Nieberle, Felix and Spoerl, Steffen and Lottner, Lisa-Marie and Spanier, Gerrit and Schuderer, Johannes G. and Fiedler, Mathias and Maurer, Michael and Ludwig, Nils and Meier, Johannes K. and Ettl, Tobias and Reichert, Torsten E. and Taxis, Juergen (2023) Direct Anthropometry Overestimates Cranial Asymmetry-3D Digital Photography Proves to Be a Reliable Alternative. DIAGNOSTICS, 13 (10): 1707. ISSN , 2075-4418
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This study compared manual and digital measurements of plagiocephaly and brachycephaly in infants and evaluated whether three-dimensional (3D) digital photography measurements can be used as a superior alternative in everyday clinical practice. A total of 111 infants (103 with plagiocephalus and 8 with brachycephalus) were included in this study. Head circumference, length and width, bilateral diagonal head length, and bilateral distance from the glabella to the tragus were assessed by manual assessment (tape measure and anthropometric head calipers) and 3D photographs. Subsequently, the cranial index (CI) and cranial vault asymmetry index (CVAI) were calculated. Measured cranial parameters and CVAI were significantly more precise using 3D digital photography. Manually acquired cranial vault symmetry parameters were at least 5 mm lower than digital measurements. Differences in CI between the two measuring methods did not reach significance, whereas the calculated CVAI showed a 0.74-fold decrease using 3D digital photography and was highly significant (p < 0.001). Using the manual method, CVAI calculations overestimated asymmetry, and cranial vault symmetry parameters were measured too low, contributing to a misrepresentation of the actual anatomical situation. Considering consequential errors in therapy choices, we suggest implementing 3D photography as the primary tool for diagnosing deformational plagiocephaly and positional head deformations.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | 3-DIMENSIONAL PHOTOGRAMMETRY; VAULT ASYMMETRY; ACCURACY; RELIABILITY; DIAGNOSIS; PRECISION; DEFORMITY; SYMMETRY; INFANTS; INDEX; positional head deformation; deformational plagiocephaly; deformational brachycephaly; three-dimensional photography; orthotic helmet therapy |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Mund-, Kiefer- und Gesichtschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 09 Mar 2024 17:33 |
| Last Modified: | 09 Mar 2024 17:33 |
| URI: | https://pred.uni-regensburg.de/id/eprint/59492 |
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