Cranial Growth Unrestricted during Treatment of Deformational Plagiocephaly

1999 ◽  
Vol 30 (4) ◽  
pp. 193-199 ◽  
Author(s):  
Kevin M. Kelly ◽  
Timothy R. Littlefield ◽  
Jeanne K. Pomatto ◽  
Kim H. Manwaring ◽  
Stephen P. Beals
Keyword(s):  
Deformational Plagiocephaly ◽  
Cranial Growth

scholarly journals Dynamic orthotic cranioplasty: treatment of the older infant.

2000 ◽  
Vol 9 (3) ◽  
pp. 1-4 ◽  
Author(s):  
Timothy R. Littlefield ◽  
Jeanne K. Pomatto ◽  
Kevin M. Kelly
Keyword(s):  
Prospective Studies ◽  
Case Reports ◽  
Deformational Plagiocephaly ◽  
Present Evidence ◽  
Orthotic Device ◽  
Cranial Growth

The Dynamic Orthotic Cranioplasty Band is a cranial orthotic device used to treat deformational plagiocephaly in infants. The device works by applying a mild holding pressure to the most anterior and posterior prominences, where growth is not desired, while encouraging growth in adjacent flattened regions. Although this technique has been successfully used to treat infants as young as 3 months of age, it is often assumed that decreasing cranial growth and increasing cranial rigidity prohibit treatment in infants older than 1 year of age. The authors' experience with older infants suggests the contrary. Through a series of case reports, they present evidence that this treatment remains viable during the 2nd year of life and that improvement has been observed in infants in whom treatment has been initiated as late as 18 months. These examples certainly suggest that additional prospective studies are warranted.

scholarly journals Assessing calvarial vault constriction associated with helmet therapy in deformational plagiocephaly

2018 ◽  
Vol 22 (2) ◽  
pp. 113-119 ◽  
Author(s):  
Erin C. Peterson ◽  
Kamlesh B. Patel ◽  
Gary B. Skolnick ◽  
Kristin D. Pfeifauf ◽  
Katelyn N. Davidson ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Patient Positioning ◽  
Control Group ◽  
Care Providers ◽  
Growth Data ◽  
Deformational Plagiocephaly ◽  
Volume Calculation ◽  
Cranial Growth ◽  
Helmet Therapy ◽  
Significant Difference

OBJECTIVEDeformational plagiocephaly and/or brachycephaly (DPB) is a cranial flattening frequently treated in pediatric craniofacial centers. The standard of care for DPB involves patient positioning or helmet therapy. Orthotic therapy successfully reduces cranial asymmetry, but there is concern over whether the orthotics have the potential to restrict cranial growth. Previous research addressing helmet safety was limited by lack of volume measurements and serial data. The purpose of this study was to directly compare head growth data in patients with DPB between those who underwent helmet therapy and those who received repositioning therapy.METHODSThis retrospective cohort study analyzed pre- and posttherapy 3D photographs of 57 patients with DPB who had helmet therapy and a control group of 57 patients with DPB who underwent repositioning therapy. The authors determined the change in cranial vault volume and cranial circumference between each patient’s photographs using 3D photogrammetry. They also computed a cubic volume calculated by multiplying anterior-posterior diameter, biparietal diameter, and height. Linear regressions were used to quantify effects of age and therapy type on these quantities.RESULTSA comparison of the following variables between the two groups yielded nonsignificant results: age at the beginning (p = 0.861) and end (p = 0.539) of therapy, therapy duration (p = 0.161), and the ratio of males to females (p = 0.689). There was no significant difference between patients who underwent helmeting versus positioning therapy with respect to change in either volume calculation or head circumference z-score (p ≥ 0.545). Pretherapy photograph age was a significant predictor of cranial growth (p ≤ 0.001), but therapy type was not predictive of the change in the study measurements (p ≤ 0.210).CONCLUSIONSThe authors found no evidence that helmet therapy was associated with cranial constriction in the study population of patients with DPB. These results strengthen previous research supporting helmet safety and should allow health care providers and families to choose the appropriate therapy without concern for potential negative effects on cranial growth.

Cranial Growth Unrestricted During Treatment of Deformational Plagiocephaly

2000 ◽  
Vol 11 (2) ◽  
pp. 204
Author(s):  
Keven M. Kelly ◽  
Timothy R. Littlefield ◽  
Jeanne K. Pomitto ◽  
Kim H. Manwaring ◽  
Stephen P. Beals
Keyword(s):  
Deformational Plagiocephaly ◽  
Cranial Growth

Toward quantitative assessment of deformational plagiocephaly and brachycephaly at the point-of-care

2021 ◽  
Vol 8 (02) ◽  
Author(s):  
Reza Seifabadi ◽  
Fereshteh Aalamifar ◽  
Seyed Hossein Hezaveh ◽  
Can Kocabalkanli ◽  
Kelly Wilburn ◽  
...  
Keyword(s):  
Quantitative Assessment ◽  
Point Of Care ◽  
Deformational Plagiocephaly

