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Plagiocephaly

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https://www.readbyqxmd.com/read/28756967/the-self-defining-axis-of-symmetry-a-new-method-to-determine-optimal-symmetry-and-its-application-and-limitation-in-craniofacial-surgery
#1
Markus Martini, Anne Klausing, Martina Messing-Jünger, Guido Lüchters
PURPOSE: Analysis of symmetry represents an essential aspect of plastic-reconstructive surgery. For cases in which reference points are either not fixed or are changed due to corrective intervention the determination of a symmetry axis is sometimes almost impossible and a pre-defined symmetry axis would not always be helpful. To assess cranial shape of surgical patients with craniosynostosis, a new algebraic approach was chosen in which deviation from the optimal symmetry axis could be quantified...
July 6, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28754278/-effects-of-deformational-plagiocephaly-during-the-first-12%C3%A2-months-on-the-psychomotor-development-of-prematurely-born-infants
#2
M Fabre-Grenet, P Garcia-Méric, V Bernard-Niel, V Guagliardo, S Cortaredona, M Aymeric-Ponsonnet
AIMS: The link between deformational plagiocephaly and psychomotor development is a recurrent question in medical publications. Main publications concentrate on term infants, but there is a lack of data on the impact of deformational plagiocephaly on the long-term neurodevelopment of premature infants. We attempted to establish a possible relation between deformational plagiocephaly during the 1st year of life and the psychomotor score at 4 years in prematurely born infants. Other risk factors potentially impacting the psychomotor score were also studied...
July 25, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28746284/discussion-head-orthosis-therapy-in-positional-plagiocephaly-influence-of-age-and-severity-of-asymmetry-on-effect-and-duration-of-therapy
#3
COMMENT
Tara L Braun, Larry H Hollier
No abstract text is available yet for this article.
August 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28746283/head-orthosis-therapy-in-positional-plagiocephaly-influence-of-age-and-severity-of-asymmetry-on-effect-and-duration-of-therapy
#4
Felix Kunz, Tilmann Schweitzer, Jessica Kunz, Nina Waßmuth, Angelika Stellzig-Eisenhauer, Hartmut Böhm, Philipp Meyer-Marcotty, Christian Linz
BACKGROUND: Only a few studies investigating the optimal time point at which to start orthotic treatment for deformational plagiocephaly take into account the severity of skull asymmetry. The present study performs a three-dimensional analysis of the effects of age and severity of asymmetry on the final outcome. METHODS: A total of 144 patients with deformational plagiocephaly treated by molding orthosis were examined and divided into three age groups (group I, <24 weeks; group II, ≥24 to <32 weeks; and group III, ≥32 weeks) and two severity levels (mild to moderate, 30-degree cranial vault asymmetry ≥3 mm to ≤12 mm; and moderate to severe, 30-degree cranial vault asymmetry >12 mm)...
August 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28724507/comparison-of-endocranial-morphology-according-to-age-in-one-piece-fronto-orbital-advancement-using-a-distraction-in-craniosynostotic-plagiocephaly
#5
Woo Shik Jeong, Ersin Altun, Jong Woo Choi, Young Shin Rah
The capacity for cranial remodelling is known to be better at younger ages. The timing of cranioplasty could affect the axis of the skull base. We investigated whether age at the time of distraction is related to the outcome of endocranial morphology correction. In this retrospective study, we investigated the surgical outcome of 14 patients with unilateral craniosynostotic plagiocephaly who underwent one-piece fronto-orbital advancement without bandeau by using a distraction technique between April 2005 and December 2015...
June 17, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28713746/unicoronal-craniosynostosis-and-plagiocephaly-correction-with-fronto-orbital-bone-remodeling-and-advancement
#6
S M Balaji
The standard surgical treatment for unilateral coronal synostosis is fronoto-orbital advancement. The technique is known for its high recurrence rate and established plagiocephaly remains a challenge. In this case report, the management of a 5-year-old with unicoronal plagiocephaly correction with fronto-orbital bone remodeling and advancement is presented. The previous surgery done at 6 months of age resulted in failure with establishment of hypertelorism and sudden progressive diminishing vision. Furthermore, temporal hallowing was evident in the imaging technique...
January 2017: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28687466/cerebrospinal-fluid-volume-does-not-have-etiological-role-in-the-incidence-of-positional-skull-deformities
#7
Guillaume Captier, Adrien Galeron, Gérard Subsol, Melissa Solinhac, Thomas Roujeau, Nicolas Leboucq, Christian Herlin
BACKGROUND: Positional skull deformities (PSD) are becoming a daily health concern for craniofacial surgeons. Several reports have indicated that cerebrospinal fluid (CSF) space increases on computed tomography (CT) scans of infants suffering from PSD, suggesting a potential causal link. Here, we describe a semi-automatic method to estimate total brain and CSF volumes quantitatively. We tested the potential correlation between total CSF volume and the occurrence of PSD. METHODS: A single-center retrospective study was carried out using 79 CT scans of PSD and 60 CT scans of control subjects...
