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Predictors of severity in deformational plagiocephaly
Albert K Oh1, Erik A Hoy, Gary F Rogers
1Department of Plastic Surgery, Hasbro Children's Hospital and Rhode Island Hospital, Brown Medical School, Providence, Rhode Island, USA.
The Journal of Craniofacial Surgery
|February 5, 2009
Summary
Deformational plagiocephaly (DP) severity is linked to specific risk factors. Infant head tilt and cervical imbalance strongly correlate with cranial asymmetry, impacting DP severity.
Area of Science:
- Pediatric Orthopedics
- Craniofacial Development
- Infant Health
Background:
- Deformational plagiocephaly (DP) is a common infant condition.
- Several risk factors have been associated with DP, but their impact on severity requires further quantification.
Purpose of the Study:
- To determine the impact of various risk factors on the severity of deformational plagiocephaly (DP).
- To quantify the relationship between identified risk factors and cranial asymmetry.
Main Methods:
- A prospective cohort study involving 434 infants with DP.
- Data collection included parental questionnaires on risk factors and clinical assessments of transcranial difference (TCD), head tilt, and rotational asymmetry.
- Statistical analyses employed Pearson correlation, ANOVA, and t-tests.
Main Results:
- DP was more severe in male infants, those from multiple births, with a preferred head position, pre-existing torticollis, or head tilt.
- Lower gestational age and greater head rotational asymmetry correlated with increased DP severity.
- Cervical imbalance, including head tilt and torticollis, showed a strong correlation with deformational cranial asymmetry.
Conclusions:
- The severity of DP can be quantified in relation to specific risk factors.
- Cervical imbalance is a significant predictor of deformational cranial asymmetry severity in infants.
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