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颅骨相互关系的X线头颅测量研究

Roentgencephalometric study of cranial interrelations.

作者信息

Smahel Z, Skvarilová B

机构信息

Laboratory of Congenital Defects, Institute of Experimental Medicine, Czechoslovak Academy of Sciences, Prague.

出版信息

J Craniofac Genet Dev Biol. 1988;8(4):303-18.

PMID:3220933
Abstract

Lateral X-ray films of the skull obtained in 50 normal adult males were used for studies of correlations between 26 characteristics of the size, shape, and position of the face and nine characteristics of the neurocranium in all mutual combinations. The results disclosed that the relations between individual cranial components were regulated by certain principles. The correlations between size dimensions were mostly slight; a closer relationship showed some characteristics of the shape and position. The most important variable exerting an effect on the configuration of the skull as a whole represented the angle of the cranial base which produced the rotation of the neurocranium and the face and thus acted on a series of other correlations. Of some importance as well was the length of the mandibular ramus acting on the shape and position of the lower jaw and on the vertical maxillomandibular relations. The close relationship between the anteroposterior position of both jaws was due to compensation mechanisms rather than to the identical size of both jaws. On normalization of the disturbed saggital jaw relations, the dentoalveolar components of both jaws as well as the subalveolar component of the mandible participated equally. In vertical direction the lower face showed a certain developmental independence. The discussed interrelations formed the basis for studies of the mechanisms regulating the intracranial development and the changes occurring in various anomalies, as well as for understanding the compensation and adaptation abilities of individual cranial components.

摘要

对50名正常成年男性的颅骨侧位X线片进行研究,分析面部大小、形状和位置的26个特征与脑颅骨9个特征之间的所有相互组合关系。结果表明,颅骨各组成部分之间的关系受某些原则调控。尺寸维度之间的相关性大多较弱;形状和位置的某些特征显示出更紧密的关系。对整个颅骨形态产生影响的最重要变量是颅底角,它导致脑颅骨和面部旋转,从而影响一系列其他相关性。下颌升支长度对下颌形状和位置以及上下颌垂直关系也有一定重要性。上下颌前后位置的密切关系是由于补偿机制,而非两者大小相同。在矢状位颌关系紊乱正常化过程中,上下颌的牙槽成分以及下颌的牙槽下成分发挥同等作用。在垂直方向上,下面部表现出一定的发育独立性。所讨论的相互关系为研究调节颅内发育的机制、各种异常情况中发生的变化以及理解单个颅骨成分的补偿和适应能力奠定了基础。

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