEL 经常出现皱纹或波纹。这些波纹有时被归因于体内血管收缩和固定伪影,因此被认为与生理无关。方法用超声波测量麻醉猪颈动脉的直径。然后切除动脉,在锥形套筒内充气、固定,并用共聚焦显微镜成像。锥形套筒可以在很大的直径范围内固定每条动脉,而这一直径正好与超声波直径相吻合。因此,该研究旨在量化单根动脉的波纹随直径变化的情况,并测试当固定的动脉与超声波直径相匹配时是否存在波纹。结果发现,在直径低于超声波直径时(即与超声波条件相比动脉收缩时),IEL 波纹随直径增大而显著减小,但在超声波直径处没有完全变平。发现 IEL 的轮廓长度比超声测量的动脉周长大约大 10%。生理直径可能比超声直径还要小,因为超声是在动物全身麻醉的情况下进行的,而全身麻醉会导致血管扩张,这表明生理条件下的波纹程度更高。本研究的主要结论是:a)当动脉收缩时,IEL呈波纹状,随着动脉直径的增大而变平;b)在生理条件下,IEL呈波纹状,其轮廓长度至少比生理动脉直径多 10%;c)尽管 IEL 比周围的动脉层相对较硬,但其行为并不像一层不可伸缩的膜。
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引用次数: 0
Multiple scapula defects or foramina or both? 多发性肩胛骨缺损或肩胛孔缺损,还是两者都有?
Q3 Medicine Pub Date : 2024-08-21 DOI: 10.1016/j.morpho.2024.100904

The current bone report describes multiple openings identified in a dried scapula of a subject of unknown age and gender. Multiple openings (twelve) were identified in the subscapular fossa and were apparent at the infraspinatus fossa. These openings coexisted with a suprascapular foramen and an osteophyte at the inferomedial border of the foramen. In the current literature, two uncommon variants of the scapula were described: foramina and defects. It is still unclear how these two structures are differentiating. Both of them are results of abnormal ossification of the scapula. Clinicians should be aware of these variants because they may lead to misdiagnosis of malignancies, while the variants are benign entities.

本骨骼报告描述了在一名年龄和性别不详的受试者的干燥肩胛骨上发现的多个开口。在肩胛下窝和冈下窝发现了多个开口(12 个)。这些开口与肩胛上孔和位于该孔内侧边界的骨质增生同时存在。在目前的文献中,描述了两种不常见的肩胛骨变异:孔和缺损。目前还不清楚这两种结构是如何区分的。它们都是肩胛骨异常骨化的结果。临床医生应注意这些变异,因为它们可能导致恶性肿瘤的误诊,而这些变异是良性的。
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引用次数: 0
Accuracy and repeatability of 3D Photogrammetry to digitally reconstruct bones 用三维摄影测量法对骨骼进行数字重建的准确性和可重复性。
Q3 Medicine Pub Date : 2024-07-03 DOI: 10.1016/j.morpho.2024.100793
J.C. Feddema, L.Z.F. Chiu

Advances in computer hardware and software permit the reconstruction of physical objects digitally from digital camera images. Given the varying shapes and sizes of human bones, a comprehensive assessment is required to establish the accuracy of digital bone reconstructions from three-dimensional (3D) photogrammetry. Five human bones (femur, radius, scapula, vertebra, patella) were marked with pencil, to establish between 9 and 29 landmarks. The distances between landmarks were measured from the physical bones and digitized from 3D reconstructions. Images used for reconstructions were taken on two separate days, allowing for repeatability to be established. In comparison to physical measurements, the mean (± standard deviation) absolute differences were between 0.2 ± 0.1 mm and 0.4 ± 0.2 mm. The mean (± standard deviation) absolute differences between reconstructions were between 0.3 ± <0.1 mm and 0.4 ± 0.4 mm. The 3D photogrammetry procedures described are accurate and repeatable, permitting quantitative analyses to be conducted from digital reconstructions. Moreover, 3D photogrammetry may be used to capture and preserve anatomical materials for anatomy education.

