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Characterization of cranial growth patterns using craniometric parameters and best-fit logarithmic growth curves.
Jeon, Sungmi; Chung, Jee Hyeok; Baek, Seung-Hak; Yang, Il Hyung; Choi, Kang Young; Seo, Hyung Joon; Shin, Jin Yong; Kim, Byung Jun.
Afiliación
  • Jeon S; Department of Plastic and Reconstructive Surgery, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Republic of Korea; Division of Pediatric Plastic Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Repu
  • Chung JH; Division of Pediatric Plastic Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
  • Baek SH; Department of Orthodontics, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
  • Yang IH; Department of Orthodontics, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
  • Choi KY; Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
  • Seo HJ; Department of Plastic and Reconstructive Surgery, Pusan National University Hospital, Pusan, Republic of Korea.
  • Shin JY; Department of Plastic and Reconstructive Surgery, Jeonbuk National University Hospital, Jeonju-si, Republic of Korea.
  • Kim BJ; Division of Pediatric Plastic Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea. Electronic address: bjkim@snu.ac.kr.
J Craniomaxillofac Surg ; 52(1): 30-39, 2024 Jan.
Article en En | MEDLINE | ID: mdl-38135648
ABSTRACT
Few studies have reported a complete quantitative database of cranial growth, from infancy to adulthood, as a reference through three-dimensional analysis. Our study aimed to characterize cranial growth patterns using craniometric parameters by establishing sex- and age-specific norms. In total, 1009 Korean patients (male-to-female ratio, 21; age range, 0-18 years) who underwent thin-slice computed tomography (CT) scans for head trauma were divided into 20 age groups, with a 6-month interval for those under 2 years and a 1-year interval for those over 2 years. After four reference planes [Frankfurt horizontal (FH), midsagittal, and two coronal planes passing the sella (S) and basion (B)] had been established, intracranial volume (ICV), anteroposterior diameter (APD), biparietal diameter (BPD), cranial heights (CHs), cephalic index (CI, BPD/APD), and height index (HI, CH-B/APD) were measured using Mimics software. Best-fit logarithmic curves were derived using a linear regression model. The best-fit curves for ICV (cm3) were y = 785.6 + 157*ln(age) for males (R2 = 0.5752) and y = 702 + 150.5*ln(age) for females (R2 = 0.6517). After adjustment for age, males had higher values of ICV, APD, BPD, and CHs than females (all p < 0.0001). ICV, APD, BPD, and CHs demonstrated a rapid increase during the first few months of life, reaching 90-95% of the adult size by 5-6 years of age, while CI and HI showed a continuous decline by 4%, regardless of sex. This study presented cranial growth references for more than 1000 of the Korean population aged up to 18 years. This might help to provide guidelines for diagnosis and treatment (including timing, amount, and direction) for cranial reconstruction in pediatric patients with craniosynostosis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cráneo / Craneosinostosis Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Newborn Idioma: En Revista: J Craniomaxillofac Surg Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cráneo / Craneosinostosis Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Newborn Idioma: En Revista: J Craniomaxillofac Surg Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido