Department of Orthodontics, CES University, Medellin, Colombia.
Eur J Orthod. 2011 Aug;33(4):441-9. doi: 10.1093/ejo/cjq099. Epub 2010 Nov 22.
The purpose of this study was to evaluate the craniofacial growth of Colombian mestizos. Four age cohorts, including a total of 458 children and adolescents (262 males and 216 females), were included in this mixed-longitudinal study. The cohorts were first measured at ages 6, 9, 12, and 15 and every year thereafter for 3 years. Eight anthropometric measurements were taken, including three cranial (head perimeter, head width, and head length), two craniofacial (maxillary and mandibular length), and three facial (face height, bizygomatic width, and bigonial width). Multilevel analyses showed that all dimensions increased between 6 and 17 years of age. The cranium grew less than the craniofacial, which in turn grew less than the facial dimensions. In addition, vertical dimensions showed more growth than antero-posterior dimensions, which in turn grew more than transverse dimensions. None of the measurement showed statistically significant growth differences between subjects with normal occlusion and Class I or Class II malocclusions. Males were generally larger than females and showed greater growth rates. Except for facial width, whose yearly velocities decreased regularly with age, an adolescent growth spurt was evident for most of the male measurements. Yearly velocities for females followed a simpler decelerating pattern. The results provide reference data for Colombian mestizos, for whom normative data of other ethnic groups are not applicable. While occlusion had little or no effect, there were gender differences, as well as important growth differences between cranial and facial measurements.
本研究旨在评估哥伦比亚混血儿的颅面生长情况。该混合纵向研究共纳入了四个年龄组,总计 458 名儿童和青少年(262 名男性和 216 名女性)。这些队列最初在 6、9、12 和 15 岁时进行测量,此后每年测量 3 年。共进行了 8 项人体测量,包括 3 项头颅(头围、头宽和头长)、2 项颅面(上颌和下颌长度)和 3 项面型(面高、面宽和双颌宽)。多水平分析显示,所有维度均在 6 至 17 岁之间增加。颅骨生长小于颅面,而颅面又小于面型尺寸。此外,垂直尺寸的生长大于前后尺寸,而前后尺寸的生长又大于横向尺寸。正常咬合与 I 类或 II 类错颌的受试者之间,所有测量均无统计学上的生长差异。男性通常比女性大,生长速度也更快。除了面宽外,其每年的生长速度随年龄的增加而规律下降,大多数男性的测量值都有明显的青少年生长突增。女性的年生长速度遵循更为简单的减速模式。研究结果为哥伦比亚混血儿提供了参考数据,因为其他种族群体的标准数据不适用于他们。尽管咬合的影响很小或没有,但存在性别差异,以及颅骨和面部测量之间存在重要的生长差异。