Journals / Selçuk Tıp Dergisi / 2000 / Cilt: 16 - Sayı: 2
Determination of anterior fontanel and cranium morphology of premature and full term newborns according to age and sex, and investigation of the relation between them
- Journal
- Selçuk Tıp Dergisi
- Pages
- 71–77
- DOI
- —
Abstract
In this study, we aimed to determine the measurements of anterior fontanel and the relation between cranial morphology and anterior fontanel in prematüre and full term newborns. We were studied 60 premature infants (Male 30, Female 30) who were aged between 34 and 37 post menstrual week, and 60 full term infants (Male 30, Female 30). In all cases, head circumference, head length, and head width were measured. From the corner points of anterior fontanel, transverse width and sagittal length of anterior fontanel were measured. Average of diameter of anterior fontanel and anterior fontanel area were calculated in the all cases. The measurements of cranial parameters were statistically significantly different between premature and full term infants in whom it was greater than premature infants (p<0.001). There was no difference in anterior fontanel parameters between premature and term infants. There were statistically significant differences in birth weight, length, head circumference and head length between sexes in newborns, that it was larger in males than females (p<0.05). There were differences in sagittal length of anterior fontanel, average of diameter of anterior fontanel and anterior fontanel area between sexes in premature infants, that it was larger in males than females (p<0.05). A significant positive correlation between the gestational age and anterior fontanel dimensions (fontanel transverse width and fontanel sagittal length) was found in premature male infants (respectively; r:0.27, r:0.43). Between the measurements of cranium and anterior fontanel dimensions, significant positive correlation was found both of sex in premature infants (r: 0.67- 0.31). The average of anterior fontanel dimensions of premature and term newborn infants were found higher than those found in previous studies for both sexes. Knowledge about normal variations in anterior fontanel dimensions can help in diagnosis of pathologies of cranial skeleton development.
Özet
Çalismamizda prematüre ve miadinda yenidoganlarda anterior fontanel boyutlarinin belirlenmesi ve fontanel boyutlari ile kranyal morfoloji arasindaki iliskilerin belirlenmesi amaçlandi. Yaslari 34-37 gebelik haftasi yasi arasinda degisen 60 prematüre (30 erkek, 30 kiz) ile yaslari 39-41 gebelik haftasi yasi arasinda degisen 60 miadinda yenidogan (30 erkek, 30 kiz) olgu üzerinde çalisildi. Çalismada bütün vakalarda bas çevresi, kafa uzunlugu ve kafa genisligi ölçüldü. Anterior fontanel köse noktalarindan fontanelin transvers genisligi ve sagittal uzunlugu ölçüldü. Daha sonra fontanel çap ortalamasi ve fontanel alani hesaplandi. Kranyal parametrelerin ölçümlerinde prematüre ve miadinda yenidoganlar arasinda miadinda doganlarda prematürelerden daha büyük olmak üzere istatistiki açidan anlamli farklilik tespit edildi (p<0.001). Fontanel parametrelerinde ise prematüre ve miadinda yenidoganlar arasinda farklilik bulunamadi. Yenidoganlarda cinsler arasinda dogum agirligi, boy, bas çevresi ve kafa uzunlugunda erkeklerde daha büyük olmak üzere farklilik vardi (p<0.05). Prematüre yenidoganlarda cinsler arasinda anterior fontanel sagittal uzunlugu, ortalama uzunlugu ve alaninda erkeklerde daha büyük olmak üzere farklilik tespit edildi (p<0.05). Prematüre erkek yenidoganlarda gestasyonel yas ile fontanel transvers genisligi ve sagittal uzunlugu parametreleri arasinda anlamli iliski oldugu belirlendi (sirasiyla; r:0.27, r:0.43). Prematüre yenidogan her iki cinstede kranyum ölçümleri ile anterior fontanel boyutlari arasinda anlamli derecede pozitif korelasyon bulundu (r: 0.67- 0.31). Çalismamizdaki prematüre ve miadinda yenidoganlardaki ortalama anterior fontanel boyutlarinin her iki cinste de yapilan diger çalismalardan yüksek oldugu tespit edildi. Anterior fontanel boyutlarinin normal varyasyonlari hakkindaki bilgiler kranyal iskelet gelisiminin patolojilerinin teshis edilmesinde yardimci olabilir.