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Diagnosis and treatment of positional plagiocephaly

  • Jung, Bok Ki (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) ;
  • Yun, In Sik (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine)
  • 투고 : 2020.02.20
  • 심사 : 2020.03.04
  • 발행 : 2020.04.20

초록

Positional plagiocephaly is increasing in infants. Positional plagiocephaly is an asymmetric deformation of skull due to various reasons; first birth, assisted labor, multiple pregnancy, prematurity, congenital muscular torticollis and position of head. Positional plagiocephaly can mostly be diagnosed clinically and by physical examinations. The simplest way to assess the severity of plagiocephaly is to use a diagonal caliper during physical examination, which measures the difference between the diagonal lengths on each side of the head. Plagiocephaly can be treated surgically or conservatively. Positional plagiocephaly, which is not accompanied by craniosynostosis, is treated conservatively. Conservative treatments involve a variety of treatments, such as change of positions, physiotherapy, massage therapy, and helmet therapy. Systematic approaches to clinical examination, diagnosis and treatment of positional plagiocephaly can be necessary and the age-appropriate treatment is recommended for patients with positional plagiocephaly.

키워드

참고문헌

  1. Bennis Y, Wolber A, Vinchon M, Belkhou A, Duquennoy-Martinot V, Guerreschi P. Non syndromic craniosynostosis. Ann Chir Plast Esthet 2016;61:389-407. https://doi.org/10.1016/j.anplas.2016.07.004
  2. Feijen MM, Claessens EA, Dovens AJ, Vles JS, van der Hulst RR. Babies with cranial deformity. Ned Tijdschr Geneeskd 2009;153:A368.
  3. Argenta LC, David LR, Wilson JA, Bell WO. An increase in infant cranial deformity with supine sleeping position. J Craniofac Surg 1996;7:5-11. https://doi.org/10.1097/00001665-199601000-00005
  4. Najarian SP. Infant cranial molding deformation and sleep position: implications for primary care. J Pediatr Health Care 1999;13:173-7. https://doi.org/10.1016/S0891-5245(99)90036-6
  5. Christensen L, Ostergaard JR, Norholt SE. Positional plagiocephaly. Ugeskr Laeger 2002;165:46-50.
  6. Hummel P, Fortado D. Impacting infant head shapes. Adv Neonatal Care 2005;5:329-40. https://doi.org/10.1016/j.adnc.2005.08.009
  7. Morrison CS, Chariker M. Positional plagiocephaly: pathogenesis, diagnosis, and management. J Ky Med Assoc 2006;104:136-40.
  8. Pivar SJ, Scheuerle A. Variable co-diagnosis of plagiocephaly and torticollis in Texas health care facilities. J Craniofac Surg 2006;17:236-40. https://doi.org/10.1097/00001665-200603000-00006
  9. Sgouros S, Goldin JH, Hockley AD, Wake MJ. Posterior skull surgery in craniosynostosis. Childs Nerv Syst 1996;12:727-33. https://doi.org/10.1007/BF00366158
  10. Holmes AD, Wright GW, Meara JG, Heggie AA, Probert TC. LeFort III internal distraction in syndromic craniosynostosis. J Craniofac Surg 2002;13:262-72. https://doi.org/10.1097/00001665-200203000-00014
  11. Meier PM, Goobie SM, DiNardo JA, Proctor MR, Zurakowski D, Soriano SG. Endoscopic strip craniectomy in early infancy: the initial five years of anesthesia experience. Anesth Analg 2011;112:407-14. https://doi.org/10.1213/ane.0b013e31820471e4
  12. Hassanpour SE, Abbasnezhad M, Alizadeh Otaghvar H, Tizmaghz A. Surgical correction of unicoronal craniosynostosis with frontal bone symmetrization and staggered osteotomies. Plast Surg Int 2018;2018:3793592. https://doi.org/10.1155/2018/3793592
