The purpose of the study – to find out the regularities of the age dynamics of cephalometricparameters and critical periods of the development of the skull of human fetuses.Material and methods. 60 preparations of skulls and 63 computer tomograms of theheads of human fetuses aged from 4 to 10 months of intrauterine development werestudied. A complex of morphological research methods was applied, which includedanthropometry, morphometry, three- dimensional reconstruction and statistical analysis.Linear and angular parameters of the skull were measured, and their ratios, characterizingthe constitutional and cephalometric parameters of the individual (cranial and facialindices), were determined. Results. The analysis of absolute cephalometric parameters (longitudinal, transversediameters, skull circumference, height dimensions) demonstrated the predominanceof logarithmic dynamics of their changes in human fetuses, that is explained by theiraccelerated growth during the 4th month of intrauterine development and a slowdownduring the 7th month with subsequent acceleration in the 8th month of prenatal development.A straight trend line is characteristic of the V-S height (distance from the Sella turcica tothe highest point of the skull), which is explained by the accelerated growth of the anteriorand posterior cranial fossae, while the sphenoid bone and the region of anterior fontanelledevelop in a consistent direction and pace. The linear pattern of growth is typical for theforamen magnum, hard palate, length of the orbit, body and ramus of the mandible, aswell as for relative cephalometric parameters that show a wide range of morphometricvariability. Analysis of the scatter diagram using the method of weighted least squaresdistances showed a decrease in the angle of the front part of the cranial base until the5th month of intrauterine development, followed by an increase in the 7th-8th months ofprenatal development. Multivariate regression analysis of the relationship between fetalage, cranial index and the value of the angle of the front part of the cranial base showedpronounced anatomical variability, which depended on the craniotype. Before the end ofintrauterine development, the N-S-Ba angle increases, but at the beginning of the fetal periodof ontogenesis, it decreases. It has the smallest values in dolichocephals compared to othercraniotypes. The largest values of this angle are found in mesocephals at the beginning of thefetal period, and in brachiocephals and mesocephals at the end of intrauterine development.Conclusions. 1. Critical periods of skull development in the fetal period of humanontogenesis are the 4-5th and 7-8th months, during which uneven changes in absoluteand relative craniometric parameters are observed. 2. The value of the angle of the frontpart of the cranial base can be a diagnostic and prognostic indicator in combinationwith the cranial index, which characterize the craniotype of the individual, during themonitoring of the normal development of the skull and brain of the fetus.
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