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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.
Abstract:
Cephalic index is a highly useful method for planning surgical procedures, as well as assessing their effectiveness in correcting cranial deformations in children. There are relatively very few studies measuring cephalic index in healthy Caucasian young children. The aim of our study was to develop a classification of current cephalic index for healthy Caucasian children up to 3 years of age with normal brain development, using axial slice computer tomography performed with very thin slices (0.5 mm) resulting in more accurate measurements. 180 healthy infants (83 females and 97 males) were divided into 5 age categories: 0-3, 4-6, 7-12, 13-24, and 25-36 months. The average value of cephalic index in children up to 3 years of age amounted to 81.45 ± 7.06. The index value in case of children under 3 months was 80.19, 4 to 6 months was 81.45, 7 to 12 months was 83.15, in children under 2 years was 81.05, and in children under 3 years was 79.76. Mesocephaly is the dominating skull shape in children. In this study, we formulated a classification of current cephalic indices of children with normal brain development. Our date appears to be of utmost importance in anthropology, anatomy forensic medicine, and genetics.
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