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Updated: Jun 18, 2026

Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model
Published on: November 4, 2025
Quantification of cranial base growth during pubertal growth
Luciana Abrão Malta1, Cristina F Ortolani, Kurt Faltin
1Department of Orthodontics School of Dentistry University Paulista, UNIP, Sao Paulo, Brazil. lucianabrao@yahoo.com.br
Cranial base growth significantly increases during puberty, with no observed gender differences in this longitudinal cephalometric study using the cervical vertebral maturation (CVM) method. All linear variables showed statistically significant increases.
Area of Science:
- Orthodontics and Dental Anthropology
- Human Growth and Development
- Cephalometric Analysis
Background:
- Understanding cranial base development is crucial for diagnosing and treating dentofacial abnormalities.
- Longitudinal studies are essential for tracking growth patterns from prepubertal to postpubertal stages.
- The cervical vertebral maturation (CVM) method provides a reliable indicator of skeletal maturity.
Purpose of the Study:
- To quantify longitudinal cranial base growth using the CVM method.
- To analyze growth patterns from prepubertal through postpubertal stages.
- To investigate potential sexual dimorphism in cranial base growth.
Main Methods:
- Longitudinal cephalometric study involving 36 subjects (21 females, 15 males) with normal growth patterns.
- Cervical vertebral maturation (CVM) stages assessed independently by two examiners.
- Cranial base measurements analyzed using repeated-measures ANOVA and Tukey post hoc tests.
Main Results:
- Significant increases observed in all cephalometric measures between developmental stages (P<0.05).
- The Ba-Na measurement showed the greatest overall growth (mean change=2.8 mm).
- No significant gender differences were found in cranial base growth patterns.
Conclusions:
- Linear variables of the cranial base exhibit significant growth during pubertal stages (pre-peak, peak, post-peak).
- Cranial base growth occurs consistently throughout puberty, exceeding 2.0 mm during this period.
- This study found no evidence of sexual dimorphism in cranial base linear growth.
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