"While these guidelines have been developed of outline a standard of care protocol for the treatment of deformational plagiocephaly, special cases may require deviation from this protocol per the physicians' discretion.

An example of this may be an infant who presents at less than three months of age with severe plagiocephaly by in utero constraint. Because the deformity began in utero, repositioning and physical therapy alone are unlikely to produce an acceptable outcome and orthotic cranioplasty may be prescribed.

Conversely, even in cases where the deformity has been determined to be moderate to severe, if the parents are not concerned about the head shape and do not wish to enter orthotic treatment, then aggressive repositioning and physical therapy may still be advised."

From guidelines developed by Cranial Technologies, Inc. with the assistance of SP Beals, MD;  EF Jorganic, MD; KM Manwaring, MD; & HL Rekate, MD.  Used with permission.