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Related Concept Videos

Sutures of the Skull01:22

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The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Cranial Bones: Superior and Posterior View01:14

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The superior view of the cranium shows the frontal and paired parietal bones.
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Overview of the Skull01:08

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The cranium (skull) is the skeletal structure of the head that supports the face and protects the brain. It is subdivided into the facial bones and the brain case, or cranial vault. The facial bones underlie the facial structures, form the nasal cavity, enclose the eyeballs, and support the teeth of the upper and lower jaws.
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Cranial Bones: Lateral View01:27

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The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
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Treated Versus Untreated Positional Head Deformity.

Jan-Falco Wilbrand1, Nikolai Lautenbacher, Jörn Pons-Kühnemann

  • 1*Department of Cranio-Maxillofacial Surgery †Department of Biostatistics ‡Department of Neurosurgery, University Hospital Giessen, Giessen, Germany.

The Journal of Craniofacial Surgery
|January 9, 2016
PubMed
Summary
This summary is machine-generated.

Helmet therapy significantly improved positional head deformity in children over five years, showing greater improvement than untreated cases. This study contrasts with recent findings suggesting no benefit from helmet use.

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Area of Science:

  • Craniofacial Surgery
  • Pediatric Orthopedics
  • Developmental Pediatrics

Background:

  • Positional head deformity is common in infants, often considered benign and self-correcting.
  • Helmet therapy is frequently recommended for moderate to severe cases of deformational plagiocephaly and brachycephaly.
  • Recent studies have questioned the efficacy of helmet therapy for positional head deformities.

Purpose of the Study:

  • To evaluate the long-term clinical course of positional cranial deformation.
  • To compare anthropometric parameters between children treated with orthotic helmets and untreated children.
  • To assess the effectiveness of individual molding helmets in correcting nonsynostotic head deformities.

Main Methods:

  • A 5-year observational study comparing treated and untreated children with positional cranial deformation.
  • Anthropometric measurements including cranial vault asymmetry (CVA), cranial vault asymmetry index (CVAI), and oblique cranial length ratio (OCLR) were recorded.
  • Patients were matched at baseline, with initial differences in CVA and CVAI noted between groups.

Main Results:

  • Children treated with molding helmets showed significant improvement in CVA (ΔCVA 1.35 cm) and CVAI over 5 years.
  • Untreated children exhibited minimal improvement in CVA (ΔCVA 0.01 cm) and CVAI during the same period.
  • Despite baseline differences, helmet therapy demonstrated a clear positive impact on cranial symmetry.

Conclusions:

  • Individual molding helmet therapy leads to significant improvement in nonsynostotic head deformities.
  • Untreated positional cranial deformities show limited improvement in absolute measurements over a 5-year period.
  • Findings suggest that helmet therapy is an effective treatment for positional head deformity, contrary to some recent research.