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通过头颅侧位片评估10至12岁儿童的性别差异

Assessment of Sexual Dimorphism Through Lateral Cephalogram in Children Aged 10-12 Years.

作者信息

Sagarika Prakriti, Ponraj Sujitha, Ramar Kavitha, S Rajakumar

机构信息

Pediatric and Preventive Dentistry, SRM Kattankulathur Dental College and Hospital, Chennai, IND.

出版信息

Cureus. 2024 Jul 8;16(7):e64107. doi: 10.7759/cureus.64107. eCollection 2024 Jul.

Abstract

INTRODUCTION

Forensic dentistry integrates interdisciplinary scientific knowledge to produce accurate and reliable forensic statements. Anthropometry, essential since its introduction by Alphonse Bertillon in 1882, describes human body shapes and has significant forensic applications. This study focuses on sexual dimorphism, phenotypic differences between males and females, using lateral cephalometric measurements to determine sex in children aged 10-12 years from the Chengalpattu population.

MATERIALS AND METHODS

The cross-sectional study included 80 participants (40 boys and 40 girls). Lateral cephalograms were analyzed using Ceph Ninja Pro software to obtain 15 cephalometric measurements. Statistical analysis using SPSS Software (Version 22.0) involved t-tests to identify significant differences (P<0.05). Discriminant function analysis assessed the predictive power of these variables.

RESULTS

Seven variables showed significant differences between sexes. Discriminant models based on these variables determined sex with varying reliability. Ramus length was the most reliable predictor (81%), while maxillary length had the lowest reliability (62%).

DISCUSSION

The study's findings align with existing literature, indicating the robustness of ramus length for sex determination. However, the low reliability of maxillary length contrasts with studies that found it useful for sex differentiation, suggesting variability across populations and age groups. Combining multiple cephalometric variables improved accuracy, consistent with previous research.

CONCLUSION

Lateral cephalograms are effective for assessing sexual dimorphism in children. The study supports the forensic and clinical utility of cephalometric measurements and calls for further research with diverse populations and advanced imaging techniques to enhance method reliability and applicability.

摘要

引言

法医牙科学整合跨学科科学知识以做出准确可靠的法医陈述。人体测量学自1882年被阿尔方斯·贝蒂荣引入以来至关重要,它描述人体形态并具有重要的法医应用价值。本研究聚焦于两性异形,即男性和女性之间的表型差异,利用头颅侧位测量来确定来自钦加尔帕图人群的10至12岁儿童的性别。

材料与方法

这项横断面研究纳入了80名参与者(4名男孩和40名女孩)。使用Ceph Ninja Pro软件分析头颅侧位片以获得15项头颅测量数据。使用SPSS软件(版本22.0)进行统计分析,包括t检验以确定显著差异(P<0.05)。判别函数分析评估这些变量的预测能力。

结果

七个变量在性别之间显示出显著差异。基于这些变量的判别模型确定性别的可靠性各不相同。下颌升支长度是最可靠的预测指标(81%),而上颌长度的可靠性最低(62%)。

讨论

该研究结果与现有文献一致,表明下颌升支长度在性别确定方面的稳健性。然而,上颌长度的低可靠性与一些发现其对性别区分有用的研究形成对比,这表明不同人群和年龄组之间存在差异。结合多个头颅测量变量可提高准确性,这与先前的研究一致。

结论

头颅侧位片对于评估儿童的两性异形是有效的。该研究支持头颅测量在法医和临床方面的实用性,并呼吁使用不同人群和先进成像技术进行进一步研究,以提高方法的可靠性和适用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da18/11306192/5898a5d47ad1/cureus-0016-00000064107-i01.jpg

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