  13. Esparza J, Hinojosa J, Garcia-Recuero I, Romance A, Pascual B, Martinez de Aragon A. Surgical treatment of isolated and syndromic craniosynostosis. Results and complications in 283 consecutive cases. Neurocirugia (Astur) 2008;19:509-29. https://doi.org/10.1016/S1130-1473(08)70201-X
  14. Law J, Marucci DD, Gates RJ, Fowler A. Unilateral pterional polycraniosynostosis treated with craniectomy and helmet therapy. Plast Reconstr Surg Glob Open 2017;5:e1245. https://doi.org/10.1097/GOX.0000000000001245
  15. de Jong G, Tolhuisen M, Meulstee J, van der Heijden F, van Lindert E, Borstlap W, et al. Radiation-free 3D head shape and volume evaluation after endoscopically assisted strip craniectomy followed by helmet therapy for trigonocephaly. J Craniomaxillofac Surg 2017;45:661-71. https://doi.org/10.1016/j.jcms.2017.02.007
  16. Ridgway EB, Berry-Candelario J, Grondin RT, Rogers GF, Proctor MR. The management of sagittal synostosis using endoscopic suturectomy and postoperative helmet therapy. J Neurosurg Pediatr 2011;7:620-6. https://doi.org/10.3171/2011.3.PEDS10418
  17. Chong S, Wang KC, Phi JH, Lee JY, Kim SK. Minimally invasive suturectomy and postoperative helmet therapy: advantages and limitations. J Korean Neurosurg Soc 2016;59:227-32. https://doi.org/10.3340/jkns.2016.59.3.227
  18. Pelligra R, Doman G, Leisman G. A reassessment of the SIDS back to sleep campaign. ScientificWorldJournal 2005;5:550-7. https://doi.org/10.1100/tsw.2005.71
  19. Gonzalez de Dios J, Moya M, Jimenez L, Alcala-Santaella R, Carratala F. Increase in the incidence of occipital plagiocephaly. Rev Neurol 1998;27:782-4. https://doi.org/10.33588/rn.27159.97217
  20. Neufeld S, Birkett S. Positional plagiocephaly: a community approach to prevention and treatment. Alta RN 1999;55:15-6.
  21. Graham T, Gilbert N, Witthoff K, Gregory T, Walsh M. Significant factors influencing the effectiveness of cranial remolding orthoses in infants with deformational plagiocephaly. J Craniofac Surg 2019;30:1710-3. https://doi.org/10.1097/scs.0000000000005512
  22. Stellwagen L, Hubbard E, Chambers C, Jones KL. Torticollis, facial asymmetry and plagiocephaly in normal newborns. Arch Dis Child 2008;93:827-31. https://doi.org/10.1136/adc.2007.124123
  23. Clarren SK, Smith DW, Hanson JW. Helmet treatment for plagiocephaly and congenital muscular torticollis. J Pediatr 1979;94:43-6. https://doi.org/10.1016/S0022-3476(79)80347-9
  24. Ditthakasem K, Kolar JC. Deformational plagiocephaly: a review. Pediatr Nurs 2017;43:59-64.
  25. Rogers GF. Deformational plagiocephaly, brachycephaly, and scaphocephaly. Part I: terminology, diagnosis, and etiopathogenesis. J Craniofac Surg 2011;22:9-16. https://doi.org/10.1097/SCS.0b013e3181f6c313
  26. The Korean Pediatric Neurosurgical Society (the Korean Neurosurgical Society). Textbook of pediatric neurosurgery. Seoul: Medbook; 2018.
  27. Zonenshayn M, Kronberg E, Souweidane MM. Cranial index of symmetry: an objective semiautomated measure of plagiocephaly. Technical note. J Neurosurg 2004;100(5 Suppl Pediatrics):537-40.
  28. Aarnivala HE, Valkama AM, Pirttiniemi PM. Cranial shape, size and cervical motion in normal newborns. Early Hum Dev 2014;90:425-30. https://doi.org/10.1016/j.earlhumdev.2014.05.007
