Positional Plagiocephaly and Craniosynostosis

Santiago, Gaia S; Santiago, Chiara N; Chwa, Emily S.; Purnell, Chad A.

doi:10.3928/19382359-20221114-03

Cited by 12 publications

(7 citation statements)

References 25 publications

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“…Still too often, in fact, clinicians wait until the age of 3 year before carrying out a specialist evaluation for language delay, perhaps also because not everyone knows the importance that the first processes of regulation, sensory and motor integration can have in determinism of future neuropsychological and socialaffective disorders, such as in the more well-known dyspraxia, but also in sensory processing disorders [59] and in those of emotion, attention and behavior regulation. There is another very important factor in clinical practice with early childhood, which is gradually entering the protocols of outpatient and hospital contexts; that is, the impact of somatic dysfunctions (the most frequent is plagiocephaly) on the adaptation of the child [60]. Many babies develop plagiocephaly, so the incidence in the general population should be monitored.…”

Section: Discussionmentioning

confidence: 99%

“…Many babies develop plagiocephaly, so the incidence in the general population should be monitored. Recent research finds a significant increase and defines plagiocephaly as a risk factor of developmental delays [60][61][62][63]. These authors suggest clinicians to monitor infants with plagiocephaly and to prompt referral to early intervention services, who may identify infants with longer term developmental needs [63].…”

Section: Discussionmentioning

confidence: 99%

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An Easy and Practical Tool to Detect the Neurodevelopmental Status in the First Two Years of Life

Di Renzo

2023

RPN

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The main stages of neurodevelopment in the pediatric age are well defined and described in the main books of Pediatrics. In recent years, a significant increase in neurodevelopmental delays and disorders has been described in the pediatric literature. It is also well known that intercepting these situations early allows an early intervention, in many cases fundamental, thanks to an early diagnosis and to obtain the best desired results. In Italy all children have the right to free pediatric assistance thanks to the National Health System (SSN). Periodic check-ups (health reports) are foreseen and regulated from birth to 14 years of age. In this study we verified the usefulness of using specific questionnaires to evaluate neurodevelopment particularly in the first 2 years of life during the periodic check-ups. The possibility for pediatricians to have a tool that is easy to compile and based on the well-known stages of neurodevelopment at the different ages in which health assessments are usually carried out, allows situations of delay or defect to be highlighted, identifying them and allowing those who test positive in screening to be referred to specialist centers. Early identification through a questionnaire in which the main stages of neuro-development are listed for different ages allows pediatricians to select the population that really needs a specialist evaluation, avoiding overloading specialist centers. The results of this study on 1993 subjects aged between 1 and 24 months are preliminary and encourage the use of this rapid and cost-free tool (questionnaire) in the early identification of situations worthy of further diagnostic investigation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An Easy and Practical Tool to Detect the Neurodevelopmental Status in the First Two Years of Life

Di Renzo

2023

RPN

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“…The shape of an infant's head is among the primary factors that prompt medical consultation [1]. Although the etiology and management of these deformities is diverse, some head shape alterations require surgical treatment, such as the premature fusion of cranial sutures (craniosynostosis).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Conservative Treatments in Positional Plagiocephaly in Infants: A Systematic Review

Blanco-Diaz,

Marcos-Alvarez,

Escobio-Prieto

et al. 2023

Children

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Objective: The objective of this study is to analyze conservative treatments implemented to manage positional plagiocephaly in infants. Methods: This is a systematic review conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, performed in the Medline (PubMed), Scopus, Web of Science, and Cochrane databases. Articles were selected according to the eligibility criteria, regarding the effectiveness of conservative treatments in positional plagiocephaly in infants, published in the last 10 years with a score ≥3 in the PEDro Scale. Results: A total of 318 articles were identified and 9 of them were finally selected. Conclusions: Physical therapy treatment is considered as the first line of intervention in plagiocephaly with non-synostotic asymmetries and manual therapy is the method that obtains the best results within this intervention. In cases of moderate or severe plagiocephaly, helmet therapy can be an effective second-line intervention; however, the best way to prevent this condition is through counseling of parents or caregivers, and early treatment is essential for optimal therapeutic outcomes. The review was registered in PROSPERO (CDR42022306466).

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“…Patients with jaw deformities often become symptomatic during puberty when the mandible undergoes rapid growth. In 1992, the American Pediatric Society recommended that infants sleep on their backs because sleeping on their front or side is a risk factor for sudden infant death syndrome, and the incidence of cranial deformity in infants has increased significantly since then [ 11 ]. Cranial deformities are believed to occur when infants are placed in the supine position, but since these deformities are not believed to cause growth and developmental delays or functional impairment, aside from lingering aesthetic effects, they are considered acceptable [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Three-Dimensional Analysis of the Cranial Base Structure in Patients with Facial Asymmetry

Hayashi,

Tachiki,

Morikawa

et al. 2023

Diagnostics

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Facial asymmetry is often seen in patients with skeletal mandibular prognathism and is associated with deformities in the maxillofacial and head regions. The maxillofacial deviation is three-dimensional and affects not only the lateral deviation of the mandible and midface, but also the cranium. This study conducted a three-dimensional morphological evaluation of the cranial base morphology of patients with skeletal mandibular prognathism (ANB < 0°, Wits < 0 mm) with the aim of examining the relationship between deformities of the head region and facial asymmetry. Data obtained from computed tomography conducted during the initial examination of patients with and without skeletal mandibular prognathism with facial asymmetry were used. Differences in the position of structures present in the cranial base were measured, and the association between cranial deformities and mandibular deviation was assessed. The middle cranial base area and the lateral deviation of the mandibular fossa were significantly larger in patients with facial asymmetry compared to those without facial asymmetry. In addition, a correlation between the amount of mandibular deviation and the area of the anterior cranial base was identified in patients with significant cranial deformity (p = 0.012). Given the identified association between the structure of the head region and facial asymmetry, further studies are needed to determine the factors implicated in the growth process.

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Positional Plagiocephaly and Craniosynostosis

Cited by 12 publications

References 25 publications

An Easy and Practical Tool to Detect the Neurodevelopmental Status in the First Two Years of Life

An Easy and Practical Tool to Detect the Neurodevelopmental Status in the First Two Years of Life

Effectiveness of Conservative Treatments in Positional Plagiocephaly in Infants: A Systematic Review

Three-Dimensional Analysis of the Cranial Base Structure in Patients with Facial Asymmetry

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