Ocular findings in children operated on for plagiocephaly and trigonocephaly

Denis, D.; Genitori, Lorenzo; Conrath, J.; Léna, G.; Choux, M

doi:10.1007/bf00366151

Cited by 58 publications

(54 citation statements)

References 27 publications

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“…7 The underlying mechanism resulting in strabismus involves traction on the ocular globe induced by bone deformation caused by craniosynostosis. 6 Rekate 8 reports that strabismus, especially involving vertical eye movements, is common in the more severe forms of this disorder. A study by Fredrick et al 7 evaluated 13 patients with deformational plagiocephaly, of which 9 were found to have ipsilateral torticollis and 1 of these presented with strabismus.…”

Section: Discussionmentioning

confidence: 99%

“…The need for early identification of strabismus is based on the development of binocular vision by ϳ6 months of age, whereby late correction may be an obstacle to the development of normal visual function. 6 History of strabismus of any type or need for ophthalmology evaluation was found in only 7 patients during the chart review. One of these 7 patients with plagiocephaly was part of the telephone interview, and only 1 sibling had a history of strabismus.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] Few reports document any late effects of deformational plagiocephaly other than potential cosmetic concerns and the potential for strabismus, especially involving vertical eye movements. 6,7 Plagiocephaly may be morphometrically evident in as many as 14% of adults, but it is rarely recognized. 8 Deformational plagiocephaly generally becomes more severe in the first weeks of life, as the infant holds his head in a fixed position (regardless of the cause for the fixed position); then the headshape begins to improve with normal developmental progression involving head control and a full range of neck motion.…”

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confidence: 99%

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Long-Term Developmental Outcomes in Patients With Deformational Plagiocephaly

2000

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ABSTRACT. Objectives. To determine whether there was an increased rate of later developmental delay in school-aged children who presented as infants with deformational plagiocephaly without obvious signs of delay at the time of initial evaluation.Methods. A retrospective medical record review of 254 patients evaluated at the Craniofacial Center of the Children's Hospital and Regional Medical Center in Seattle, Washington, from 1980 through 1991 was completed. Consenting patient families were interviewed via telelphone to determine what, if any, special medical or educational problems had occurred for the children who had had plagiocephaly in infancy or their siblings with normal head shapes.Results. A total of 181 families from the medical record review could be notified about the study and 63 families agreed to participate in a telephone interview. The sample of participants for the telephone interview was random to and representative of the group as a whole. The families reported that 25 of the 63 children (39.7%) with persistent deformational plagiocephaly had received special help in primary school including: special education assistance, physical therapy, occupational therapy, speech therapy generally through an Individual Education Plan. Only 7 of 91 siblings (7.7%), serving as controls, required similar services ( 2 ‫؍‬ 21.24). Delays could not be specifically anticipated at the time of the diagnosis of deformational plagiocephaly from any simple set of factors including treatment with helmet therapy, although effected males with reported uterine constraint were at the highest risk for subsequent school problems.Conclusions. Infants with deformational plagiocephaly comprise a high-risk group for developmental difficulties presenting as subtle problems of cerebral dysfunction during the school-age years. There is a need for additional research on the long-term developmental problems in infants with deformational plagiocephaly. Pediatrics 2000;105(2). URL: http://www.pediatrics.org/ cgi/content/full/105/2/e26; plagiocephaly, facial asymmetry, torticollis, developmental delay.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Long-Term Developmental Outcomes in Patients With Deformational Plagiocephaly

2000

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“…[4][5][6] Surgical management is indicated for two reasons. Growth restriction in the presence of a rapidly expanding growing brain may result in raised ICP, 7 and surgery may be indicated for the prevention or treatment of raised ICP.…”

Section: Nonsyndromic Craniosynostosesmentioning

confidence: 99%

Craniofacial surgery for orbital malformations

Richardson

Thiruchelvam

2006

Eye

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Paediatric craniofacial surgery is a highly specialised field requiring a multidisciplinary team input. Orbital and ocular involvement is relatively common in craniofacial patients. This is more in syndromic patients. In nonsyndromic patients, orbital involvement is common in frontal plagiocephaly and trigonocephaly. The management of these conditions requires close working between the craniofacial surgeon and ophthalmologist. An outline of the management of these deformities is discussed.

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“…Problems that arise in patients having positional plagiocephaly include craniofacial deformities as well as asymmetry of brain structures leading to eye and optic nerve asymmetry, strabismus, and visual acuity abnormalities. 12,18,40 Other reported complications are learning disability and delay in language development, as well as possible inhibition of psychosocial development as a result of the abnormal appearance. 19,27,35,40 …”

Section: Incidence and Adverse Effect Of Positional Plagiocephalymentioning

confidence: 99%