By Donata Villani, Maria Vittoria Meraviglia
ISBN-10: 3319061178
ISBN-13: 9783319061177
ISBN-10: 3319061186
ISBN-13: 9783319061184
This e-book offers transparent tips at the prevention, early prognosis, and remedy of positional plagiocephaly. info is first offered on type, epidemiology and etiopathogenesis. analysis is then defined intimately, protecting the importance of anamnestic info, actual exam, differential prognosis, instrumental examinations and anthropometric measurements. Preventive measures corresponding to “tummy time” and physiotherapy are defined and the position of orthoses, osteopathy and surgical procedure in therapy is heavily tested. The last bankruptcy addresses diagnosis and problems. Positional plagiocephaly is not just a "cosmetic" challenge yet may cause facial and mandibular asymmetry, visible disturbances and cognitive and psychomotor impairment, but whilst safely taken care of it always resolves through 6-7 years of age. This publication could be a great reduction for pediatricians, neurosurgeons, maxillo-facial surgeons, orthopedic physicians, physiotherapists and for all all for combating and dealing with the condition.
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Extra info for Positional Plagiocephaly
Sample text
Cranial growth occurs as a direct result of the growing brain. An infant’s brain doubles in volume in the first 6 months and again by age 2. If all cranial sutures are open, the skull allows the brain to grow normally. V. it D. it D. V. V. Meraviglia and D. Villani Fig. 1 Cranial suture, view from the top however, growth perpendicular to that suture becomes restricted, and compensatory growth occurs at the remaining open sutures. Premature suture fusion may involve the sagittal, metopic, coronal (unilateral or bilateral), or lambdoid (unilateral or bilateral) suture (Fig.
This would explain why parents usually do not notice any flattening of the head in the first 6–8 weeks of life of the newborn [7, 11–17]. Still according to Newton’s first law, flattening is greater in males who have larger head and a more rapid rate of growth [2, 7, 11, 13, 15–20]. The risk increases in the case of twins, with the finding of cranial asymmetry in 56 % of cases [14, 21]. Although pressure on the occiput of the growing infant’s skull is the main cause of PPP, the origin for the side preference remains unclear.
Bialocerkowski AE, Vladusci SL, Wei Ng C (2008) Prevalence, risk factors, and natural history of positional plagiocephaly: a systematic review. Dev Med Child Neurol 50:577–586 3. Persing JA, Jane JA, Shaffrey M (1989) Virchow and the pathogenesis of craniosynostosis: a translation of his original work. Plast Reconstr Surg 83:738–742 4.