Early Neurodevelopment in Infants With Deformational Plagiocephaly

Knight, Sarah; Anderson, Vicki; Meara, John G.; Costa, Annette C Da

doi:10.1097/scs.0b013e318299777e

Cited by 19 publications

(10 citation statements)

References 27 publications

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“…Most studies reported a male predominance, varying from 56% to 85%, but in one study females were more frequent 44 . Ten studies 27,29–33,37,42,45,46 mentioned laterality of head preference. Nine 27,30–33,37,42,45,46 of them reported a dominance to the right side (present in 53%–80%).…”

Section: Resultsmentioning

confidence: 93%

“…The major outcome reported for activities and participation was developmental delay. This outcome was reported in 16 papers 1,20,25–32,39,41–45 . Most studies were based on infants who had been referred to tertiary centres.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies reported a male predominance, varying from 56% to 85%, but in one study females were more frequent. 44 Ten studies 27,[29][30][31][32][33]37,42,45,46 mentioned laterality of head preference.…”

Section: Re Sultsmentioning

confidence: 99%

“…This outcome was reported in 16 papers. 1,20,[25][26][27][28][29][30][31][32]39,[41][42][43][44][45] Most studies were based on infants who had been referred to tertiary centres.…”

Section: Re Sultsmentioning

confidence: 99%

“…18,23,24 Most papers only assessed the infants once, and their mean age was 5-8 months in these 20 papers (Table 1). [19][20][21][22][23][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] In three papers only the age range and not the mean age of the infants at assessment was provided. 24,40,41 In three papers the infants were assessed twice neonatally and at 2 months 42 and 6 weeks and 4 months, 1 and at seven and 18 months.…”

Section: Re Sultsmentioning

confidence: 99%

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Comorbidities of deformational plagiocephaly in infancy: A scoping review

Charalambous,

Hadders‐Algra,

Yamasaki

et al. 2024

Acta Paediatrica

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AimWhile deformational plagiocephaly (DP) is suspected to be associated with comorbidities, their nature and prevalence are unclear. This scoping review aims to report DP comorbidities occurring until the age of 2 years, their prevalence and whether they depend on the child's age and sex.MethodsRelevant studies were identified by searching the Cochrane, MEDLINE, EMBASE, PubMed and EBSCO databases from 1992 to 30 April 2021. Data on study characteristics, comorbidities and assessment instruments were extracted and qualitatively synthesised. Risk of bias was assessed and studies with high risk of bias were excluded.ResultsStudies meeting selection criteria (n = 27) often evaluated groups from tertiary clinics, implying selection bias. Studies reported on developmental delay (n = 16), limited speech production (n = 1), auditory (n = 3), visual (n = 3), mandibular (n = 3) and neurological impairments (n = 1). The data did not allow prevalence calculation or modifying effect of sex. Due to biased data, the review provided no evidence on DP comorbidities. Weak evidence suggested that in the selective samples, DP was associated with motor and language delays in the first year.ConclusionDue to biased data, no evidence on comorbidity in infants with DP was available. Our study underlined the need of risk of bias assessment in scoping reviews.

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Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Section: Re Sultsmentioning

confidence: 99%

“…This outcome was reported in 16 papers. 1,20,[25][26][27][28][29][30][31][32]39,[41][42][43][44][45] Most studies were based on infants who had been referred to tertiary centres.…”

Section: Re Sultsmentioning

confidence: 99%

Section: Re Sultsmentioning

confidence: 99%

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Comorbidities of deformational plagiocephaly in infancy: A scoping review

Charalambous,

Hadders‐Algra,

Yamasaki

et al. 2024

Acta Paediatrica

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Incidence of Nonsynostotic Plagiocephaly and Developmental Disorders

Lynch,

White,

Rabatin

et al. 2024

JAMA Pediatr

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ImportanceThis is the first population-based study quantifying the incidence of nonsynostotic positional plagiocephaly and/or brachycephaly (PPB) in infancy and its association with developmental disorders.ObjectiveTo report the incidence of PPB before age 1 year, the incidence of craniosynostosis, and the percentage of children with PPB diagnosed with a developmental disorder by age 7 years.Design, Setting, and ParticipantsThis was a retrospective, population-based cohort study of children in the Rochester Epidemiology Project (REP) born in Olmsted County, Minnesota, from January 1, 2008, through December 31, 2012, with follow-up through age 7 years. Data were analyzed from March 2021 to April 2024.ExposurePhysical examination detecting cranial deformity.Main Outcomes and MeasuresThe primary outcome was the incidence of PPB. Secondary outcomes were the incidence of craniosynostosis and the percentage of children with PPB diagnosed with a developmental disorder by age 7 years.ResultsOf 9909 infants (5084 [51.3%] male; 9205 [92.9%] born at term and 704 [7.1%] born preterm) included in the study, 575 had PPB, for a PPB incidence of 5.8% (95% CI, 5.3%-6.3%). The incidence of PPB was 5.3% (95% CI, 4.8%-5.8%) in term infants vs 11.8% (95% CI, 9.4%-14.6%) in preterm infants. The incidence of craniosynostosis was 0.16% (95% CI, 0.09%-0.26%). A developmental disorder was known or suspected in 4.2% (95% CI, 2.7%-6.2%) of infants at the time of PPB diagnosis; among 402 infants with PPB and follow-up through age 7 years, 30 (7.5%; 95% CI, 5.0%-10.7%) had a confirmed developmental disorder by 7 years of age. The prevalence of autism spectrum disorder (ASD) in children with a history of PPB who were followed up to age 7 years was 2.2% (9 of 402 children).Conclusions and RelevanceThis study found that only a small percentage of the infants had positional head deformity significant enough to be documented and/or referred for subspecialty evaluation, and only a small subset of these children went on to have a developmental disorder in childhood. This information is helpful for counseling families about their child’s developmental risk at time of PPB diagnosis.

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Craniosynostosis

Greig¹,

Dunaway²

2015

Plastic and Reconstructive Surgery

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Early Neurodevelopment in Infants With Deformational Plagiocephaly

Cited by 19 publications

References 27 publications

Comorbidities of deformational plagiocephaly in infancy: A scoping review

Comorbidities of deformational plagiocephaly in infancy: A scoping review

Incidence of Nonsynostotic Plagiocephaly and Developmental Disorders

Craniosynostosis

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