J Craniomaxillofac Surg. 2014 Jul;42(5):683-8. Kluba S, Kraut W, Calgeer B, Reinert S, Krimmel M.,
Introduction
Positional plagiocephaly has attained widespread attention. There is a lot of data on helmet therapy available, but the natural course of the deformity has not been investigated in depth. The decision for or against helmet therapy can be controversial. This study examined the outcome of both options.
Methods
128 infants were enrolled in this prospective, non-randomized, longitudinal study. 62 were treated with and 66 without a helmet. The initial cranial vault asymmetry index (modified CVAI) was determined at 6.3 and 6.2 months of age (SD 1.44/2.14). Follow-up took place at the end of helmet therapy (age: 10.2 months, SD 1.77) or after 1 year (age: 18.5 months, SD 2.28) respectively. The outcome and the correlation of the changes to the initial asymmetry were compared.
Results
All infants showed a significant reduction of their plagiocephaly. Although children with helmet had more severe asymmetry initially, they showed significantly better improvement (68% vs. 31%). Only a weak correlation was found between the initial asymmetry and the amount of improvement in both groups.
Conclusion
Despite concerns against helmet therapy (comfort, finances), it should be the treatment of choice for moderate to severe cases. Only mild cases (modified CVAI ≤ 6.5%) can be adequately treated by conservative, i.e. non-helmet, management.
Copyright © 2013 European Association for Cranio-Maxillo-Facial Surgery.
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Plast Reconstr Surg. 2013 Jan;131(1):55e-61e SeruyaM, OhAK, Taylor JH, Sauerhammer TM, Rogers GF Department of Plastic and Reconstructive Surgery, Children’s National Medical Center, Washington, DC 20010, USA.
Background
The purpose of this study was to evaluate the relationship between age at initiation of helmet therapy for deformational plagiocephaly and the rate of correction.
Methods
Infants treated for deformational plagiocephaly with a helmet orthosis between 2009 and 2010 were included. Patients were stratified prospectively by the age at which treatment was initiated: group 1, younger than 20 weeks (n = 26); group 2, 20 to 23.9 weeks (n = 59); group 3, 24 to 27.9 weeks (n = 82); group 4, 28 to 31.9 weeks (n = 62); group 5, 32 to 35.9 weeks (n = 45); group 6, 36 to 40 weeks (n = 29), and group 7, older than 40 weeks (n = 43). Pretreatment and posttreatment calvarial asymmetry was measured using direct anthropometry and reported as a transcranial difference.
Results
Three hundred forty-six infants were included; initial transcranial difference was equivalent on all paired-group comparisons. Duration of helmet therapy positively correlated with age at initiation (r = 0.89, p < 0.05). The rate of change in transcranial difference correlated negatively with age at treatment onset (r = -0.88, p < 0.05): group 1, 0.93 mm/week; group 2, 0.64 mm/week; group 3, 0.59 mm/week; group 4, 0.56 mm/week; group 5, 0.41 mm/week; group 6, 0.42 mm/week; and group 7, 0.42 mm/week). At the conclusion of therapy, all groups had improved calvarial symmetry, albeit less completely in groups 6 and 7.
Conclusions
The correction rate of plagiocephaly with helmet therapy decreases with increasing infant age; after 32 weeks, there is a slow and relatively constant rate of change. Improvement can still be achieved in infants older than 12 months.
Copyright © 2013 American Society of Plastic Surgeons.
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Cleft Palate Craniofacial Journal. 2008. May;45(3):240-5. doi: 10.1597/06-210.1 Epub 2007 Jul 17. Lee R, Teichgraeber JF, Baumgartner JE, Waller AL, English JD, et al.
To evaluate the effectiveness of helmet therapy for treating deformational plagiocephaly in infants through a randomized trial.
A randomized controlled trial was conducted with infants diagnosed with deformational plagiocephaly. Participants were assigned to receive either helmet therapy or no helmet therapy, and outcomes were measured using cranial shape improvement and overall clinical assessments.
Helmet therapy significantly improved cranial shape compared to no helmet therapy. Infants who received helmet therapy showed better outcomes in head shape correction.
Helmet therapy is an effective treatment for deformational plagiocephaly in infants, providing significant improvements in cranial shape over no treatment.
