Cephalic index in the first three years of life: study of children with normal brain development based on computed

Wirginia Likus1, Grzegorz Bajor1, Katrzyna Gruszczyńska2

  • 1Department of Human Anatomy, Medical University of Silesia, 18 Medyków Street, Bulding C-1, 40-752 Katowice, Poland.

Insights

This study establishes a cephalic index classification for healthy Caucasian children up to 3 years old. Mesocephaly is the most common skull shape, with average index values varying by age group.

Area of Science:

  • Pediatric medicine
  • Anthropology
  • Medical imaging

Background:

  • The cephalic index is crucial for surgical planning and assessing cranial deformation correction in children.
  • Limited data exists on cephalic indices in healthy, young Caucasian children.
  • Accurate cephalic index measurement is vital for pediatric craniofacial assessments.

Purpose of the Study:

  • To establish a detailed cephalic index classification for healthy Caucasian children up to 3 years of age.
  • To utilize high-resolution computed tomography (CT) for precise measurements.
  • To provide normative data for pediatric craniofacial development.

Main Methods:

  • 180 healthy Caucasian infants (83 female, 97 male) were analyzed.
  • Participants were categorized into five age groups: 0-3, 4-6, 7-12, 13-24, and 25-36 months.
  • Axial CT scans with 0.5 mm slices were used for accurate cephalic index calculation.

Main Results:

  • The overall average cephalic index for children up to 3 years was 81.45 ± 7.06.
  • Specific average indices were recorded for each age group: 80.19 (0-3m), 81.45 (4-6m), 83.15 (7-12m), 81.05 (13-24m), and 79.76 (25-36m).
  • Mesocephaly was identified as the predominant skull shape.

Conclusions:

  • A novel classification of cephalic indices for healthy, developing Caucasian children has been formulated.
  • These findings are significant for anthropology, anatomy, forensic medicine, and genetics.
  • The study provides essential reference data for pediatric craniofacial evaluations and interventions.

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