Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Evaluation of craniofacial morphology in short-statured children: growth hormone deficiency versus idiopathic short stature

  • Kim, Ki Bong (Department of Dentistry, Yeungnam University College of Medicine) ;
  • Kim, Eun-Kyong (Department of Dental Hygiene, College of Science and Technology, Kyungpook National University) ;
  • Jang, Kyung Mi (Department of Pediatrics, Yeungnam University College of Medicine) ;
  • Kim, Min Seon (Department of Dentistry, Yeungnam University Hospital) ;
  • Park, Eun Young (Department of Dentistry, Yeungnam University College of Medicine)
  • Received : 2020.05.07
  • Accepted : 2020.06.11
  • Published : 2021.01.31
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Abstract

Background: Short stature is defined as a height below the 3rd percentile or more than two standard deviations below the mean for a given age, sex, and population. There have been inconsistent results regarding craniofacial morphology in short-statured children. This study aimed to analyze the differences between short-statured children with growth hormone deficiency, idiopathic short-statured children, and normal children. Methods: Thirty-one short-statured children with growth hormone deficiency, 32 idiopathic short-statured children, and 32 healthy children were enrolled in this study. The measurements of their craniofacial structures from lateral cephalograms were evaluated. Results: There were statistically significant differences among the three groups seven variables (anterior cranial base length, posterior cranial base length, total cranial base length, upper posterior facial height, posterior total facial height, mandibular ramus length, and overall mandibular length) in the linear measurement and five variables (saddle angle, gonial angle, mandibular plane angle, position of mandible, and maxilla versus mandible) in the angular measurement. Conclusion: Compared to the control group, many linear and angular measurements of the craniofacial structures were significantly different in the two short-statured groups (p <0.05). Treatment plans by orthodontists should include these craniofacial structure characteristics.

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