June 13, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28668235/severe-hypotonia-and-postnatal-growth-impairment-in-a-girl-with-a-missense-mutation-in-col1a1-implication-of-expanded-phenotypic-spectrum-of-type-i-collagenopathy
#8
Jin Sook Lee, Jieun Seo, Anna Cho, Byung Chan Lim, Murim Choi, Jung-Wook Kim, Ok-Hwa Kim, Tae-Joon Cho, Jong-Hee Chae
BACKGROUND: It is known that type I collagenopathy has a broad-spectrum phenotypic variability. Here, we report a case of a Korean girl with a heterozygous COL1A1 mutation who had an atypical presentation. CASE PRESENTATION: A 26-month-old girl presented with delayed motor development and failure to thrive. She had severe growth retardation. She exhibited right-sided plagiocephaly, blue sclerae, and facial dysmorphism, including a small pointed chin, frontal bossing, and a triangular face, but had microcephaly...
June 28, 2017: Brain & Development
https://www.readbyqxmd.com/read/28615136/accuracy-of-measurements-used-to-quantify-cranial-asymmetry-in%C3%A2-deformational-plagiocephaly
#9
Henri Aarnivala, Ville Vuollo, Tuomo Heikkinen, Virpi Harila, Lasse Holmström, Pertti Pirttiniemi, A Marita Valkama
OBJECTIVE: Various measurements are used to quantify cranial asymmetry in deformational plagiocephaly (DP), but studies validating cut-off values and comparing the accuracy of such measurements are lacking. In this study, we compared the accuracy of four different measurements in classifying children with and without DP diagnosed by visual assessment, and sought to determine their optimal cut-off values. STUDY DESIGN: Two experts rated 407 3D craniofacial images of children aged between 3 and 36 months old using the Argenta classification...
August 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28606238/-efficacy-of-sleep-position-correction-for-treating-infants-with-positional-plagiocephaly
#10
Yan Wu, Zhi-Feng Wu, Yu-Ping Zhang, Cong-Min Zhao, Xiu-Mei Yu, Wang Yang, Zai-Xin Chen, Qiu-Ming Pan
OBJECTIVE: To investigate the efficacy of 2-month course of sleeping position correction in the treatment of positional plagiocephaly in infants aged <8 months. METHODS: A total of 73 infants with positional plagiocephaly between January 2015 and June 2016 were divided into treatment group (n=46) and control group (n=27) according to parents' wishes. The treatment group received sleeping position correction, while the control group received sleep curve mattress...
June 2017: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/28574316/imaging-of-congenital-torticollis-in-infants-a-retrospective-study-of-an-institutional-protocol
#11
REVIEW
Nicholas Boyko, Melissa Ann Eppinger, Deborah Straka-DeMarco, Catherine Anne Mazzola
OBJECTIVE The authors' objectives in this study were to evaluate their institutional protocol and create recommendations for radiographic imaging in infants with torticollis, with or without plagiocephaly, based on a retrospective clinical analysis and literature review. METHODS A retrospective analysis was conducted to identify infants with torticollis who were evaluated by the craniofacial team. The following patients were identified: those who underwent imaging in the form of radiography, CT scanning, or MRI; those who had a secondary diagnosis or additional clinical finding as the indication for imaging; and those with persistent torticollis despite completion of recommended repositioning techniques and physical therapy (PT)...
August 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28549045/effect-of-preoperative-molding-helmet-in-patients-with-sagittal-synostosis
#12
Asra Hashmi, Neena I Marupudi, Sandeep Sood, Arlene Rozzelle
BACKGROUND: In our practice, the authors found that molding helmet used for plagiocephaly preoperatively, in patients with sagittal synostosis, decreased bathrocephaly, forehead bossing, and improved posterior vertex, as well as Cephalic Index (CI). This prompted us to investigate the impact of preoperative molding helmet in patients with sagittal synostosis. METHODS: A prospective study was performed on patients undergoing surgical correction of sagittal synostosis, over a 5-year period...
June 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28484866/relationship-between-starting-age-of-cranial-remolding-orthosis-therapy-and-effectiveness-of-treatment-in-children-with-deformational-plagiocephaly
#13
Mi-Hyang Han, Jin Young Kang, Hye Young Han, Yun-Hwa Cho, Dae-Hyun Jang
PURPOSE: The aim of this study was to investigate the optimal age for starting cranial-remolding-orthosis therapy in children with deformational plagiocephaly. METHODS: Medical records of 310 patients with deformational plagiocephaly were retrospectively reviewed and the initial and final cranial vault asymmetry index (CVAI), age when starting therapy, duration of therapy, mean change of CVAI, improvement rate, and treatment success were analyzed. We compared outcomes according to the groups divided by ages starting therapy...
