Abstract:
PRINCIPLES:Since the recommendation that infants sleep in the supine position, there has been an increase in cases of posterior positional plagiocephaly. Even though this condition is a purely cosmetic problem, if it is severe it may affect the child psychologically. Positioning may help in mild or moderate cases, but more active treatment may be necessary in severe cases. METHODS:A prospective study of 260 children treated by dynamic orthotic cranioplasty for posterior positional plagiocephaly was conducted in Lausanne from 1995 to 2001. Construction of these cranial remodelling helmets is decribed in detail. RESULTS:The treatment lasted 3 months on average, was effective, well tolerated, and had zero morbidity. The ideal period for initiating this therapy is between the ages of 4 and 6 months. CONCLUSION:The remodelling helmet is a convincing option which can be recommended in infants with posterior positional plagiocephaly whose skull deformity is not satisfactorily corrected by physiotherapy. It should always be used before surgery is considered for patients with recognised positional plagiocephaly in the first year of life.
journal_name
Swiss Med Wklyjournal_title
Swiss medical weeklyauthors
de Ribaupierre S,Vernet O,Rilliet B,Cavin B,Kalina D,Leyvraz P-doi
2007/25/smw-11702subject
Has Abstractpub_date
2007-06-30 00:00:00pages
368-72issue
25-26eissn
1424-7860issn
1424-3997pii
smw-11702journal_volume
137pub_type
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journal_title:Swiss medical weekly
pub_type: 杂志文章,评审
doi:2003/29/smw-09986
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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pub_type: 临床试验,杂志文章
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