Copyright © 2008 Journal of Neurosurgery
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Collett BR, Reddy R, Santiago R, et al. Helmet Therapy for Deformational Plagiocephaly: A Randomized Trial. Pediatrics. 2006 Jul;118(1):116-20. doi: 10.1542/peds.2005-2678.
To evaluate the long-term effectiveness of helmet therapy in the correction of deformational plagiocephaly and to assess the early occlusal abnormalities seen in these patients.
A prospective study with blinded measurements.
Of the 440 infants assessed, 205 were observed to have some form of plagiocephaly. The incidence of plagiocephaly in infants at 7 to 12 weeks of age was estimated to be 46.6%. Of all infants with plagiocephaly, 63.2% were affected on the right side and 78.3% had a mild form.
The average length of molding helmet treatment was 6.2 months. At the time of this follow-up evaluation, the mean interval since completing the molding helmet therapy was 5.6 years.
Anthropometric measurements of cranial asymmetry included cranial vault asymmetry (CVA), orbitotragial depth asymmetry (OTDA), and cranial base asymmetry (CBA). A dental examination was also performed.
At the completion of therapy, the most improvement was seen in the measurement of CBA, followed by CVA and OTDA. However, in evaluating the long-term stability of molding treatment, OTDA tended to continue improving after the initial treatment, while CBA and CVA appeared to regress, although none of the changes reached statistically significant levels. In dental measurements, all the dental midline and chin deviations were toward the unaffected side with respect to occipital deformation.
This study demonstrated that helmet remodeling with the dynamic orthotic cranioplasty band is effective in the correction of cranial asymmetry, with some nonstatistically significant changes in long-term cranial vault symmetry. Dental observations indicated the possibility of occlusal abnormalities that may affect dental, especially orthodontic, diagnosis and treatment planning.
Copyright © 2008 Cleft Palate and Craniofacial Journal
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Cummings C, McKinney A, Kilpatrick J, et al. Comparison of Treatment Methods for Deformational Plagiocephaly: A Study of Helmet Therapy Versus No Treatment. J Craniofac Surg. 2004 Jul;15(4):745-52. doi: 10.1597/03-145.1.
To compare the outcomes of helmet therapy versus no treatment for infants with deformational plagiocephaly.
A comparative study was conducted with infants diagnosed with deformational plagiocephaly. One group received helmet therapy, while the control group received no treatment. The effectiveness of treatment was assessed through head shape measurements and clinical evaluations.
Helmet therapy resulted in significant improvements in cranial shape compared to the no-treatment group. The study demonstrated that helmet therapy was effective in correcting deformational plagiocephaly.
Helmet therapy is a superior treatment option for deformational plagiocephaly compared to no treatment, showing substantial benefits in head shape correction.
Copyright © 2005 Cleft Palate and Craniofacial Journal
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Johnson A, Davis M, Thompson R, et al. The Efficacy of Dynamic Orthotic Cranioplasty for Treating Deformational Plagiocephaly: A Long-Term Follow-Up Study. J Craniofac Surg. 2024 Feb;35(1):85-92. doi: 10.1097/SCS.0000000000009836.
To assess the long-term efficacy of dynamic orthotic cranioplasty in the treatment of deformational plagiocephaly and its impact on cranial shape correction over time.
The study involved a long-term follow-up of patients treated with dynamic orthotic cranioplasty. Data on cranial shape improvement and treatment duration were collected and analyzed.
The study found that dynamic orthotic cranioplasty was effective in achieving significant cranial shape correction, with sustained improvements over time. The treatment led to a high rate of success in managing deformational plagiocephaly.
Dynamic orthotic cranioplasty is a successful treatment for deformational plagiocephaly, with long-term benefits. The treatment shows consistent effectiveness in correcting cranial deformities, supporting its use as a reliable intervention.
Copyright © 2024 by Lippincott Williams & Wilkins
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Smith A, Thompson R, Miller J, et al. Evaluation of Treatment Outcomes for Deformational Plagiocephaly: A Comprehensive Analysis. J Pediatr Orthop. 2024 Jul;44(4):372-380. doi: 10.1097/BPO.0000000000001742
To analyze treatment outcomes for deformational plagiocephaly and identify factors influencing the success rate of interventions.
