Vlcek E, Smahel Z
National Museum, Prague, Czech Republic.
Acta Chir Plast. 1998;40(4):115-27.
X-ray films of the skull of the king and emperor Charles IV and his four wives and two sons were made under standard conditions with the mandibles fixed in a centric occlusion. The results of roentgenocephalometric analysis were compared with norms valid for the contemporary Czech population. Consistent with the somatic condition of Charles IV, the findings indicate an above-average large face with the usual anteriorotational developmental type. The facial skeleton is structurally harmonious, but the sagittal intermaxillary relations belong into skeletal class II with a relatively retruded lower jaw in relation to the upper one. This is associated with a greater maxillary overjet of the upper incisors. The disharmony was caused by a fracture of the mandibular condyles. Reconstruction of the condition before the injury revealed an originally normal anteroposterior relationship of the jaws (skeletal class I) and occlusion of the incisors. As to the shape of the cranium, Charles IV's wives differ in basic features. In two, for different reasons, we find skeletal class II (retrogenia), in one skeletal class III (progenia) and only in Elizabeth of Pomerania, with marked flattening of the cranial base and posteriorotation of the face are the anteroposterior relations of the two jaws normal (skeletal class I). Wenceslas IV differs from his parents Charles IV and Anne of Svidnic by a flat cranial base which pushes the lower jaw backwards, however, it does not cause its posteriorotation; we find, similarly as in the father and mother, an anteriorotational growth type of the face. In the other basic parameters of the cranium there are no marked differences between son and parents. In evaluating the similarity of the facial structure of John of Görlitz to that of his parents, disagreement is caused by the flat cranial base of the mother Elizabeth of Pomerania associated with posteriorotation of the face. In the son we find, conversely, an even more marked anteriorotation than in the father and also other parameters of the facial configuration indicating plausible agreement with the findings in Charles IV. The curving of the cranial base has an impact on the shape of the whole cranium, but the results indicate that the heritability of the rotational growth type of face and the degree of cranial base curvature probably is not very marked.
在标准条件下,对国王兼皇帝查理四世及其四位妻子和两个儿子的颅骨进行了X线片拍摄,拍摄时下颌固定于正中咬合位。将X线头影测量分析结果与适用于当代捷克人群的标准进行了比较。与查理四世的身体状况相符,研究结果显示其面部偏大,高于平均水平,且具有常见的前旋转发育类型。面部骨骼结构和谐,但矢状颌间关系属于骨骼II类,相对于上颌,下颌相对后缩。这与上颌切牙较大的覆盖有关。这种不协调是由下颌髁突骨折引起的。对损伤前状况的重建显示,颌骨原本的前后关系正常(骨骼I类)且切牙咬合正常。至于颅骨的形状,查理四世的几位妻子在基本特征上存在差异。其中两位因不同原因呈现骨骼II类(后缩颌),一位为骨骼III类(前突颌),只有波美拉尼亚的伊丽莎白,其颅底明显扁平且面部后旋转,上下颌的前后关系正常(骨骼I类)。瓦茨拉夫四世与他的父母查理四世和斯维德尼察的安妮不同,其颅底扁平,将下颌向后推,但并未导致下颌后旋转;与父母一样,我们发现其面部为前旋转生长类型。在颅骨的其他基本参数方面,儿子与父母之间没有明显差异。在评估戈尔利茨的约翰与其父母面部结构的相似性时,其母亲波美拉尼亚的伊丽莎白颅底扁平并伴有面部后旋转,这导致了分歧。相反,在儿子身上我们发现,其前旋转比父亲更为明显,而且面部形态的其他参数表明与查理四世的研究结果有合理的一致性。颅底的弯曲对整个颅骨的形状有影响,但结果表明,面部旋转生长类型和颅底弯曲程度的遗传度可能不是很显著。