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Published on: May 6, 2014
Age-dependent changes in the hyoid bone morphology in children
Burhan Beger1, Abdulaziz Yalınkılıç2, Mehmet Zeki Erdem2
1Faculty of Medicine, Department of Pediatric Surgery, Van Yüzüncü Yıl University, 65080, Van, Türkiye, Türkiye. burhanbeger@hotmail.com.
Insights
Hyoid bone (HB) size increases with age in children, while its angle decreases after late childhood. These growth patterns can help estimate HB size in pediatric populations.
Area of Science:
- Radiology
- Pediatric Imaging
- Anatomy
Background:
- The hyoid bone (HB) is a unique U-shaped bone in the neck.
- Understanding hyoid bone morphology changes with age is crucial for pediatric development studies.
Purpose of the Study:
- To analyze the age-related alterations in hyoid bone (HB) morphology in children.
- To establish growth patterns for estimating hyoid bone size in pediatric populations.
Main Methods:
- Computed tomography (CT) scans of 129 children (ages 1-17) were analyzed.
- Measurements included HB length, greater horn dimensions, body width/height, and horn angles.
- Hyoid bone shapes were classified into four types (U, B, D, V).
Main Results:
- Anterior-posterior length, greater horn lengths, body width/height, and posterior horn distance increased with age (p<0.001).
- The angle of the greater horns decreased with age (p=0.022).
- Hyoid bone shape correlated significantly with pediatric age (p<0.001) but not gender (p=0.153).
Conclusions:
- Hyoid bone dimensions generally increase until the postpubescent period.
- The angle of the greater horns shows a decrease after late childhood.
- Developed linear functions can potentially estimate hyoid bone size in children.
Purpose:
This radiologic work aimed to display the alteration in the hyoid bone (HB) morphology in the pediatric population with advancing age.
Methods:
This pediatric examination consisted of computed tomography images of 129 subjects (49 males / 80 females) aged 1-17 years.
Results:
The anterior-posterior length of HB, the lengths of right and left greater horns, the width and height of HB's body, and the distance between the midpoints of the posterior ends of the greater horns increased with advancing age (p < 0.001), but the angle of the right and left greater horns (p = 0.022) decreased. Four configurations regarding HB shape were observed: Type A (U-shaped HB) in 8.5% (11 HBs) out of 129 children, Type B (B-shaped HB) in 33.3% (43 HBs), Type C (D-shaped HB) in 45% (58 HBs), and Type D (V-shaped HB) in 13.2% (17 HBs). HB shape types correlated with the pediatric age (p < 0.001), but not gender (p = 0.153).
Conclusions:
Most of the parameters increased until the postpubescent period, but the angle of the right and left greater horns decreased after the late childhood. Our linear functions representing the growth pattern of HB in children may be useful to estimate HB size.
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