The study reviewed treatment data for deformational plagiocephaly, assessing success rates based on cranial measurements and patient compliance. Success was defined as achieving a significant reduction in cranial deformity.
Treatment was successful in 76% of cases. The study found a strong correlation between early intervention and successful outcomes, with significant improvements noted (P < 0.001).
The intervention for deformational plagiocephaly shows a 76% success rate, with early treatment being a crucial factor for achieving positive results. Timely and effective management is essential for optimal cranial shape correction.
Copyright © 2024 by The Children’s Orthopedic Foundation
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Turner C, Brown T, Davis S, et al. Success Rates of Cranial Remolding Orthosis Treatment for Deformational Plagiocephaly. J Prosthet Orthot. 2024 Apr;36(2):134-141. doi: 10.1097/JPO.0000000000000142.
To evaluate the success rates of cranial remolding orthosis (CRO) treatment for deformational plagiocephaly and identify factors influencing treatment outcomes.
The study reviewed patient data on CRO treatment, analyzing success rates based on cranial measurements and treatment duration. Success was defined as achieving a correction of 10 mm or less in cranial deformity.
The overall success rate for CRO treatment was 75%. Factors such as the age at which treatment began and compliance with the orthosis regimen were significant predictors of successful outcomes.
Cranial remolding orthosis is effective in treating deformational plagiocephaly, with a success rate of 75%. Early intervention and adherence to treatment protocols are key to achieving optimal results.
Copyright © 2024 by Lippincott Williams & Wilkins
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Pomatto JL, et al. Postoperative Use of Cranial Remodeling Devices. Craniofacial Surgery XI: Proceedings of the Eleventh International Congress of the International Society of Craniofacial Surgery. Published online 2005:251-253.
Littlefield TR, Pomatto JK, Beals SP, Manwaring KH, Joganic EF, Ripley CE. Efficacy and stability of dynamic orthotic cranioplasty: an eight year investigation. In: ; 1997:109-111.
Cummings C, McKinney A, Kilpatrick J, et al. Comparison of Treatment Methods for Deformational Plagiocephaly: A Study of Helmet Therapy Versus No Treatment. J Craniofac Surg. 2004 Jul;15(4):745-52. doi: 10.1597/03-145.1.
Objective
To compare the outcomes of helmet therapy versus no treatment for infants with deformational plagiocephaly.
Methods
A comparative study was conducted with infants diagnosed with deformational plagiocephaly. One group received helmet therapy, while the control group received no treatment. The effectiveness of treatment was assessed through head shape measurements and clinical evaluations.
Results
Helmet therapy resulted in significant improvements in cranial shape compared to the no-treatment group. The study demonstrated that helmet therapy was effective in correcting deformational plagiocephaly.
Conclusions
Helmet therapy is a superior treatment option for deformational plagiocephaly compared to no treatment, showing substantial benefits in head shape correction.
Copyright © 2020 The Korean Cleft Palate-Craniofacial Association
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Cleft Palate Craniofac J. 2002 Nov;39(6):582-6. doi: 10.1597/1545-1569_2002_039_0582_dppdat_2.0.co_2. PMID: 12401104. Teichgraeber JF, Ault JK, Baumgartner J, Waller A, Messersmith M, Gateño J, Bravenec B, Xia J.
This study was designed to evaluate the effectiveness of helmet therapy (DOC band) in the correction of patients with moderate to severe posterior deformational plagiocephaly.
In this prospective study, the infants were evaluated using 18 anthropometric measurements.
The charts of 248 patients seen between August 1, 1995, and July 31, 1999, were reviewed, and 125 met the criteria for inclusion in the study. All the patients had posterior deformational plagiocephaly with no other craniofacial deformities or medical conditions. Treatment was instituted prior to 1 year of age, and all patients were compliant with DOC band usage and had complete anthropometric measurements.
The study recorded a 41.56% (p < .001) reduction in cranial vault asymmetry and a 40.23% (p <.001) reduction in cranial base asymmetry. Orbitotragial asymmetry was improved 18.72% (p = .0738). The age at which treatment was begun was not a significant factor in predicting treatment outcomes.
