Craniofacial Growth and Asymmetry in Newborns: A Longitudinal 3D Assessment

Int J Environ Res Public Health. 2022 Sep 25;19(19):12133. doi: 10.3390/ijerph191912133.

Abstract

Objective: To evaluate the development of the craniofacial region in healthy infants and analyze the asymmetry pattern in the first year of life.

Methods: The participants were grouped by sex and age (1, 2, 4, 6, 9, and 12 months) to receive three-dimensional (3D) photographs. Stereoscopic craniofacial photos were captured and transformed into a series of craniofacial meshes in each group. The growth patterns of the anthropometric indices and the degree of craniofacial asymmetry were measured, and average craniofacial meshes and color-asymmetry maps with craniofacial asymmetry scores were calculated.

Results: A total of 373 photographs from 66 infants were obtained. In both genders, the highest and lowest growth rates for all anthropometric indices were noted between 1 and 2 months and between 9 and 12 months, respectively. Overall, male infants had higher anthropometric indices, head volume, and head circumference than female infants. The craniofacial asymmetry score was presented with a descending pattern from 1 to 12 months of age in both sex groups. Both sex groups showed decreased left-sided laterality in the temporal-parietal-occipital region between 1 and 4 months of age and increased right frontal-temporal prominence between 6 and 12 months of age.

Conclusions: A longitudinal evaluation of the craniofacial growth of healthy infants during their first year of life was presented.

Keywords: 3D image; color-asymmetry maps; craniofacial growth; craniofacial morphology; growth chart; head volume; longitudinal assessment; newborns.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anthropometry
  • Cephalometry / methods
  • Facial Asymmetry*
  • Female
  • Head / diagnostic imaging
  • Humans
  • Imaging, Three-Dimensional*
  • Infant
  • Infant, Newborn
  • Male

Grants and funding

This research was supported in part by a grant from the Craniofacial Research Center, Taoyuan Chang Gung Memorial Hospital (CMRPG3J0823, CMRPG3L0361, CORPG3M0211, NRRPG3K0031).