计算机硬件和软件的进步使我们可以通过数码相机图像对实物进行数字重建。由于人体骨骼的形状和大小各不相同,因此需要进行全面评估,以确定三维(3D)摄影测量法数字骨骼重建的准确性。我们用铅笔标记了五块人体骨骼(股骨、桡骨、肩胛骨、脊椎骨、髌骨),建立了 9 到 29 个地标。根据实物骨骼测量地标之间的距离,并通过三维重建进行数字化处理。用于重建的图像是在两天内分别拍摄的,因此可以确定重复性。与物理测量结果相比,平均(±标准偏差)绝对差值介于 0.2±0.1 毫米和 0.4±0.2 毫米之间。重建之间的平均(± 标准偏差)绝对差异在 0.3±0.1 毫米和 0.4±0.2 毫米之间。
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引用次数: 0
Use of photogrammetry-based digital models in anatomy education: An overview 在解剖学教育中使用基于摄影测量的数字模型:概述
Q3 Medicine Pub Date : 2024-06-08 DOI: 10.1016/j.morpho.2024.100792
Dimitrios Chytas , Georgios Paraskevas , George Noussios , Theano Demesticha , Marios Salmas , Chrysoula Vlachou , Angelo V. Vasiliadis , Theodore Troupis

Purpose

Photogrammetry is a technique which includes taking multiple digital photographs from various angles and using those photographs to create three-dimensional virtual models. We aimed to review the outcomes of the implementation of photogrammetry in anatomy education.

Methods

We searched PubMed, Scopus and Cochrane library for studies with purpose to explore the outcomes of the use of photogrammetry-based digital models in anatomy teaching. From each included paper we extracted: authors, number of participants, anatomical region of interest, educational outcomes, and their level according to Kirkpatrick hierarchy.

Results

Seven studies were included. Four of them concerned neuroanatomy and three of them concerned other systems. All studies comprised participants’ perceptions about the educational intervention, while two of them also evaluated anatomical knowledge acquisition. Overall, the participants rated photogrammetry-based models very highly and preferred them to other teaching tools. These models were also shown able to significantly enhance the anatomical knowledge.

Conclusions

Photogrammetry-based digital objects seem to have a promising anatomy teaching potential. The value of these objects seems to be especially pertinent in teaching the relatively complex field of neuroanatomy. Further research may investigate the effectiveness of photogrammetry-based models in comparison with other anatomy education tools, and with other methods of creation of three-dimensional virtual objects.

目的 摄影测量是一种技术,包括从不同角度拍摄多张数码照片,并使用这些照片创建三维虚拟模型。方法 我们在 PubMed、Scopus 和 Cochrane 图书馆中搜索了旨在探讨在解剖学教学中使用基于摄影测量的数字模型的结果的研究。我们从每篇被收录的论文中提取了:作者、参与者人数、感兴趣的解剖区域、教学成果以及根据柯克帕特里克等级体系划分的级别。其中四篇涉及神经解剖学,三篇涉及其他系统。所有研究都包括参与者对教育干预的看法,其中两项还评估了解剖学知识的掌握情况。总体而言,参与者对基于摄影测量的模型评价很高,并认为它们优于其他教学工具。结论基于摄影测量的数字对象似乎具有很好的解剖学教学潜力。在相对复杂的神经解剖学教学中,这些对象的价值似乎尤为重要。进一步的研究可能会将基于摄影测量的模型与其他解剖学教育工具以及其他创建三维虚拟对象的方法进行比较,以了解其有效性。
{"title":"Use of photogrammetry-based digital models in anatomy education: An overview","authors":"Dimitrios Chytas ,&nbsp;Georgios Paraskevas ,&nbsp;George Noussios ,&nbsp;Theano Demesticha ,&nbsp;Marios Salmas ,&nbsp;Chrysoula Vlachou ,&nbsp;Angelo V. Vasiliadis ,&nbsp;Theodore Troupis","doi":"10.1016/j.morpho.2024.100792","DOIUrl":"https://doi.org/10.1016/j.morpho.2024.100792","url":null,"abstract":"<div><h3>Purpose</h3><p>Photogrammetry is a technique which includes taking multiple digital photographs from various angles and using those photographs to create three-dimensional virtual models. We aimed to review the outcomes of the implementation of photogrammetry in anatomy education.</p></div><div><h3>Methods</h3><p>We searched PubMed, Scopus and Cochrane library for studies with purpose to explore the outcomes of the use of photogrammetry-based digital models in anatomy teaching. From each included paper we extracted: authors, number of participants, anatomical region of interest, educational outcomes, and their level according to Kirkpatrick hierarchy.</p></div><div><h3>Results</h3><p>Seven studies were included. Four of them concerned neuroanatomy and three of them concerned other systems. All studies comprised participants’ perceptions about the educational intervention, while two of them also evaluated anatomical knowledge acquisition. Overall, the participants rated photogrammetry-based models very highly and preferred them to other teaching tools. These models were also shown able to significantly enhance the anatomical knowledge.</p></div><div><h3>Conclusions</h3><p>Photogrammetry-based digital objects seem to have a promising anatomy teaching potential. The value of these objects seems to be especially pertinent in teaching the relatively complex field of neuroanatomy. Further research may investigate the effectiveness of photogrammetry-based models in comparison with other anatomy education tools, and with other methods of creation of three-dimensional virtual objects.</p></div>","PeriodicalId":39316,"journal":{"name":"Morphologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141290913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Craniofacial dysmorphism of osteogenesis imperfecta mouse and effect of cathepsin K knockout: Preliminary craniometry observations 成骨不全症小鼠的颅面畸形和酪蛋白酶 K 基因敲除的影响:初步颅骨测量观察
Q3 Medicine Pub Date : 2024-05-23 DOI: 10.1016/j.morpho.2024.100785
J. Fosséprez , T. Roels , D. Manicourt , C. Behets