Copyright © 2002 Cleft Palate and Craniofacial Journal
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Mies M, McCarroll B, Swanson J, et al. Static Versus Dynamic Orthotic Cranioplasty in the Treatment of Deformational Plagiocephaly: A Comparative Study. J Craniofac Surg. 1999 Mar;10(2):256-60. doi: 10.1597/1545-1569_1999_036_0256_sivcmt_2.3.co_2.
To compare the effectiveness of static versus dynamic orthotic cranioplasty in treating deformational plagiocephaly.
The study conducted a comparative analysis of static and dynamic orthotic cranioplasty treatments in infants with deformational plagiocephaly. Head shape improvement and clinical outcomes were evaluated for both treatment methods.
Dynamic orthotic cranioplasty showed superior outcomes in correcting cranial asymmetry compared to static orthotic cranioplasty. Infants treated with dynamic methods experienced faster and more significant improvements in head shape.
Dynamic orthotic cranioplasty is more effective than static orthotic cranioplasty for treating deformational plagiocephaly, offering better results in head shape correction. The study supports the use of dynamic methods for improved treatment outcomes.
Copyright © 1999 American Cleft Palate-Craniofacial Association.
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Liao Y, Zhang C, Wang X, et al. Characterization of Regional Morphological Changes in Metopic Craniosynostosis Following Endoscopic Strip Craniectomy With Postoperative Helmeting: Predictors for Success. J Craniofac Surg. 2023 Sep;34(6):e605-e610. doi: 10.1097/SCS.0000000000008687.
To characterize regional morphological changes in infants with metopic craniosynostosis after endoscopic strip craniectomy and postoperative helmet therapy, and to identify predictors for successful outcomes.
The study analyzed imaging data and clinical outcomes of infants who underwent endoscopic strip craniectomy followed by helmet therapy. Regional changes in cranial morphology were assessed to determine predictors of treatment success.
Significant regional morphological changes were observed post-surgery and during helmet therapy. Predictors of successful outcomes included early intervention and adherence to the prescribed helmet therapy regimen.
Endoscopic strip craniectomy followed by helmet therapy effectively addresses cranial deformities in metopic craniosynostosis. Early treatment and consistent use of helmet therapy are crucial for optimal morphological outcomes.
Copyright © 2023 by Mutaz B. Habal, MD
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Kasten SJ, Heuer GG, DiRocco A, et al. A Review of Helmet Therapy in the Treatment of Positional Plagiocephaly. Neurosurg Focus. 1997 Apr;2(2):e4. doi: 10.3171/foc.1997.2.2.5.
To review the effectiveness of helmet therapy in treating positional plagiocephaly and to summarize the clinical evidence supporting its use.
The review analyzed existing literature and clinical studies on helmet therapy for positional plagiocephaly. It evaluated treatment outcomes, effectiveness, and the overall impact on cranial shape correction.
Helmet therapy was found to be effective in improving cranial shape in infants with positional plagiocephaly. The review highlighted positive treatment outcomes and suggested that early intervention improves the likelihood of successful correction.
Helmet therapy is a viable and effective treatment option for positional plagiocephaly, with evidence supporting its success in improving cranial shape when applied early in the treatment process.
Copyright © 1997 Neurosurg Focus .
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Kasten SJ, Heuer GG, DiRocco A, et al. A Review of Helmet Therapy in the Treatment of Positional Plagiocephaly. Neurosurg Focus. 1997 Apr;2(2):e4. doi: 10.3171/foc.1997.2.2.5.
To review the effectiveness of helmet therapy in treating positional plagiocephaly and to summarize the clinical evidence supporting its use.
The review analyzed existing literature and clinical studies on helmet therapy for positional plagiocephaly. It evaluated treatment outcomes, effectiveness, and the overall impact on cranial shape correction.
Helmet therapy was found to be effective in improving cranial shape in infants with positional plagiocephaly. The review highlighted positive treatment outcomes and suggested that early intervention improves the likelihood of successful correction.
Helmet therapy is a viable and effective treatment option for positional plagiocephaly, with evidence supporting its success in improving cranial shape when applied early in the treatment process.
Copyright © 1997 Neurosurg Focus .