  29. Argenta L, David L, Thompson J. Clinical classification of positional plagiocephaly. J Craniofac Surg 2004;15:368-72. https://doi.org/10.1097/00001665-200405000-00004
  30. Di Chiara A, La Rosa E, Ramieri V, Vellone V, Cascone P. Treatment of deformational plagiocephaly with physiotherapy. J Craniofac Surg 2019;30:2008-13. https://doi.org/10.1097/SCS.0000000000005665
  31. Clarren SK. Plagiocephaly and torticollis: etiology, natural history, and helmet treatment. J Pediatr 1981;98:92-5. https://doi.org/10.1016/S0022-3476(81)80549-5
  32. Vles JS, Colla C, Weber JW, Beuls E, Wilmink J, Kingma H. Helmet versus nonhelmet treatment in nonsynostotic positional posterior plagiocephaly. J Craniofac Surg 2000;11:572-4. https://doi.org/10.1097/00001665-200011060-00010
  33. van Wijk RM, van Vlimmeren LA, Groothuis-Oudshoorn CG, Van der Ploeg CP, Ijzerman MJ, Boere-Boonekamp MM. Helmet therapy in infants with positional skull deformation: randomised controlled trial. Version 2. BMJ 2014;348:g2741. https://doi.org/10.1136/bmj.g2741
  34. Mortenson P, Steinbok P, Smith D. Deformational plagiocephaly and orthotic treatment: indications and limitations. Childs Nerv Syst 2012;28:1407-12. https://doi.org/10.1007/s00381-012-1755-3
  35. Ripley CE, Pomatto J, Beals SP, Joganic EF, Manwaring KH, Moss SD. Treatment of positional plagiocephaly with dynamic orthotic cranioplasty. J Craniofac Surg 1994;5:150-9. https://doi.org/10.1097/00001665-199407000-00003
  36. de Ribaupierre S, Vernet O, Rilliet B, Cavin B, Kalina D, Leyvraz PF. Posterior positional plagiocephaly treated with cranial remodeling orthosis. Swiss Med Wkly 2007;137:368-72.
  37. Loveday BP, de Chalain TB. Active counterpositioning or orthotic device to treat positional plagiocephaly? J Craniofac Surg 2001;12:308-13. https://doi.org/10.1097/00001665-200107000-00003
  38. Robinson S, Proctor M. Diagnosis and management of deformational plagiocephaly. J Neurosurg Pediatr 2009;3:284-95. https://doi.org/10.3171/2009.1.PEDS08330
  39. Rogers GF. Deformational plagiocephaly, brachycephaly, and scaphocephaly. Part II: prevention and treatment. J Craniofac Surg 2011;22:17-23. https://doi.org/10.1097/SCS.0b013e3181f6c342
  40. Lee A, Van Pelt AE, Kane AA, Pilgram TK, Govier DP, Woo AS, et al. Comparison of perceptions and treatment practices between neurosurgeons and plastic surgeons for infants with deformational plagiocephaly. J Neurosurg Pediatr 2010;5:368-74. https://doi.org/10.3171/2009.11.PEDS0983
  41. Kennedy E, Majnemer A, Farmer JP, Barr RG, Platt RW. Motor development of infants with positional plagiocephaly. Phys Occup Ther Pediatr 2009;29:222-35. https://doi.org/10.1080/01942630903011016
  42. Graham JM Jr, Kreutzman J, Earl D, Halberg A, Samayoa C, Guo X. Deformational brachycephaly in supine-sleeping infants. J Pediatr 2005;146:253-7. https://doi.org/10.1016/j.jpeds.2004.10.017
  43. McGarry A, Dixon MT, Greig RJ, Hamilton DR, Sexton S, Smart H. Head shape measurement standards and cranial orthoses in the treatment of infants with deformational plagiocephaly. Dev Med Child Neurol 2008;50:568-76. https://doi.org/10.1111/j.1469-8749.2008.03017.x
  44. Xia JJ, Kennedy KA, Teichgraeber JF, Wu KQ, Baumgartner JB, Gateno J. Nonsurgical treatment of deformational plagiocephaly: a systematic review. Arch Pediatr Adolesc Med 2008;162:719-27. https://doi.org/10.1001/archpedi.162.8.719
