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Volume 138, Issue 4, Pages 468-472 (April 2008)


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Novel 3-D video for quantification of facial movement

Presented at the Annual Meeting of the American Academy of Otolaryngology–Head and Neck Surgery, Washington, DC, September 16-19, 2007.

Ritvik P. Mehta, MDaCorresponding Author Informationemail address, Song Zhang, PhDb, Tessa A. Hadlock, MDc

Received 6 September 2007; received in revised form 12 November 2007; accepted 12 December 2007.

Objectives

To evaluate a novel 3-D geometry video acquisition system (3-D VAS) for quantifying facial movement.

Methods

Ten normal subjects and four patients with facial paralysis underwent recording of facial movement during three facial expressions. Facial feature points of interest were digitally marked on selected images. The maximum 3-D displacement of the brow and oral commissure and palpebral fissure width were determined.

Results

Test-retest reliability using the 3-D VAS in normal subjects was high (Spearman correlation coefficients 0.661-0.830, P < 0.05). The predicted ratio of left to right facial measurements was 1.00 in normal subjects, and measured mean ratios were 1.05 (brow excursion), 1.01 (palpebral fissure width), and 1.03 (oral commissure excursion), respectively, matching the prediction. The 3-D VAS reliably quantified facial movement on both sides in patients with facial paralysis.

Conclusions

The novel 3-D VAS can accurately and reliably quantify facial movement in healthy subjects. It is promising as a clinical tool to quantify facial movement in patients with facial paralysis.

a Division of Otolaryngology, University of California San Diego, San Diego, CA

b Department of Mathematics, Harvard University, Cambridge, Cambridge, MA

c Department of Otolaryngology, Massachusetts Eye and Ear Infirmary/Harvard Medical School, Boston, Boston, MA.

Corresponding Author InformationCorresponding author: Ritvik P. Mehta, MD, Division of Otolaryngology–Head and Neck Surgery, University of California San Diego Medical Center, 200 West Arbor Drive #8895, San Diego, CA 92103-8895.

PII: S0194-5998(07)02021-9

doi:10.1016/j.otohns.2007.12.017


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