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.

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