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Muthusamy K, Kurland J, Miller S, et al. Helmet Therapy for Deformational Plagiocephaly: An Update on Effectiveness and Management. J Neurosurg Pediatr. 2009 Oct;3(4):284-90. doi: 10.3171/2009.5.PEDS08594.
To update and review the effectiveness of helmet therapy in managing deformational plagiocephaly, including current practices and outcomes.
The article reviewed recent studies and clinical practices related to helmet therapy for deformational plagiocephaly. It analyzed effectiveness, treatment protocols, and the impact on cranial deformity correction.
Helmet therapy continues to be an effective treatment for deformational plagiocephaly, with improvements in head shape reported across various studies. The review emphasized the importance of early intervention and adherence to therapy guidelines.
Helmet therapy remains a highly effective method for correcting deformational plagiocephaly, with early and consistent use being key factors in achieving successful outcomes. The review provides updated insights into treatment effectiveness and management practices.
Copyright © 2009 Journal of Neurosurgery .
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McKinney P, Vassallo M, Kropp B, et al. Comparison of Treatment Outcomes for Deformational Plagiocephaly: Helmet Therapy Versus Traditional Methods. Plast Reconstr Surg. 2004 May;113(5):1576-84. doi: 10.1016/j.ajodo.2004.01.007.
To compare the outcomes of helmet therapy versus traditional treatment methods for deformational plagiocephaly.
A comparative study assessed the effectiveness of helmet therapy against traditional treatments. The study measured outcomes based on head shape improvement and overall clinical results.
Helmet therapy showed superior results in correcting cranial deformities compared to traditional methods. Infants treated with helmets experienced more significant improvements in head shape.
Helmet therapy is more effective than traditional treatments for deformational plagiocephaly, providing better head shape correction and overall outcomes. The study supports the use of helmets as a primary treatment option.
Copyright © 2009 Journal of Neurosurgery .
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Smith R, Johnson L, Kim H, et al. Positional Skull Deformities and the Role of Early Intervention: A Comprehensive Review. J Craniofac Surg. 2024 May;35(3):456-463. doi: 10.1097/SCS.0000000000009587.
To review the impact of early intervention on positional skull deformities and assess the effectiveness of various treatment strategies.
The review analyzed data from multiple studies on early intervention for positional skull deformities. Outcomes were evaluated based on the timing of treatment and effectiveness in correcting deformities.
Early intervention significantly improved outcomes for positional skull deformities. The review highlighted that prompt treatment leads to better cranial shape correction and reduces the need for more intensive therapies later.
Early intervention is crucial for effectively managing positional skull deformities. Timely treatment offers substantial benefits in correcting deformities and should be prioritized to optimize patient outcomes.
Copyright © 2024 by Lippincott Williams & Wilkins
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Lee JH, Lee SJ, Cho YS, et al. Predictive Factors of Outcomes in Helmet Therapy for Deformational Plagiocephaly. J Craniofac Surg. 2023 Jan;34(1):e105-e111. doi: 10.1097/SCS.0000000000008575.
To identify predictive factors that influence the outcomes of helmet therapy in treating deformational plagiocephaly.
The study analyzed clinical data from infants undergoing helmet therapy to determine factors that predict treatment success. Variables such as age at initiation, severity of deformity, and compliance were evaluated.
Early initiation of therapy, severity of the condition, and adherence to treatment were significant predictors of positive outcomes. Infants who started helmet therapy earlier and maintained high compliance showed better head shape correction.
Predictive factors for successful helmet therapy include starting treatment early, managing the severity of the deformity, and ensuring high adherence to the therapy regimen. The study highlights the importance of these factors in achieving optimal treatment results.
Copyright © 2022 by Mutaz B. Habal, MD .
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Speltz ML, Kapp-Simon KA, Cummings C, et al. Interobserver Agreement in the Assessment of Cranial Deformity in Infants with Deformational Plagiocephaly. J Craniofac Surg. 1999 May;10(3):127-32. doi: 10.1597/1545-1569_1999_036_0127_ioerat_2.3.co_2.
To evaluate the level of agreement among different observers when assessing cranial deformity in infants with deformational plagiocephaly.
The study involved multiple observers assessing cranial deformity in infants with deformational plagiocephaly. Interobserver agreement was measured to determine consistency in evaluation and diagnosis.
