Long-term treatment effectiveness of molding helmet therapy in the correction of posterior deformational plagiocephaly: a five-year follow-up.

نویسندگان

  • Robert P Lee
  • John F Teichgraeber
  • James E Baumgartner
  • Amy L Waller
  • Jeryl D English
  • Robert E Lasky
  • Charles C Miller
  • Jaime Gateno
  • James J Xia
چکیده

OBJECTIVE 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. DESIGN A prospective study with blinded measurements. PATIENTS Twenty-eight patients with deformational plagiocephaly who were treated with molding helmet therapy with at least 5 years of follow-up. INTERVENTIONS 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. MAIN OUTCOME MEASURES 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. RESULTS 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. CONCLUSION 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.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Deformational posterior plagiocephaly: diagnosis and treatment.

OBJECTIVE 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. DESIGN In this prospective study, the infants were evaluated using 18 anthropometric measurements. PATIENTS The charts of 248 patients seen between August 1, 1995, and July 31, 1999, were reviewed, and 125 m...

متن کامل

Helmet modification for soft-band bone-anchored hearing aid use during cranial orthosis.

INTRODUCTION Cranial orthosis is a commonly utilized treatment modality for moderate to severe deformational plagiocephaly that may also be used to assist in cranial vault molding following endoscopic craniosynostosis repair. Custom-fit helmets are typically worn for 23 hours a day for a treatment duration of several months. Many children with plagiocephaly or craniosynostosis also suffer from ...

متن کامل

Nonsurgical treatment of deformational plagiocephaly: a systematic review.

OBJECTIVE To evaluate and summarize the evidence comparing nonsurgical therapies in the treatment of infants with deformational plagiocephaly. DATA SOURCES Scientific articles and abstracts published in English between January 1978 and August 2007 were searched from 5 online literature databases, along with a manual search of conference proceedings. STUDY SELECTION Studies were selected and...

متن کامل

Effectiveness of Conservative Therapy and Helmet Therapy for Positional Cranial Deformation.

BACKGROUND The authors investigated the effectiveness of conservative (repositioning therapy with or without physical therapy) and helmet therapy, and identified factors associated with treatment failure. METHODS A total of 4378 patients evaluated for deformational plagiocephaly and/or deformational brachycephaly were assigned to conservative (repositioning therapy, n = 383; repositioning the...

متن کامل

HElmet therapy Assessment in infants with Deformed Skulls (HEADS): protocol for a randomised controlled trial

BACKGROUND In The Netherlands, helmet therapy is a commonly used treatment in infants with skull deformation (deformational plagiocephaly or deformational brachycephaly). However, evidence of the effectiveness of this treatment remains lacking. The HEADS study (HElmet therapy Assessment in Deformed Skulls) aims to determine the effects and costs of helmet therapy compared to no helmet therapy i...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

دوره 45 3  شماره 

صفحات  -

تاریخ انتشار 2008