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Prevalence and Consequences of Positional Plagiocephaly and Brachycephaly
Michelle Feijen1, Bas Franssen, Nanette Vincken
1Maastricht University Medical Center, Maastricht, The Netherlands.
Insights
Positional plagiocephaly (flat head syndrome) is uncommon in adolescents, with a prevalence of 10.3%. This study found no link between cranial deformities and cosmetic concerns or quality of life in teenagers.
Area of Science:
- Pediatrics
- Craniofacial Surgery
- Public Health
Background:
- Positional plagiocephaly and brachycephaly incidence has risen in infants.
- Limited data exists on long-term cosmetic and psychological effects of these conditions.
- The
- back to sleep
- campaign may influence prevalence.
Purpose of the Study:
- Assess the prevalence of positional plagiocephaly and brachycephaly in adolescents.
- Evaluate the cosmetic relevance of these cranial deformities.
- Determine the influence of cranial shape on adolescent quality of life.
Main Methods:
- Plagiocephalometry was used to measure cranial shape.
- A questionnaire assessed demographics, medical history, and cosmetic appearance.
- The KIDSCREEN-27 questionnaire evaluated quality of life.
Main Results:
- Prevalence of plagiocephaly (ODDI > 106%) was 10.3%; brachycephaly (CPI > 95%) was 0%.
- No significant correlation found between cranial deformity measurements (ODDI, CPI) and cosmetic assessment.
- No significant correlation found between cranial deformity and quality of life scores.
Conclusions:
- Positional cranial deformities are infrequent in adolescents born post-
- back to sleep
- campaign.
- Cranial deformities in adolescence do not appear to impact cosmetic self-perception or overall quality of life.
Abstract:
The incidence of positional plagiocephaly and brachycephaly in infants has increased. Treatment options include physiotherapy and helmet therapy.No information exists on the prevalence, cosmetic, and psychological consequences of plagiocephaly and brachycephaly later in life. This study was performed to assess the prevalence and cosmetic relevance of plagiocephaly and brachycephaly, as well as its influence on quality of life in adolescence.The authors performed plagiocephalomety to assess cranial shape and used a questionnaire that included question about educational level, medical history, cosmetic appearance, and cranial shape. To evaluate quality of life, the authors used the KIDSCREEN-27 questionnaire.All data were analyzed using SPSS version 19.0 2010. The authors included 87 adolescents. The prevalence of plagiocephaly, defined as an oblique diameter difference index (ODDI) higher than 106%, was 10.3%; the prevalence of brachycephaly, defined as a cranial proportional index (CPI) higher than 95%, was 0%.There was no significant correlation between the level of the ODDI or CPI and the cosmetic assessment of cranial shape (P = 0.128/0.541). There was no significant correlation with the level of the ODDI (P = 0.428).There was no significant correlation between the level of the ODDI or CPI and the average T-value for quality of life using the KIDSCREEN quality-of-life questionnaire (P = 0.461/0.713). The prevalence of positional deformities in our population of adolescents, born after the "back to sleep" campaign, is low. There was no significant correlation between the presence of a cranial deformity and the cosmetic judgement and quality of life.
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