Plagiocephaly and torticollis: Etiology, natural history, and helmet treatment
1981; Elsevier BV; Volume: 98; Issue: 1 Linguagem: Inglês
10.1016/s0022-3476(81)80549-5
ISSN1097-6833
Autores Tópico(s)Child Abuse and Related Trauma
ResumoPLAGIOCEPHALY, or rhomboid-shaped head, occurs in at least one in 300 live born infants.' Such calvarial asymmetry is rarely caused by brain malformation or unilateral sutural synostosis, but usually results from late gestational or postnatal deformation. When an infant's rapidly growing head is maintained in a nearly fixed position against the uterine wall or the mattress, the calvarium is progressively flattened. Such deformational plagiocephaly generally will improve within a few months after birth, especially ifa full range of neck movement can be rapidly achieved. However, for perhaps 10% of affected infants plagiocephaly may persist as a permanent mild-to-severe cosmetic deformity. If the pressure of a rapidly growing brain against a flat surface would flatten the skull, then pressure against a concave surface should round it back again. We developed individual plastic helmets for this purpose and previously reported the successful use of these helmets in four patients.: Since that report we have treated an additional 24 patients with helmets for severe deformational plagiocephaly. Another 15 patients with severe plagiocephaly have been followed who declined helmet treatment. This experience with 43 patients with plagio
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