Skull Scaphoid

Skulls with different shapes are located evenly in the circumference of the skull perpendicular to the plane of the cranial arch. This is not observed for flattened skulls. The scaphoid-shaped skull is determined by the asymmetrical orientation of the greater and lesser occipital bones, the parallelism of the lateral sphenoids, the large sagittal and small transverse dimensions (see example No. 69 and No. 70).

In such children, along with restrictions on the part of the central nervous system, there is also mild retardation with increased respiratory and nutritional disturbances, as well as a decrease in the body’s defenses. Based on the predominance of disturbances in the functioning of individual parts of the nervous system, doctors are often inclined to diagnose dystrophic changes in the asymmetry of the facial skeleton. When examining the skull bones of such children, it is possible to determine the mosaic pattern of disorders over the entire surface of the skull.

Studying the shape of the bone skeleton is one of the most labor-intensive tasks. Nevertheless, it is necessary to measure circumferences, diameters, and depths. The presence of asymmetry in the structure can be expressed by disturbances in the configuration of the frontal, parietal, occipital protuberances, eminences, or the presence of a frontal basihypsid fossa. Asymmetry of the paranasal sinuses and an incomparable nasal septum may be determined. The scope of research should be aimed at determining the shape and circumference of the head, taking into account its density and consistency. Studies of head parameters should be carried out by determining the symmetry of the bones of the vault and base of the skull, and, in addition, to examine the nasolabial triangle, its mirror symmetry along its anterior verticals is used. Also characteristic is a depression on the coronal suture, which is a harbinger of trigeminal neuralgia. The scaly suture at the elbow joints in combination with the divergence of the brow arches along the skin lateral grooves of the head are determined by torticollis and other birth injuries of the cervical vertebrae, which persist and appear after birth. At the age of the newborn, the degree of ossification of the occipital, large and small fontanel is determined. But the asymmetry of the skull is not determined on the x-ray. In this connection, the study is carried out by palpation and comparison of the condition of the head with a control group of newborns. The size of the opening of the large fontanelle and the parietal circumference of the head are measured.