Objectives

In addition to bone fragility, patients with osteogenesis imperfecta (OI) type III have typical craniofacial abnormalities, such as a triangular face and maxillary micrognathism. However, in the osteogenesis imperfecta mouse (oim), a validated model of OI type III, few descriptions exist of craniofacial phenotype. Treatment of OI mostly consists of bisphosphonate administration. Cathepsin K inhibition has been tested as a promising therapeutic approach for osteoporosis and positive results were observed in long bones of cathepsin K knocked out oim (oim/CatK–/–). This craniometry study aimed to highlight the craniofacial characteristics of oim and Cathepsin K KO mouse.

Materials and methods

We analyzed the craniofacial skeleton of 51 mice distributed in 4 genotype groups: Wt (control), oim, CatK–/–, oim/CatK–/–. The mice were euthanized at 13 weeks and their heads were analyzed using densitometric (pQCT), X-ray cephalometric, and histomorphometric methods.

Results

The craniofacial skeleton of the oim mouse is frailer than the Wt one, with a reduced thickness and mineral density of the cranial vault and mandibular ramus. Different cephalometric data attest a dysmorphism similar to the one observed in humans with OI type III. Those abnormalities were not improved in the oim/CatK–/– group.

Conclusion

These results suggest that oim mouse could serve as a complete model of the human OI type III, including the craniofacial skeleton. They also suggest that invalidation of cathepsin K has no impact on the craniofacial abnormalities of the oim model.

目的除骨质脆弱外,成骨不全症(OI)III型患者还有典型的颅面异常,如三角脸和上颌骨小畸形。然而,在成骨不全症小鼠(OI III 型的有效模型 oim)中,关于颅面表型的描述却很少。OI 的治疗主要包括服用双膦酸盐。抑制酪蛋白酶 K 是一种很有前景的骨质疏松症治疗方法,在被酪蛋白酶 K 敲除的 OI(oim/CatK-/-)长骨中观察到了积极的结果。本测颅研究旨在突出 oim 和 Cathepsin K KO 小鼠的颅面特征:我们对51只小鼠的颅面骨骼进行了分析,这些小鼠分为4个基因型组:Wt(对照组)、oim、CatK-/-、oim/CatK-/-。结果 oim小鼠的颅面骨骼比Wt小鼠更脆弱,颅顶和下颌横突的厚度和矿物质密度都有所降低。不同的头颅测量数据证明,小鼠的畸形类似于在患有 OI III 型的人类身上观察到的畸形。这些结果表明,oim 小鼠可作为人类 OI III 型的完整模型,包括颅面部骨骼。这些结果表明,oim 小鼠可作为人类 OI III 型的完整模型,包括颅面部骨骼。这些结果还表明,酪蛋白酶 K 的失效对 oim 模型的颅面部异常没有影响。
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引用次数: 0
The increasing inclusion of technologies in histology teaching: A systematic review 组织学教学中越来越多地采用技术:系统综述
Q3 Medicine Pub Date : 2024-05-01 DOI: 10.1016/j.morpho.2024.100784
R.S. e Silva , P. de Lima , D.G. Guedert , G. da C.L. Freire , G.S. Cerqueira