  45. Katzel EB, Koltz PF, Sbitany H, Girotto JA. Treatment of plagiocephaly with helmet molding therapy: do actual results mimic perception? Cleft Palate Craniofac J 2011;48:205-9. https://doi.org/10.1597/09-209
  46. Kunz F, Schweitzer T, Grobe S, Wabmuth N, Stellzig-Eisenhauer A, Bohm H, et al. Head orthosis therapy in positional plagiocephaly: longitudinal 3D-investigation of long-term outcomes, compared with untreated infants and with a control group. Eur J Orthod 2019;41:29-37. https://doi.org/10.1093/ejo/cjy012
  47. Steinberg JP, Rawlani R, Humphries LS, Rawlani V, Vicari FA. Effectiveness of conservative therapy and helmet therapy for positional cranial deformation. Plast Reconstr Surg 2015;135:833-42. https://doi.org/10.1097/PRS.0000000000000955
  48. Gump WC, Mutchnick IS, Moriarty TM. Complications associated with molding helmet therapy for positional plagiocephaly: a review. Neurosurg Focus 2013;35:E3.
  49. Wilbrand JF, Wilbrand M, Malik CY, Howaldt HP, Streckbein P, Schaaf H, et al. Complications in helmet therapy. J Craniomaxillofac Surg 2012;40:341-6. https://doi.org/10.1016/j.jcms.2011.05.007
  50. Teichgraeber JF, Ault JK, Baumgartner J, Waller A, Messersmith M, Gateno J, et al. Deformational posterior plagiocephaly: diagnosis and treatment. Cleft Palate Craniofac J 2002;39:582-6. https://doi.org/10.1597/1545-1569(2002)039<0582:DPPDAT>2.0.CO;2
  51. Sheu SU, Ethen MK, Scheuerle AE, Langlois PH. Investigation into an increase in plagiocephaly in Texas from 1999 to 2007. Arch Pediatr Adolesc Med 2011;165:708-13. https://doi.org/10.1001/archpediatrics.2011.42
  52. Elbanoby T. Craniofacial distraction in the management of anterior plagiocephaly: a novel idea and a systematic review of the literature. Pediatr Neurosurg 2018;53:193-9. https://doi.org/10.1159/000486202
  53. Sufianov AA, Gaibov SS, Sufianov RA. Surgical aspects of endoscopic treatment of sagittal craniosynostosis (scaphocephaly) in children. Zh Vopr Neirokhir Im N N Burdenko 2013;77:26-34.
  54. Bonfield CM, Lee PS, Adamo MA, Pollack IF. Surgical treatment of sagittal synostosis by extended strip craniectomy: cranial index, nasofrontal angle, reoperation rate, and a review of the literature. J Craniomaxillofac Surg 2014;42:1095-101. https://doi.org/10.1016/j.jcms.2014.01.036
  55. Delye HHK, Borstlap WA, van Lindert EJ. Endoscopy-assisted craniosynostosis surgery followed by helmet therapy. Surg Neurol Int 2018;9:59. https://doi.org/10.4103/sni.sni_17_18
  56. Chou PY, Hallac RR, Patel S, Cho MJ, Stewart N, Smartt JM, et al. Three-dimensional changes in head shape after extended sagittal strip craniectomy with wedge ostectomies and helmet therapy. J Neurosurg Pediatr 2017;19:684-9. https://doi.org/10.3171/2017.1.PEDS16660
  57. Rottgers SA, Lohani S, Proctor MR. Outcomes of endoscopic suturectomy with postoperative helmet therapy in bilateral coronal craniosynostosis. J Neurosurg Pediatr 2016;18:281-6. https://doi.org/10.3171/2016.2.PEDS15693
  58. Jimenez DF, Barone CM, McGee ME. Design and care of helmets in postoperative craniosynostosis patients: our personal approach. Clin Plast Surg 2004;31:481-7. https://doi.org/10.1016/j.cps.2004.03.010

피인용 문헌

  1. Physical Therapist Interventions for Infants With Nonsynostotic Positional Head Deformities: A Systematic Review vol.101, pp.8, 2020, https://doi.org/10.1093/ptj/pzab106
  2. Where Are We Headed? Diagnosing Abnormal Head Shapes Through Virtual Care Visits vol.33, pp.1, 2020, https://doi.org/10.1097/scs.0000000000008118