Disparities in Access to Cranial Remodeling Orthosis for Deformational Plagiocephaly

2021 ◽  
pp. 105566562110698
Author(s):  
Alexandra Junn ◽  
Jacob Dinis ◽  
Aaron Long ◽  
Sacha Hauc ◽  
Sarah Phillips ◽  
...  
Keyword(s):  
Low Socioeconomic Status ◽  
Demographic Variables ◽  
Delayed Presentation ◽  
Deformational Plagiocephaly ◽  
Low Socioeconomic ◽  
Delayed Treatment ◽  
Logistic Regressions ◽  
Insured Patients ◽  
To Receive ◽  
Income Quartile

Objective Moderate to severe cases of deformational plagiocephaly (DP) may be treated with cranial remolding orthoses (CRO). This study investigated the socioeconomic disparities in access to care for CRO for DP correction. Design This was a retrospective review of medical records from a single CRO company in Connecticut from 2014 to 2020. Methods Demographic variables were collected from all patients. Univariable logistic regressions were used to identify differences for presenting age at consultation, whether CRO was pursued, and length of CRO treatment by insurance payor and household income quartile. Results Of the 5620 patients identified, 4100 (73.0%) received CRO, with 674 (12.0%) receiving a second helmet. Of those receiving CRO, 1536 (37.5%) had Medicaid insurance while 2558 (62.4%) were commercially insured. Patients on Medicaid were 1.30 times more likely to have delayed presentation ( P  =  .017), while patients from the lowest income quartile were 1.26 1.50 ( P < .001) and 1.58 ( P < .001) times more likely to have a delayed presentation relative to those in the highest and second-highest income quartiles, respectively. Patients in the highest and second-highest income quartiles were also 1.55 ( P < .001) and 1.45 ( P < .001) more likely, respectively, to receive CRO after consultation than those from the lowest income quartile. Conclusions Lower income and Medicaid-insured patients had delayed presentation for CRO consultation. Those from the lowest income quartile were more likely to never receive CRO than those from wealthier backgrounds. Low socioeconomic status and Medicaid insurance, which can have more restrictive coverage policies for CRO, may result in the delayed treatment of DP.

Deformational Posterior Plagiocephaly: Diagnosis and Treatment

2002 ◽  
Vol 39 (6) ◽  
pp. 582-586 ◽  
Author(s):  
John F. Teichgraeber ◽  
Jeffrey K. Ault ◽  
James Baumgartner ◽  
Amy Waller ◽  
Marion Messersmith ◽  
...  
Keyword(s):  
Prospective Study ◽  
Treatment Outcomes ◽  
Cranial Base ◽  
Anthropometric Measurements ◽  
Diagnosis And Treatment ◽  
Cranial Vault ◽  
Medical Conditions ◽  
Deformational Plagiocephaly ◽  
Helmet Therapy ◽  
Posterior Plagiocephaly

Objective This study was designed to evaluate the effectiveness of helmet therapy (DOC band) in the correction of patients with moderate to severe posterior deformational plagiocephaly. Design In this prospective study, the infants were evaluated using 18 anthropometric measurements. Patients The charts of 248 patients seen between August 1, 1995, and July 31, 1999, were reviewed, and 125 met the criteria for inclusion in the study. All the patients had posterior deformational plagiocephaly with no other craniofacial deformities or medical conditions. Treatment was instituted prior to 1 year of age, and all patients were compliant with DOC band usage and had complete anthropometric measurements. Results The study recorded a 41.56% (p < .001) reduction in cranial vault asymmetry and a 40.23% (p < .001) reduction in cranial base asymmetry. Orbitotragial asymmetry was improved 18.72% (p = .0738). The age at which treatment was begun was not a significant factor in predicting treatment outcomes.

scholarly journals Methods to Quantify Soft Tissue–Based Cranial Growth and Treatment Outcomes in Children: A Systematic Review

PLoS ONE ◽  
2014 ◽  
Vol 9 (2) ◽  
pp. e89602 ◽  
Author(s):  
Sander Brons ◽  
Machteld E. van Beusichem ◽  
Ewald M. Bronkhorst ◽  
Jos M. Draaisma ◽  
Stefaan J. Bergé ◽  
...  
Keyword(s):  
Systematic Review ◽  
Soft Tissue ◽  
Treatment Outcomes ◽  
Cranial Growth

Variability of measurements of cranial growth in the rabbit

1990 ◽  
Vol 188 (4) ◽  
pp. 393-400 ◽  
Author(s):  
Per Alberius ◽  
Martin Malmberg ◽  
Sven Persson ◽  
G�ran Selvik
Keyword(s):  
Cranial Growth
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