Anatomical changes in the East Asian midface skeleton with aging

A. Jeon, K. H. Sung, S. D. Kim, U. Y. Lee, J. H. Lee, S. H. Han, H. J. Sui

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Background: Understanding the aging process of the midface skeleton is considered crucial for correct facial rejuvenation. However, the canine fossa, an important morphological feature of the midface skeleton, has not yet been observed in connection with aging, despite the fact that it is the most main part of the maxillary bone. Here, the authors focus on the depression of the canine fossa to evaluate the Asian midface skeleton. Materials and methods: Computed tomography (CT) scans of the facial skeleton of 114 Koreans (59 males and 55 females) were reconstructed to three-dimensional (3D) images using a 3D analysis software programme. The study subjects included 27 young males, 32 old males, 28 young females and 27 old females. The angular measurements of three bony regions were measured for each 3D model: the canine fossa angle (assessing depth of the canine fossa), the maxillary angle (assessing orientation of the lateral maxilla) and the piriform angle (assessing orientation of the medial maxilla). Results: The canine fossa angle showed a statistically significant decrease with aging in both sexes, indicating the canine fossa actually becomes more concave with age. In contrast, the maxillary and piriform angle showed statistically insignificant changes with aging in female subjects. Conclusions: These results suggest that the canine fossa may be one of the effective markers to evaluate the anatomical changes to the facial skeleton with midface aging.

Original languageEnglish
Pages (from-to)730-735
Number of pages6
JournalFolia Morphologica (Poland)
Issue number4
StatePublished - 1 Dec 2017

Bibliographical note

Funding Information:
This research was supported by Basic Science Research Programme through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT and Future Planning (2017R1A2B4005787). This work was supported by Health Fellowship Foundation.

Publisher Copyright:
© Copyright 2017 Via Medica.


  • Aging changes
  • Canine fossa
  • Facial skeleton
  • Maxilla
  • Piriform aperture
  • Three-dimensional study


Dive into the research topics of 'Anatomical changes in the East Asian midface skeleton with aging'. Together they form a unique fingerprint.

Cite this