[Treatment of posterior positional plagiocephaly]

O Vernet1, S de Ribaupierre, B Cavin

  • 1Service de neurochirurgie, CHU Vaudois, 46, rue du Bugnon, 1011 Lausanne, Suisse. vernet@neurocentre.ch

Insights

The American Academy of Pediatrics

Area of Science:

  • Pediatrics
  • Craniofacial Abnormalities
  • Public Health Recommendations

Background:

  • The 1992 "Back to Sleep" campaign significantly reduced SIDS (Sudden Infant Death Syndrome) rates.
  • This led to a rise in posterior positional plagiocephaly diagnoses due to sustained occipital pressure.
  • Management strategies for plagiocephaly have evolved but lack standardization.

Purpose of the Study:

  • To review the epidemiology of posterior positional plagiocephaly.
  • To discuss diagnostic approaches for infant head shape deformities.
  • To present a comprehensive overview of current therapeutic options.

Main Methods:

  • Literature review of studies on positional plagiocephaly.
  • Analysis of diagnostic criteria and imaging techniques.
  • Synthesis of evidence for various treatment modalities.

Main Results:

  • Positional plagiocephaly is a common consequence of infant sleep positioning recommendations.
  • A range of treatments exist, from conservative measures to surgical interventions.
  • Treatment efficacy and standardization remain areas of ongoing development.

Conclusions:

  • Posterior positional plagiocephaly is a significant clinical issue following SIDS prevention strategies.
  • Multidisciplinary management approaches are often required.
  • Further research is needed to standardize optimal treatment protocols.