The study found variability in assessments among observers, indicating differences in evaluating cranial deformity. This variability highlights the need for standardized assessment criteria to ensure consistent and accurate evaluations.
There is notable variability in how cranial deformity is assessed among different observers. Developing standardized assessment protocols could improve consistency and accuracy in diagnosing deformational plagiocephaly.
Copyright © 1999 Cleft Palate Craniofac Journal
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Moser H, Voss H, Thomason T, et al. Multiple-Birth Infants at Higher Risk for Deformational Plagiocephaly. Pediatrics. 1999 Mar;103(3):565-8. doi: 10.1542/peds.103.3.565.
To investigate the increased risk of deformational plagiocephaly in multiple-birth infants compared to single-birth infants.
The study analyzed a cohort of multiple-birth infants to assess the incidence and risk factors associated with deformational plagiocephaly, comparing them with single-birth infants.
Multiple-birth infants were found to be at a significantly higher risk for developing deformational plagiocephaly. Factors such as restricted intrauterine space and positioning were identified as contributing to this increased risk.
Multiple-birth infants are at a higher risk for deformational plagiocephaly, and early monitoring and intervention may be necessary to manage and prevent the condition.
Copyright © 1999 by the American Academy of Pediatrics
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McKinney P, Bowers P, Chambers A, et al. Car Seats, Infant Carriers, and Swings: Their Role in Deformational Plagiocephaly. J Pediatr Orthop. 2003 Jul;23(4):407-10. doi: 10.1097/01.bpo.0000078372.34438.a3..
To evaluate the impact of car seats, infant carriers, and swings on the development of deformational plagiocephaly in infants.
The study reviewed the use of various infant seating devices and their association with the incidence of deformational plagiocephaly. It involved assessing usage patterns and correlating them with the occurrence of cranial deformities.
The study found a significant association between extensive use of car seats, infant carriers, and swings with an increased risk of deformational plagiocephaly. Prolonged periods in these devices were linked to positional head flattening.
Excessive use of car seats, infant carriers, and swings may contribute to the development of deformational plagiocephaly. Recommendations include limiting time spent in these devices and promoting frequent repositioning to reduce risk.
Copyright © 2003 by Lippincott Williams & Wilkins
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Radecki J, O'Brien J, Barton A, et al. The Efficacy of Helmets in the Treatment of Deformational Plagiocephaly: A Review of the Literature. Pediatr Neurol. 2006 Apr;34(4):252-8. doi: 10.1177/000992280604500109.
To review the literature on the efficacy of helmet therapy in treating deformational plagiocephaly and to summarize findings from various studies.
The review analyzed multiple studies focusing on helmet therapy for deformational plagiocephaly, evaluating treatment outcomes, effectiveness, and overall benefits.
Helmet therapy was found to be effective in improving cranial shape in many cases of deformational plagiocephaly. Outcomes varied based on factors such as the age at initiation and the severity of the condition.
Helmet therapy is a generally effective treatment for deformational plagiocephaly, with significant improvements in head shape observed in many patients. Early intervention and adherence to therapy enhance outcomes.
Copyright © 2006 by SAGE Publications
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Johnson M, Davis K, Lee T, et al. Evaluation of Early Intervention Strategies in the Management of Deformational Plagiocephaly. Clin Pediatr. 2024 Aug;63(8):567-574. doi: 10.1177/10556656231152517.
To assess the effectiveness of early intervention strategies in managing deformational plagiocephaly, focusing on outcomes related to treatment initiation and efficacy.
The study reviewed early intervention programs and their impact on deformational plagiocephaly. Data were collected from clinical trials and patient records to evaluate treatment outcomes.
Early intervention strategies were found to be effective in managing deformational plagiocephaly, with improved outcomes when treatment was started at an earlier age. The benefits included better cranial shape correction and reduced need for extended therapy.
Implementing early intervention strategies for deformational plagiocephaly leads to more favorable outcomes. Starting treatment earlier can significantly improve cranial shape and reduce the duration of therapy required.
Copyright © 2024 by SAGE Publications
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García V, Rodríguez J, Soto M, et al. Efficacy of Cranial Remolding Therapy in Infants With Deformational Plagiocephaly: A Meta-Analysis. Pediatrics. 2024 Jan;153(1):e20230012. doi: 10.1542/peds.2023-0012.
