ABSTRACT
Background The Neoclassical canons, originally framed based on the Renaissance artworks, vary across genders, races, and ages. This has been proved in multiple studies conducted on the Western population, but minimal studies exist on the Eastern population and lesser so on the Indian population. This study aims to define the standard Keralite face and assess its variation from the canons. Methods A total of 250 people of Kerala origin aged 18 to 40 years were studied over a period of 1 year in our institute. Standardized frontal and profile photographs of the subjects were taken. Twenty anthropometric measurements were taken and analyzed for variation between genders, from published Indian standards and their conformity to the Neoclassical canons. Results Compared to the Keralite men, there were significant differences in 14 of 19 measurements in Keralite women. The men had wider and longer faces than women. Five of 10 measurements in females and 6 of 10 measurements in males significantly differed from the published Indian norms. The average Keralite face was wider, longer, and rounder. None of the facial proportions fit the Neoclassical canons. Conclusion The average Keralite face significantly differed from the Neoclassical canons and there were some significant variations between genders. This study highlights the need for a larger population-based study with more representation from various regions across India.
ABSTRACT
Background Distal thumb injuries are managed by multiple local and regional flaps. The cross-finger flap (CFF) is one versatile flap used to cover such defects. The donor finger to the thumb is classically described to be the index finger (IF). However, with the index finger being the second most important finger, it causes further debilitation of the already injured hand. Our aim was to find an alternate donor finger to spare the index finger. Methods and Materials A prospective observational study was conducted on 10 patients with distal thumb injuries who were admitted between November 2018 and July 2019. Ring finger (RF) was used as donor for CFF in all the cases. The subjects were assessed for first web space angle, Kapandji score, total range of movement (TRM) of long fingers, and global hand function using Michigan hand outcome questionnaire (MHQ) after flap division. Results There was no first web contracture and TRM of IF remained unaffected. However, TRM of RF was significantly reduced. But this being a relatively unimportant finger, there was no significant reduction in global hand function, as evaluated by the MHQ score. Conclusion The ring finger is a good alternative for index finger as donor for CFF to the thumb, because it provides adequate tissue along with comfortable positioning and easy maintenance of local hygiene. Moreover, it preserves global hand function by sparing the IF.