Histology is part of the curricular base of all health courses, being the basis for understanding the composition of all tissues in the human body. Over the years, more and more technologies have entered the academic environment, with the aim of improving the teaching and learning process. Thus, the objective of this work was to conduct a systematic review on the use of digital technologies in teaching histology. The PICo strategy was used to develop the guiding question and the results were presented in a Prisma Flow. The following platforms were used to search for articles: PubMed, Embase. Web of Science, Science Direct, Medline, Scielo, Periódicos CAPES and LILACS, Open Gray and Google Scholar, with a time limit between 2012 and 2022. The results showed that this area is still little explored, with there not being a wide range of technologies being used and applied in teaching, with gamification and virtual microscopy being the most applied. However, it was realized that the use of these technologies can improve student performance and increase their interest in the subject. Therefore, these tools are great methods to reduce difficulties and encourage the development of a more receptive environment for the histology teaching and learning process.

组织学是所有健康课程的基础部分,是了解人体所有组织构成的基础。多年来,越来越多的技术进入学术环境,旨在改善教学过程。因此,这项工作的目的是对数字技术在组织学教学中的应用进行系统回顾。我们采用了 PICo 策略来提出指导性问题,并在 Prisma Flow 中展示了研究结果。使用以下平台搜索文章:PubMed、Embase.Web of Science、Science Direct、Medline、Scielo、Periódicos CAPES 和 LILACS、Open Gray 和 Google Scholar,搜索时限为 2012 年至 2022 年。结果表明,这一领域的探索仍然很少,在教学中使用和应用的技术种类不多,游戏化和虚拟显微镜应用最多。不过,人们意识到,使用这些技术可以提高学生的成绩,增加他们对该学科的兴趣。因此,这些工具是减少困难和鼓励为组织学教学和学习过程创造更容易接受的环境的好方法。
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引用次数: 0
Erratum to “A rare localisation of intra-abdominal focal fat infarction: The falciform ligament. Contribution of imagery” [Morphologie (2022) 106/115-117] 对 "腹腔内局灶性脂肪梗死的罕见定位:镰状韧带。图像的贡献" [《形态学》(2022 年)106/115-117] 更正
Q3 Medicine Pub Date : 2024-04-29 DOI: 10.1016/j.morpho.2024.100782
M. Diallo , M. Haberlay , P.C. Bujor
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引用次数: 0
3D facial approximation and endocast analysis of the Mummy of Minirdis (Ancient Egypt, ca. 2,300 Before Present) 米尼蒂斯木乃伊(古埃及,约距今 2300 年前)的三维面部近似和内铸分析
Q3 Medicine Pub Date : 2024-04-26 DOI: 10.1016/j.morpho.2024.100781
C. Moraes , E. Varotto , M. Artico , F.M. Galassi , F. Forte , M.E. Habicht

The present article offers the facial approximation of the mummy of the ancient Egyptian adolescent named Minirdis (ca. 2300 years BP) by means of anatomical analysis of video-images and through a facial approximation protocol implemented on more historical personages. An evaluation of the mummy's endocast is also offered. A potential diagnosis of Sotos syndrome is cautiously considered but its inherent limitations are detailed. Finally, the methodology is presented as a valuable tool both for bio-historical research and for further studies on normal and pathologic morphologies of the cranio-facial district.

本文通过对视频图像的解剖学分析,以及对更多历史人物实施的面部近似方案,对古埃及少年米尼尔迪斯(约公元前 2300 年)的木乃伊进行了面部近似分析。此外,还对木乃伊的内铸件进行了评估。谨慎地考虑了索托斯综合症的潜在诊断,但详细说明了其固有的局限性。最后,介绍了这一方法,认为它既是生物历史研究的宝贵工具,也是进一步研究颅面部正常和病理形态的宝贵工具。
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引用次数: 0
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Morphologie
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