目标:由于高质量的防腐和有利的保护条件,法国国王亨利四世(1553-1610年生活,1589-1610年统治)的保存至今。这项研究的目的是使用原始和创新的法医三维分割方法检查亨利四世的上谐振腔和乳突。
方法:通过将现有的传记信息与临床和柔性内窥镜检查和计算机断层扫描(CT扫描)成像进行交叉参考,研究了法国国王亨利四世的鼻旁窦和乳突细胞。描绘鼻旁窦和乳突细胞,并使用ITK-SNAP4.0软件(开源)评估其体积。使用Fusion360®创建图形表示(AutodeskInc.,圣拉斐尔,CA,美国)和MeshMixer®(AutodeskInc.,圣拉斐尔,CA,美国)。
结果:鼻旁窦断层密度测定显示形状和数量异常。法国的HenriIV患有鼻窦发育不全。左蝶骨和左额窦都没有明显的对比,右侧翼状突的显着气化延伸到整个右侧翼状突的高度。HenriIV乳突气囊的总体积估计为27和26毫升,分别,对于右侧和左侧,远远超过现代学科的正常平均值和最大值。没有发现慢性耳朵或鼻窦疾病的迹象。
结论:在法医学中开发了一种创新的方法来建立有关面部生长和呼吸状况的假设。
OBJECTIVE: The preserved head of King Henri IV of France (life 1553-1610, reign 1589-1610) has survived to the present day thanks to high-quality embalming and favorable conservation conditions. The aim of this study was to examine Henry IV\'s upper resonant cavities and mastoids using an original and innovative forensic three-dimensional segmentation method.
METHODS: The paranasal sinuses and mastoid cells of King Henri IV of France were studied by cross-referencing available biographical information with clinical and flexible endoscopic examination and computed tomography (CT-scan) imaging. The paranasal sinuses and mastoid cells were delineated and their volumes were assessed using ITK-SNAP 4.0 software (open-source). Graphical representations were created using Fusion 360® (Autodesk Inc., San Rafael, CA, USA) and MeshMixer® (Autodesk Inc., San Rafael, CA, USA).
RESULTS: Paranasal sinus tomodensitometry revealed abnormalities in shape and number. Henri IV of France suffered from sinus aplasia. Neither the left sphenoid nor left frontal sinus contrasted sharply, and a remarkable pneumatization of the right clinoid processes extended throughout the height of the right pterygoid process. The total volumes of Henri IV\'s mastoid air-cells were estimated at 27 and 26 mL, respectively, for the right and left sides, exceeding the normal mean and the maximum of modern subjects by a wide margin. No sign of chronic ear or sinus condition was found.
CONCLUSIONS: An innovative method has been developed in forensic medicine to establish hypotheses about the growth and respiratory conditions of the face.