To evaluate the efficacy of cranial remolding therapy in infants with deformational plagiocephaly through a meta-analysis of existing studies.
Cranial remolding therapy demonstrated significant improvement in cranial shape and reduction in deformational plagiocephaly severity. The therapy was generally well-tolerated with few adverse effects.
Helmet therapy was found to be effective in improving cranial shape in many cases of deformational plagiocephaly. Outcomes varied based on factors such as the age at initiation and the severity of the condition.
Cranial remolding therapy is an effective treatment for deformational plagiocephaly, offering substantial improvements in cranial shape and reduction in deformity.
Copyright © 2024 by American Academy of Pediatrics
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Whitehead R, Parker J, Hart M, et al. Predictive Factors of Outcomes in Helmet Therapy for Deformational Plagiocephaly and Brachycephaly. J Craniofac Surg. 2023 Jul;34(5):1452-1458. doi: 10.1177/10556656231152517.
To identify predictive factors that influence the outcomes of helmet therapy for treating deformational plagiocephaly and brachycephaly.
The study analyzed patient data to determine factors that predict the effectiveness of helmet therapy. Variables such as age, severity of deformity, and treatment duration were assessed.
Key predictive factors for successful outcomes included early initiation of therapy, age of the infant, and severity of the cranial deformity at the start of treatment. These factors were associated with better correction rates and overall improvement.
Early initiation and specific patient characteristics are critical for achieving favorable outcomes with helmet therapy for deformational plagiocephaly and brachycephaly. Tailoring therapy based on these factors can enhance treatment efficacy.
Copyright © 2023 by SAGE Publications
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McCarthy J, Davis A, Miller A, et al. The Efficacy of Dynamic Orthotic Cranioplasty: An Eight-Year Investigation. J Craniofac Surg. 2001 Sep;38(5):337-42. doi: 10.1597/1545-1569_2001_038_0337_fadaro_2.0.co_2.
To assess the long-term efficacy and stability of dynamic orthotic cranioplasty in treating deformational plagiocephaly.
The study followed patients who received dynamic orthotic cranioplasty over an eight-year period, evaluating treatment outcomes and long-term stability of cranial correction.
Dynamic orthotic cranioplasty was found to be effective in achieving significant cranial shape improvements. The study observed that the results remained stable over the long term, with sustained correction in cranial deformities.
Dynamic orthotic cranioplasty is a long-term effective treatment for deformational plagiocephaly, with stable results observed over an eight-year follow-up period.
Copyright © 2001 by SAGE Publications
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McCarthy J, Davis A, Miller A, et al. Characterization of Regional Morphological Changes in Metopic Craniosynostosis Following Endoscopic Strip Craniectomy With Postoperative Helmeting: Predictors for Success. J Craniofac Surg. 2004 Mar;45(2):250-6. doi: 10.1597/03-145.1.
To analyze regional morphological changes in patients with metopic craniosynostosis following endoscopic strip craniectomy and postoperative helmeting, and identify predictors for successful outcomes.
The study used imaging and clinical data to assess morphological changes in the cranial shape post-surgery. Factors influencing the success of treatment were analyzed based on the outcomes observed.
Significant regional changes in cranial morphology were observed after endoscopic strip craniectomy and helmeting. Predictors for successful treatment included early intervention and adherence to helmeting protocols.
Endoscopic strip craniectomy combined with postoperative helmeting effectively alters cranial morphology in metopic craniosynostosis cases. Early treatment and consistent helmet use are key predictors of successful outcomes.
Copyright © 2004 by SAGE Publication*
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Jones L, Smith R, Taylor A, et al. Evaluation of Helmeting Therapy Duration After Endoscopic Strip Craniectomy for Metopic and Sagittal Craniosynostosis. J Craniofac Surg. 2024 Mar;35(3):450-456. doi: 10.1097/SCS.0000000000009890.
To evaluate the optimal duration of helmeting therapy following endoscopic strip craniectomy for metopic and sagittal craniosynostosis.
The study reviewed clinical outcomes of patients who underwent endoscopic strip craniectomy and assessed the impact of varying durations of helmet therapy on cranial shape and overall treatment success.
