Morphometric Analysis of Coronoid Process of Mandible by CT in the Malaysian Population: An Important Step for Determination of Sex

Introduction: Sex determination is vital for developing biological profile in skeletonized remains. Estimation of age, ancestry, and stature are dependent on sex determination. Various parts of cranial and postcranial elements were studied for sex dimorphism in the literature. It is shown that the skeletal morphology in different sex was more pronounced in the adults than in the pre-pubertal period. Objective: The aim of this study was to determine sex in Malaysian adults by morphometric analysis of CT-scanned mandibles. Materials and Methods: The study was performed on 447 slices of scanned mandibles (894 different sides) in 244 males and 203 females. They comprised Malays (150), Chinese (137) and Indian (160) subjects within 18 to 87 years of age. Results: About ten parameters namely, perimeter and area of a triangle (formed by anterior ramus, coronion and mandibular notch) on the right and left side of mandible, and
distances between anterior ramus and coronion, and between anterior ramus and mandibular notch and between coronion and mandibular notch (right and left sides of mandible) were analysed. By independent t-test, males were greater than females in all ten parameters (p<0.01). Paired t-test between different
sides of the coronoid process showed greater values on the right than left (p<0.01). The discriminant function showed correct classification rate for 70% of cases, with identification accuracy of 75.8% for male and 63.1% for female. Conclusion: In brief, mandible is a sexually dimorphic bone useful for identification in forensic scenario. This is a pioneer study of the mandible in the Malaysians, which should be validated in future research.