open access

Vol 49, No 4 (2015)
Original research articles
Submitted: 2015-03-06
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Anthropometry of craniosynostosis

Eva Štefánková, František Horn, Eva Neščáková, Michal Kabát, Michal Petrík, Ján Trnka
DOI: 10.1016/j.pjnns.2015.05.006
·
Neurol Neurochir Pol 2015;49(4):229-238.

open access

Vol 49, No 4 (2015)
Original research articles
Submitted: 2015-03-06

Abstract

Background

Anthropometry is becoming a popular method for diagnostics of various diseases in pediatric clinical practice. The aim of this study was to assess the growth changes in craniofacial parameters in patients with craniosynostosis and positional plagiocephaly.

Methods

Inclusion criteria for the study were presence of craniostenosis or positional plagiocephaly in a patient with at least three anthropometric evaluations at our department. Studied patients were aged from 1.0 month to 2.5 years with median age at the first and last anthropometric evaluation as 1.83 and 25.27 months, respectively. Further anthropometric results in patients older than 2.5 years were excluded from the study. Statistical significance was tested by the Mann–Whitney test.

Results

The studied group consisted of 70.5% male patients. The type of craniosynostosis was represented by scaphocephaly in 44.1%, by trigonocephaly in 45.6% and by coronal craniosynostosis in 10.3% of the cases. Cranial index was proven as a suitable parameter for evaluating differences in the trend of growth in craniosynostosis (p<0.001) and also for evaluating post-operative results. Significance was found in width of the head (p=0.038) for scaphocephaly and in length of the head for trigonocephaly (p=0.001) in surgically treated patients. Trend of cranial growth in operated patients copied the curve of the norm but in higher or lower values which depends on the type of prematurely closed suture.

Conclusion

Longitudinal anthropometric follow-up is an objective and measurable method that can accurately non-invasively and non-expensively assess skull growth in pediatric patients with cranial deformity.

Abstract

Background

Anthropometry is becoming a popular method for diagnostics of various diseases in pediatric clinical practice. The aim of this study was to assess the growth changes in craniofacial parameters in patients with craniosynostosis and positional plagiocephaly.

Methods

Inclusion criteria for the study were presence of craniostenosis or positional plagiocephaly in a patient with at least three anthropometric evaluations at our department. Studied patients were aged from 1.0 month to 2.5 years with median age at the first and last anthropometric evaluation as 1.83 and 25.27 months, respectively. Further anthropometric results in patients older than 2.5 years were excluded from the study. Statistical significance was tested by the Mann–Whitney test.

Results

The studied group consisted of 70.5% male patients. The type of craniosynostosis was represented by scaphocephaly in 44.1%, by trigonocephaly in 45.6% and by coronal craniosynostosis in 10.3% of the cases. Cranial index was proven as a suitable parameter for evaluating differences in the trend of growth in craniosynostosis (p<0.001) and also for evaluating post-operative results. Significance was found in width of the head (p=0.038) for scaphocephaly and in length of the head for trigonocephaly (p=0.001) in surgically treated patients. Trend of cranial growth in operated patients copied the curve of the norm but in higher or lower values which depends on the type of prematurely closed suture.

Conclusion

Longitudinal anthropometric follow-up is an objective and measurable method that can accurately non-invasively and non-expensively assess skull growth in pediatric patients with cranial deformity.

Get Citation

Keywords

Craniofacial anthropometry, Craniosynostosis, Pathological growth, Cranioplasty

About this article
Title

Anthropometry of craniosynostosis

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 49, No 4 (2015)

Pages

229-238

DOI

10.1016/j.pjnns.2015.05.006

Bibliographic record

Neurol Neurochir Pol 2015;49(4):229-238.

Keywords

Craniofacial anthropometry
Craniosynostosis
Pathological growth
Cranioplasty

Authors

Eva Štefánková
František Horn
Eva Neščáková
Michal Kabát
Michal Petrík
Ján Trnka

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