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Table 4 Checklist for optimal image acquisition for this CFM photo protocol

From: Photographic protocol for image acquisition in craniofacial microsomia

View Name Features Photographer checklist Instructions to Participant
A Frontal • Orbit
• Mandible
• Ear
• Soft tissue
• Subject should always sit with his back straight
• Subject should look straight forward (chin level to ground)
• Subject should have a neutral expression
• The plane of the face is perpendicular to the camera
• "Look at the camera with a relaxed expression."
• "Close your mouth with your lips gently touching."
B Right Oblique • Mandible
• Soft tissue
• Subject should look to his left, 45 degrees from center
• Subject should have a neutral expression
• Both eyes should be visible in the shot
• Do not let chin drop
• The tip of the nose should come to the edge of the cheek
 
C Right Profile • Mandible
• Ear
• Soft tissue
• Ear tags/pits
• Facial tags/pits
• Subject should look 90 degrees to his left
• Full profile
• Center the shot directly in front of the ear
• The ear canal should be visible, if present
• If the ear canal is not visible from this view, take an additional photograph of the ear canal and label this "View C.2"
 
D Left Oblique • Mandible
• Soft tissue
• Subject should look to his right, 45 degrees from center
• Subject should have a neutral expression
• Both eyes should be visible in the shot
• Do not let chin drop
• The tip of the nose should in line with the edge of the cheek
 
E Left Profile • Mandible
• Ear
• Soft tissue
• Ear tags/pits
• Facial tags/pits
• Subject should look 90 degrees to his right to obtain a full profile
• Center the shot directly in front of the ear
• The ear canal should be visible, if present
• If the ear canal is not visible from this view, take an additional photograph of the ear canal and label this "View E.2"
 
F Sub-mental • Mandible
• Soft tissue
• Zoom half way between 135 & 200 mm
• Shot should be centered on the base on the chin
• Align the chin and nose
• Keep face neutral with mouth closed
• You should be able to see the forehead, eyes, and shape of nose
• The cheekbones need to be seen
• You may need to ask a parent to stand behind you and encourage the subject to look straight up for this shot
• The camera will most likely need to be moved to get the shot
• "Tilt your head back and look at the ceiling."
G Eyebrows Elevated • Nerve • This goal is to assess for movement of the eyebrows
• NOTE: Sometimes participants are inclined to tilt their head back with this expression. Encourage them to face forward.
• "Raise your eyebrows."
• "Look up with your eyes."
• "Look surprised."
H Eyes Shut Tight • Nerve • Subject should be centered and filling the frame
• It is OK if the mouth opens and nose crinkles during this animation
• NOTE: Sometimes participants are inclined to drop their chin with this expression. Encourage them to face forward.
• "Close your eyes as tightly as you can."
I Smile • Nerve • Subject should be centered and filling the frame • "Big smile."
J Show Lower Teeth • Lower lip depressor • Subject should show their bottom teeth.
• Showing or not showing top teeth is okay.
• "Show me your lower teeth."
K Tongue Blade • Occlusal cant • Subject should show their top and bottom teeth while holding tongue blade in their mouth
• We want to see how their teeth meet the tongue depressor
 
L* Tongue Straight Out • Tongue • Tongue should be extended as far as possible, and "pointy" • "Stick your tongue straight out."
Q* Tongue Down • Tongue • Zoom in to 300 mm and move in 1 to 1.2 meters (3 to 4 feet) from subject
• Tongue should be relaxed, not be "pointy"
• NOTE: Check the image to ensure it is in focus.
• "Open your mouth and hang your tongue out as far as you can."
R* Tongue Up • Tongue • Move in 1 to 1.2 meters (3 to 4 feet) from subject and zoom in
• NOTE: Check the image to ensure it is in focus.
• "Try to touch your tongue to your nose."
S* Tongue to Left • Tongue • Move in 1 to 1.2 meters (3 to 4 feet) from subject and zoom in
• NOTE: Check the image to ensure it is in focus.
• "Point your tongue to the left as far as you can."
T* Tongue to Right • Tongue • Move in 1 to 1.2 meters (3 to 4 feet) from subject and zoom in
• NOTE: Check the image to ensure it is in focus.
• "Point your tongue to the right as far as you can."
  1. Views A-E, G-K should be obtained in Frankfort horizontal position Views M, N, O, and P are created by enlarging and cropping images obtained previously, thus not included in this image acquisition table
  2. *Check to ensure that the image is in focus