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Skotko, Brian

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Skotko

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Skotko, Brian

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2015 - 20162

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Author's Publications: search.filters.isAuthorOfPublication.6463e6df-1391-4b36-b60a-2f2f514eee69

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    Craniofacial features as assessed by lateral cephalometric measurements in children with Down syndrome
    (Springer Berlin Heidelberg, 2016) Allareddy, Veerasathpurush; Ching, Nicholas; Macklin, Eric; Voelz, Lauren; Weintraub, Gil; Davidson, Emily; Prock, Lisa; Rosen, Dennis; Brunn, Richard; Skotko, Brian
    Objective: The objective of the present study is to examine the craniofacial development of patients with Down syndrome (DS) and compare them with a neurotypical population. Methods: This study is a cross-sectional analysis of lateral cephalometric radiographs of participants with DS. The study population consisted of children and young adults with DS aged 3–25 years. Cephalometric data were summarized by age and sex. Raw and normalized z-scores were computed. One-sample t tests were used to test whether mean z-scores differed from zero. The demographic characteristics between those with or without lateral cephalograms among all study participants were compared by Fisher’s exact tests. Results: The study sample comprised of 27 participants with DS. Study subjects demonstrated a class III skeletal pattern. This was more pronounced in the older age groups as compared to younger age groups. Subjects also had an increased proportionate lower anterior face height to total facial height compared to normative standards. Gonial angles, mandibular plane angles, and airway measurements increased with age. Conclusions: Patients with Down syndrome present typically with class III skeletal pattern and long lower anterior facial heights. In patients with Down syndrome, comprehensive phase of orthodontic treatment may be best initiated following cessation of growth.
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    Out-of-pocket Medical Costs for Parents with Children with Down Syndrome in the United States
    (2015) Kageleiry, Andrew; Samuelson, David; Duh, Mei; Lefebvre, Patrick; DerSarkissian, Maral; Campbell, John; Skotko, Brian
    Financial considerations may impact the pregnancy decisions of expectant parents who receive a positive prenatal screening test result for Down syndrome (DS). This study estimates the out-of-pocket health care costs for parents associated with raising a child with DS between birth and 18 years of age, using private U.S. health insurance data.