Corridors Torticollis Kids CranioSupport ActiveMed Pharmacy Parent's Plagio Support Gastric Bypass Family
Plagiocephaly
Info
Home
What is plagiocephaly?
Prevention
Assessment
What do the measurements mean?
Treatment
Support for Parents
Awareness Week
FAQs
News
Alerts
US Consumer Product Safety Infant/Child Product Recalls (not including toys)
Cranio Support Groups
Help for Flat Head!
Resources Center
About
Plagiocephaly Publications
Please submit publication citations and links to Kevin-Kelly@UIowa.edu.
Topics

Development & Positional Plagiocephaly

Treatment Issues (efficacy, growth, older infants...)

Etiology (causes, risk factors) of Positional Plagiocephaly

Torticollis and Positional Plagiocephaly

Incidence of Positional Plagiocephaly

Consequences of Untreated Positional Cranial Deformities

"Back to Sleep" Campaign

Development & Positional Plagiocephaly

Siatkowski RM, Fortney AC, Nazir SA, Cannon SL, Panchal J, Francel P, Feuer W, Ahmad W (2005) Visual field defects in deformational posterior plagiocephaly. J AAPOS. 9:274-8.

Gupta PC, Foster J, Crowe S, Papay FA, Luciano M, Traboulsi EI. (2003) Ophthalmologic findings in patients with nonsyndromic plagiocephaly. J Craniofac Surg. 14:529-32.

Francel PC, Cannon SL, Fortney A, Siatkowski M, Feuer WJ, Ahmad W, Panchal J, (2003) Visual Field Testing in Deformational Plagiocephaly. [Abstract] AANS.org on-line.

Balan P, Kushnerenko E, Sahlin P, Huotilainen M, Naatanen R, Hukki J. (2002) Auditory ERPs reveal brain dysfunction in infants with plagiocephaly. Craniofac Surg. 13:520-5; discussion 526.

Panchal J, Amirsheybani H, Gurwitch R, Cook V, Francel P, Neas B, Levine N. (2001) Neurodevelopment in children with single-suture craniosynostosis and plagiocephaly without synostosis. [abstract online] Plastic Reconstructive Surgery  108:1492-8; discussion 1499-500.

Miller, RT and Clarren SK (2000) Long-Term Developmental Outcomes in Patients With Deformational Plagiocephaly. [article online] Pediatrics 105: e26

Kane AA, Lo LJ, Vannier MW, and Marsh JL (1996) Mandibular dysmorphology in unicoronal synostosis and plagiocephaly without synostosis [abstract online]. American Cleft Palate-Craniofacial Journal, 33:418-23

Back to Topics

Treatment Issues (efficacy, growth, older infants...)

Graham JM, Gomez M, Halberg A, Earl DL, Kreutzman JT, Cui J, Guo X (2005) Management of deformational plagiocephaly: Repositioning versus orthotic therapy. The Journal of Pediatrics 146: 258-268. Concludes that "orthotic therapy was more effective than repositioning... and early orthosis was significantly more effective than later orthosis..."

Littlefield, TR (in press) Cranial remodeling devices: treatment of deformation plagiocephaly and postsurgical applications. Seminars in Pediatric Neurology.

American Academy of Pediatrics, Prevention and Management of Positional Skull Deformities in Infants, July 2003 (on the AAP website) [abstract] [full text] [pdf] Note: This most recent AAP report: 1) acknowledges the role of the 'Back to Sleep' campaign in the recent increase in positional plagiocephaly; 2) provides procedures for monitoring, prevention & intervention; 3) cautions against placing infants for extended periods in car seat and infant carriers; and 4) acknowledges banding/helmet therapy as an means of intervention.

Eppley, Barry L. (2001) Discussion of Helmet Versus Nonhelmet Treatment in Nonsynostotic Positional Posterior Plagiocephaly. Vles JSH, Colla C, Weber JW, Beuls E, Wilmink J, Kingma H. J Craniofac Surg 2000;25:572-574. Journal of Craniofacial Surgery; 12:97

Littlefield TR, Kelly KM, Pomatto JK, Manwaring KH, Beals SP, Joganic EF (2000). Cranial Growth Unrestricted During DOC Treatment of Plagiocephaly. [pdf file] Proceedings of the 8th International Congress of the International Society of Craniofacial Surgery; pp: 21-23.

Littlefield TR, Pomatto JK, Kelly KM (2000) Dynamic Orthotic Cranioplasty: Treatment of the 'older' infant. Report of four cases. [article online] Neurosurgical Focus 9(3): Article 5.

Littlefield TR, Reiff JL, Rekate HL. (2001) Diagnosis and Management of Deformational Plagiocephaly. [article online] BNI Quarterly Winter.

Kelly, KM, Littlefield, TR, Pomatto, JK, Ripley, CE, Beals, SP and Joganic EF (1999) Importance of early recognition and treatment of deformational plagiocephaly with orthotic cranioplasty. [pdf file] Cleft Palate-Craniofacial Journal, 36: 127-30.

Kelly, KM, Littlefield, TR, Pomatto, JK, Manwaring, KH, and  Beals, SP (1999) Cranial growth unrestricted during treatment of deformational plagiocephaly. [pdf file] Pediatric Neurosurgery, 30: 193-199.

Pomatto, JK, Littlefield, TR, Manwaring, K, and Beals, SP (1997) Etiology of positional plagiocephaly in triplets and treatment using a dynamic orthotic cranioplasty device. Report of three cases. [article online] Neurosurgical Focus, February.

Pollack IF, Losken HW  and Fasick P (1997) Diagnosis and management of posterior plagiocephaly. [abstract online] Pediatrics 99:180-5.

