Risk Factors Associated With Deformational Plagiocephaly

Joganic, Jessica L.; Lynch, John; Littlefield, Timothy R.; Verrelli, Brian C.

doi:10.1542/peds.2008-2969

Cited by 43 publications

(15 citation statements)

References 35 publications

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“…There have also been some debated studies that show neonatal infants with postural asymmetries have a preference for spontaneously turning the head to the right when lying supine, but this does not occur in premature infants in weeks after birth. 14 Treatment options include observation, positioning, helmet or sock hat therapy, and surgery. Surgery is usually not warranted in DP.…”

Section: Discussionmentioning

confidence: 99%

Argenta Clinical Classification of Deformational Plagiocephaly

Branch

Kesty

Krebs

et al. 2015

Journal of Craniofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Argenta Clinical Classification of Deformational Plagiocephaly

Branch

Kesty

Krebs

et al. 2015

Journal of Craniofacial Surgery

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“…56 Others have pointed out that head asymmetry eventually improves with time and seldom worsens beyond 4 months, 16,45,50,52,56,69 suggesting that watchful waiting rather than invasive surgery is a more reasonable option. However, the more recent evidence indicates that the deformity may not improve after 15 months of age, 24,32,40,48,61,64 which brings to the table another highly controversial issue surrounding PP. Another argument proposed for surgical adjustment involved those who are referred at a later age when remodeling of the skull is no longer possible.…”

Section: Current Treatment Optionsmentioning

confidence: 99%

Positional plagiocephaly: an analysis of the literature on the effectiveness of current guidelines

Shweikeh

Nuño

Danielpour

et al. 2013

FOC

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Object Positional plagiocephaly (PP) has been on the rise in recent years. In this review, the authors' aim was to assess the effectiveness of current recommendations to parents on this exceedingly common problem through a comprehensive literature search. Additionally, the current treatment options and the most recent studies on PP are reviewed. Methods A search of the existing literature was conducted to obtain all relevant studies on guidelines, recommendations, parental and clinician practices, and epidemiological aspects. Results Although the incidence and risk factors for PP have been well delineated, there continues to be debates on its management and association with developmental delays. Current guidelines and recommendations on prevention set by the American Association of Pediatrics may not be easily followed by both parents and clinicians. There is also evidence that certain populations, including those with lower education, socioeconomic status, and in particular geographic regions may be more affected by the condition. Additionally, the marketing and financial aspects of PP treatments exist and should be addressed. Conclusions Better awareness and education are necessary to inform the population as a whole, although certain populations should be given special attention. Additionally, current guidelines and recommendations can be modified to foster a better grasp of the condition by both parents and clinicians. Adjusting current recommendations, introducing initiatives, and offering elaborate educational campaigns would help deliver these aims. Educating parents on PP as early as possible through clearer guidelines and close monitoring is central to preventing and managing this common condition.

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“…Concerns about head shape were common, particularly at 4 months. Some studies [13,20,30] have shown that twins are at greater risk of developing plagiocephaly, probably due to increased exposure to risk factors such prematurity and in utero compression. In our group of twins, it is of note that with increasing age, concerns about deformational plagiocephaly were significantly more likely in Twin 1 than in Twin 2, confirming an earlier finding that the lower in utero twin is at increased risk for deformational plagiocephaly [18].…”

Section: Breastfeedingmentioning

confidence: 99%