August 2017: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28468155/plagiocephaly-severity-scale-to-aid-in-clinical-treatment-recommendations
#14
Mark A Holowka, Andrew Reisner, Brian Giavedoni, Janet R Lombardo, Colleen Coulter
Studies have attempted to categorize infant cranial asymmetry in a variety of ways using both observational and quantitative techniques, but none have created a clinical tool that can serve as a treatment guide based on clinical outcomes. In 2006, a research team from Children's Healthcare of Atlanta published the results of a prospective analysis of 224 patients with cranial asymmetries and their treatment outcomes. As a continuation of the previous work, the researchers have identified a plagiocephaly severity scale based on those outcomes to assist medical professionals who treat patients with cranial abnormalities...
May 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28434829/use-of-cutting-guides-during-craniosynostosis-sequelae-surgery-a-comparative-study-between-computer-assisted-planning-and-post-operative-results
#15
Chrystelle Queiros, Aline Joly, Arnaud Paré, Antoine Listrat, Nadine Travers, Dominique Goga, Boris Laure
BACKGROUND: The authors compared results of craniofacial reconstruction surgery using cutting guides with planned reconstruction on patients presenting craniosynostosis surgery sequelae. METHODS: This is a retrospective study performed on seven patients who had undergone craniofacial reconstructive surgery in University Hospital Center of Tours (France) in 2015. Patients had long-term sequelae of trigonocephaly and anterior plagiocephaly surgery. 3D computer model was constructed, based on CT scans and used for surgical planning...
March 28, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28375778/impact-of-parent-practices-of-infant-positioning-on-head-orientation-profile-and-development-of-positional-plagiocephaly-in-healthy-term-infants
#16
Amy Leung, Allison Mandrusiak, Pauline Watter, John Gavranich, Leanne M Johnston
AIMS: The influence of infant positioning on the development of head orientation and plagiocephaly is not clear. This study explored the relationship between infant body and head positioning, with the development of asymmetrical head orientation and/or positional plagiocephaly. Methods: Clinician measurement of head orientation profile and parent-reported infant positioning data were collected for 94 healthy term infants at 3, 6, and 9 weeks of age. Plagiocephaly was measured at 9 weeks with the modified Cranial Vault Asymmetry Index...
April 4, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28300713/low-cost-smartphone-based-photogrammetry-for-the-analysis-of-cranial-deformation-in-infants
#17
Inés Barbero-García, José Luis Lerma, Ángel Marqués-Mateu, Pablo Miranda
BACKGROUND: Cranial deformation, including deformational plagiocephaly, brachycephaly, and craniosynostosis, is a condition that affects a large number of infants. Despite its prevalence, there are no standards for the systematic evaluation of the cranial deformation. Usually, the deformation is measured manually by the use of calipers. Experts, however, do not agree on the suitability of these measurements to correctly represent the deformation. Other methodologies for evaluation include 3-dimensional (3D) photography and radiologic scanners...
June 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28236068/positional-plagiocephaly-is-associated-with-sternocleidomastoid-muscle-activation-in-healthy-term-infants
#18
Amy Leung, Allison Mandrusiak, Pauline Watter, John Gavranich, Leanne Johnston
PURPOSE: To explore the relationship between sternocleidomastoid activation and positional plagiocephaly in healthy full term infants. METHODS: Participants were 82 infants from a regionally based-longitudinal study of infant development. Sternocleidomastoid (SCM) activation was assessed using active head-righting responses of body-on-head with and against gravity and head-on-body against gravity at 3, 6 and 9 weeks. Plagiocephaly was assessed using the Modified Cranial Vault Asymmetry Index (mCVAI) at 9 weeks...
April 2017: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28202120/-management-of-positional-head-deformity-in-31-infants
#19
Wei-Wei Pan, Xiao-Mei Tong
OBJECTIVE: To investigate the clinical effect of postural correction training and helmet therapy in the treatment of moderate-severe positional head deformity defined as asymmetric head shape in infants. METHODS: A total of 31 infants who were diagnosed with moderate-severe plagiocephaly and/or brachiocephaly were enrolled. According to the different treatment methods, the infants were divided into helmet therapy group with 11 infants and postural correction training group with 20 infants...
February 2017: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/28141657/plagiocephaly-severity-scale-to-aid-in-clinical-treatment-recommendations
#20
Mark A Holowka, Andrew Reisner, Brian Giavedoni, Janet R Lombardo, Colleen Coulter
Studies have attempted to categorize infant cranial asymmetry in a variety of ways using both observational and quantitative techniques, but none have created a clinical tool that can serve as a treatment guide based on clinical outcomes. In 2006, a research team from Children's Healthcare of Atlanta published the results of a prospective analysis of 224 patients with cranial asymmetries and their treatment outcomes. As a continuation of the previous work, the researchers have identified a plagiocephaly severity scale based on those outcomes to assist medical professionals who treat patients with cranial abnormalities...
January 30, 2017: Journal of Craniofacial Surgery
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