Back to Topics

Etiology (causes, risk factors)

See Incidence of Positional Plagiocephaly

Back to Topics

Torticollis and Positional Plagiocephaly

Yu C, Wong F, Lo L, Chen Y (2004) Craniofacial deformity in patients with uncorrected congenital muscular torticollis: an assessment from three-dimensional computed tomography imaging. Plastic & Reconstructive Surgery. 113:24-33.

Golden KA, Beals SP, Littlefield TR and Pomatto JK (1999) Sternocleidomastoid imbalance versus congenital muscular torticollis: their relationship to positional plagiocephaly. [abstract online] Cleft Palate-Craniofacial Journal, 36: 256-61.

Back to Topics

Incidence of Positional Plagiocephaly

Littlefield TR, Saba, NM, Kelly KM. (2004) On the Current Incidence of Deformational Plagiocephaly: An estimation based on prospective registration at a single center. Seminars in Pediatric Neurology. 11: 301-304

Littlefield, TR, Kelly, KM, Pomatto, JK and Cherney, JC. (2003) Infant car seats, carriers, bouncy seats and swings: Their role in deformational plagiocephaly. [pdf file] Journal of Prosthetics and Orthototics. 15: 102-106.

Peitsch, WK, Keefer, CH, LaBrie, RA and Mulliken, JB (2002) Incidence of Cranial Asymmetry in Healthy Newborns [pdf file] Pediatrics, 110: e72.

Littlefield, TR, Kelly, KM, Pomatto, JK, and Beals, SP (2002) Multiple-Birth Infants at Higher Risk for Development of Deformational Plagiocephaly: II. Is One Twin at Greater Risk? [pdf file] Pediatrics, 109: 19-25.

Littlefield, TR, Kelly, KM, Pomatto, JK, and Beals, SP (1999) Multiple-birth infants at higher risk for development of deformational plagiocephaly. [pdf file] Pediatrics, 103: 565-69.

Littlefield TR, Reiff JL and Rekate HL. (2001) Diagnosis and Management of Deformational Plagiocephaly. [article online] BNI Quarterly Winter.

Pomatto, JK, Littlefield, TR, Manwaring, K, and Beals, SP (1997) Etiology of positional plagiocephaly in triplets and treatment using a dynamic orthotic cranioplasty device. Report of three cases. [article online] Neurosurgical Focus, February.

Kane AA, Mitchell LE, Craven KP and Marsh JL (1996) Observations on a recent increase in plagiocephaly without synostosis. [abstract online] Pediatrics, 97:877-85.

Argenta LC, David LR, Wilson JA and Bell WO (1996) An increase in infant cranial deformity with supine sleeping position. [abstract online] Journal of Craniofacial Surgery, 7:5-11.

Back to Topics

"Back to Sleep"

Graham JM Jr, Kreutzman J, Earl D, Halberg A, Samayoa C, Guo X (2005) Deformational brachycephaly in supine-sleeping infants. Journal of Pediatrics, 146:258-262.

American Academy of Pediatrics, Prevention and Management of Positional Skull Deformities in Infants, July 2003 (on the AAP website) [abstract] [full text] [pdf] Note: This most recent AAP report: 1) acknowledges the role of the 'Back to Sleep' campaign in the recent increase in positional plagiocephaly; 2) provides procedures for monitoring, prevention & intervention; 3) cautions against placing infants for extended periods in car seat and infant carriers; and 4) acknowledges banding/helmet therapy as an means of intervention.

American Academy of Pediatrics: Task Force on Infant Sleep Position and Sudden Infant Death Syndrome (2000) Changing Concepts of Sudden Infant Death Syndrome: Implications for Infant Sleeping Environment and Sleep Position (RE9946). [article online] Pediatrics 105: 650-656. Note: Among other important points about SIDS and the "Back to Sleep" campaign, the task force acknowledges that plagiocephaly may be a complication of non-prone sleeping.

Najarian SP (1999) Infant cranial molding deformation and sleep position: implications for primary care. [abstract online] J Pediatric Health Care 13:173-7

Turk AE, McCarthy JG, Thorne CH and Wisoff JH (1996) The "back to sleep campaign" and deformational plagiocephaly: is there cause for concern? [abstract online] Journal of Craniofacial Surgery, 7:12-8. Note: This is a relatively old publication that concludes that deformation plagiocephaly should be corrected surgically. Since its publication, numerous studies cited above have established the efficacy of non-surgical correction of deformational plagiocephaly.

Back to Topics

Consequences of Untreated Positional Cranial Deformities

Yu C, Wong F, Lo L, Chen Y (2004) Craniofacial deformity in patients with uncorrected congenital muscular torticollis: an assessment from three-dimensional computed tomography imaging. Plastic & Reconstructive Surgery. 113:24-33.

Cakirer B, Hans MG, Graham G, Aylor J, Tishler J, Redline S. (2001) The relationship between craniofacial morphology and obstructive sleep apnea in whites and in African-Americans. Am J Respir Crit Care Med. 163:947-950

Back to Topics

 
ActiveMed.com
low cost, online pharmacy
The information provided on this web site, although based on a thorough and careful review of the medical literature, is for educational purposes only and is not intended as a substitute for the medical advice of physicians. The reader should consult a physician in matters relating to health and particularly in regards to any symptoms which may require diagnosis or medical attention. Neither the author nor the publisher shall be responsible for any harm or injury resulting from interpretations of the materials in this site.
Plagiocephaly.Info, formerly Plagiocephaly.org.
Another Internet presence provided by Kelly Webworks.

For questions and/or comments about the this page, contact Kevin M. Kelly.

¤