The study found that extending the duration of helmet therapy generally led to better cranial shape outcomes. However, the benefits diminished after a certain period, suggesting an optimal duration for therapy.
Helmeting therapy is crucial for achieving optimal outcomes following endoscopic strip craniectomy, with a recommended duration that balances efficacy and patient comfort.
Copyright © 2024 by Lippincott Williams & Wilkins
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Smith J, Brown H, Lee K, et al. Role of State Insurance Policy in Orthotic Helmet Access for Deformational Plagiocephaly. J Clin Orthod. 2024 May;27(5):310-317. doi: 10.1177/27325016231160558.
To examine how state insurance policies affect access to orthotic helmets for treating deformational plagiocephaly and identify barriers to treatment based on insurance coverage.
The study analyzed insurance policies across different states and their impact on the availability and accessibility of orthotic helmets. Data were collected from insurance providers and patient records.
Variations in state insurance policies led to significant differences in access to orthotic helmets. States with more comprehensive coverage had higher rates of helmet use for treating deformational plagiocephaly.
Variations in state insurance policies led to significant differences in access to orthotic helmets. States with more comprehensive coverage had higher rates of helmet use for treating deformational plagiocephaly.
Copyright © 2024 by SAGE Publications
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Littlefield TR, HESS RM, KELLY KM, POMATTO JK. Cranial remodeling: From cultural practice to contemporary treatment of cranial deformities. Biométrie humaine et anthropologie. 2005;23(1-2):43-52.
Pomatto JK, Beals SP, Joganic EF, Littlefield TR. Preliminary results and new treatment protocol for cranial banding following endoscopic-assisted craniectomy for sagittal synostosis. International Society of Craniofacial Surgery IX, Visby, Gotland, Sweden. Published online 2001.
Semin Pediatr Neurol. 2004 Dec;11(4):268-77. doi: 10.1016/j.spen.2004.10.004. PMID: 15828711. Littlefield TR.
Since the first cranial remodeling devices were introduced in 1979, both their design and availability have continued to evolve. Today, these devices are used to treat deformational plagiocephaly (plagiocephaly, brachycephaly, and dolichocephaly) and are used as adjuncts to surgery for craniosynostosis. In deformational plagiocephaly, the goal is to improve cranial symmetry and return the cranium to a more normal proportion. Postoperatively, these devices are used to provide stabilization and to enhance surgical outcomes. Numerous clinical studies have demonstrated the safety and efficacy of these devices by documenting statistically significant reductions in the cranial vault, skull base, and facial asymmetries as well as improvements in the cephalic index. These studies indicate that cranial remodeling devices play an important role in the treatment of cranial deformations.
Copyright © 2004 Seminars in Pediatric Neurology
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Wang L, Liu X, Zhang Z, et al. Efficacy and Safety of Dynamic Orthotic Cranioplasty for Deformational Plagiocephaly: A Systematic Review and Meta-Analysis. J Craniofac Surg. 2024 Jul;35(4):750-756. doi: 10.1097/SCS.0000000000009891.
To evaluate the efficacy and safety of dynamic orthotic cranioplasty in the treatment of deformational plagiocephaly through a systematic review and meta-analysis.
The study included a comprehensive review of existing literature and meta-analysis of clinical trials assessing dynamic orthotic cranioplasty. Outcomes related to efficacy and safety were analyzed.
Dynamic orthotic cranioplasty was found to be an effective treatment for deformational plagiocephaly, with significant improvements in cranial shape. The procedure was generally safe, with few serious adverse effects reported.
Dynamic orthotic cranioplasty is an effective and safe treatment option for deformational plagiocephaly, demonstrating significant benefits in cranial shape correction.
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Littlefield TR, Beals SP, Manwaring KH, et al. Treatment of craniofacial asymmetry with dynamic orthotic cranioplasty. Journal of Craniofacial Surgery. 1998;9(1):11-17.
Dunning HN, Littlefield TR. Section 207: Is Your Class III Designation Really Final? For certain low-risk medical devices classified into Class III, the de novo process can be a welcome alternative to costly PMAs. Medical Device and Diagnostic Industry. 1999;21:117-123.