Skip to main content
Log in

Facial reconstruction of a pathological case

  • Case Report
  • Published:
Forensic Science, Medicine, and Pathology Aims and scope Submit manuscript

Abstract

In this paper, we describe a forensic paleopathology case using findings obtained from images of a skull with leontiasis ossea. This unique specimen is on display in the National Museum of Anthropology and History in Mexico. The skull shows tissue overgrowth, periosteal bone proliferation, which produced a cortical and diploid thickening involving the entire bone matrix. The study of images, X-rays, and helical computed tomography revealed generalized hyperostosis obliterating the maxillary and sphenoid sinuses, and two exuberant bony masses arising from the maxilla with encroachment of the anterior nasal opening. In order to reconstruct an image of the external appearance in life, a copy was obtained in the first place, using a stereolithography machine, after that, three-dimensional (3-D) facial reconstruction technique was applied, thus an approximation of the external appearance of this specimen was obtained. During the process, we encountered several difficulties, mainly when interpreting the cortical topography, the position of eyes and mouth. In this sense, facial reconstruction allows only for a moderate investigation due to the limited information that can be obtained from the skull and the significant alterations observed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

References

  1. León N. Catálogos generales del Museo Nacional de Arqueología Historia y etnología. Departamento de Antropología Física México, MX. Imprenta del Museo Nacional; 1923.

  2. Lehmann ECH. Familial osteodystrophy of the skull and face. J Bone Joint Surg. 1947; 39 B(2):313–5.

    Google Scholar 

  3. Aufderheide AC, Rodriguez-Martin C. The Cambridge encyclopedia of human paleopathology. Cambridge: Cambridge University Press; 1998.

    Google Scholar 

  4. Mansilla-Lory J, et al. Leontiasis Ossea. A paleopathologic case report. J Clin Rheumatol. 2007;13:269–72.

    Article  PubMed  CAS  Google Scholar 

  5. Pygott F, Scott MG. Leontiasis Ossea (Virchow Type) with report of a case showing generalized bone changes. Br J Radiol. 1954; N.S. 27:31.

    Google Scholar 

  6. Hullar TE, Lusting LR. Paget’s disease and fibrous dysplasia. Otolaryngol Clin North Am. 2003;36:707–32. doi:10.1016/S0030-6665(03)00028-8.

    Article  PubMed  Google Scholar 

  7. Escorcia L, Valencia L. Elaboración de las tablas del tejido blando facial de los mexicanos por medio de tomografía computarizada para fines de reconstrucción facial escultórica. Estud Antropol Biol. 2003;XI:1405–550.

    Google Scholar 

  8. Lee VS, Weebb MS, Martinez S, et al. Uremic leontiasis ossea: “Bighead” disease in humans? Radiologic, clinical and pathologic features. Radiology. 1996;199:233–40.

    PubMed  CAS  Google Scholar 

  9. Wilkinson C. Forensic facial reconstruction. Cambridge, UK: Cambridge University Press; 2004.

    Google Scholar 

  10. Stephan CN, Davidson P. The placement of the human eyeball and canthi in craniofacial identification. J Forensic Sci. 2008;53:612–9.

    Article  PubMed  Google Scholar 

  11. George RM. The lateral craniographic method of facial reconstruction. J Forensic Sci. 1987;32(5):1305–30.

    Google Scholar 

  12. Krogman WM, Isçan MY. The human skeleton in forensic medicine. Springfield, II: Charles C. Thomas; 1986.

    Google Scholar 

  13. Windolz F. Cranial manifestations of fibrous dysplasia of bone. AJR Am J Roentgenol. 1947;58:51–63.

    Google Scholar 

  14. Zimmerman MR, Kelley MA. Atlas of human paleopathology. USA: Praeger Publisher; 1982.

    Google Scholar 

Download references

Acknowledgments

Thanks go to Dr. Mansilla-Lory for her technical assistance. Thanks also to Fernández-Tapia from Department of Radiology, CT Scanner, Mexico City for use of photography facilities. Thanks to the following collaborators, M. Villanueva from the Instituto de Investigaciones Antropológicas, Universidad Nacional Autónoma de Mexico, Mexico city, Mexico. L.M. Amezcua-Guerra at Department of Immunology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico. A. Vargas-Rodríguez and Martínez-Lavín from Department of Rheumatology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico city, Mexico; M. D. Resnick from Department of Radiology, School of Medicine, University of California, San Diego Medical Center, San Diego, CA.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to E. Gaytán.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gaytán, E., Mansilla-Lory, J., Leboreiro, I. et al. Facial reconstruction of a pathological case. Forensic Sci Med Pathol 5, 95–99 (2009). https://doi.org/10.1007/s12024-009-9088-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12024-009-9088-6

Keywords

Navigation