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Outcome Analysis of Cranial Molding Therapy in Nonsynostotic Plagiocephaly

BACKGROUND: It is known that nonsynostotic plagiocephaly does not spontaneously improve, and the craniofacial deformities that result from it. This study was conducted to analyze the effectiveness of helmet therapy for the nonsynostotic plagiocephaly patient, and to suggest a new treatment strategy...

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Autores principales: Yoo, Han-Su, Rah, Dong Kyun, Kim, Yong Oock
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Plastic and Reconstructive Surgeons 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3408279/
https://www.ncbi.nlm.nih.gov/pubmed/22872837
http://dx.doi.org/10.5999/aps.2012.39.4.338
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author Yoo, Han-Su
Rah, Dong Kyun
Kim, Yong Oock
author_facet Yoo, Han-Su
Rah, Dong Kyun
Kim, Yong Oock
author_sort Yoo, Han-Su
collection PubMed
description BACKGROUND: It is known that nonsynostotic plagiocephaly does not spontaneously improve, and the craniofacial deformities that result from it. This study was conducted to analyze the effectiveness of helmet therapy for the nonsynostotic plagiocephaly patient, and to suggest a new treatment strategy based on this analysis. METHODS: A total of 108 pediatric patients who had undergone helmet therapy after being diagnosed with nonsynostotic plagiocephaly were included in this study. The patients were classified according to the initiation age of the helmet therapy, severity, and helmet wearing time. The treatment effect was compared using cranial vault asymmetry (CVA) and the cranial vault asymmetry index (CVAI), which were obtained from diagonal measurements before and after therapy. RESULTS: The discrepancy of CVA and CVAI of all the patients significantly decreased after helmet therapy. According to the initiation time of helmet therapy, the treatment effect was best at 5 months old or less. The helmet wearing time per day was proportional to the treatment effect up to 20 hours. In addition, the rate of the successful treatment (final CVA ≤5 mm) significantly decreased when the initiation age was 9.1 months or older and the treatment period was less than 7.83 months. CONCLUSIONS: This study showed the effectiveness of the helmet therapy for nonsynostotic plagiocephaly patients. Based on analysis of this study, helmet therapy should be started at the age of 9 months or younger for 7.83 months or more, and the helmet wearing time should be more than 20 hours a day.
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spelling pubmed-34082792012-08-07 Outcome Analysis of Cranial Molding Therapy in Nonsynostotic Plagiocephaly Yoo, Han-Su Rah, Dong Kyun Kim, Yong Oock Arch Plast Surg Original Article BACKGROUND: It is known that nonsynostotic plagiocephaly does not spontaneously improve, and the craniofacial deformities that result from it. This study was conducted to analyze the effectiveness of helmet therapy for the nonsynostotic plagiocephaly patient, and to suggest a new treatment strategy based on this analysis. METHODS: A total of 108 pediatric patients who had undergone helmet therapy after being diagnosed with nonsynostotic plagiocephaly were included in this study. The patients were classified according to the initiation age of the helmet therapy, severity, and helmet wearing time. The treatment effect was compared using cranial vault asymmetry (CVA) and the cranial vault asymmetry index (CVAI), which were obtained from diagonal measurements before and after therapy. RESULTS: The discrepancy of CVA and CVAI of all the patients significantly decreased after helmet therapy. According to the initiation time of helmet therapy, the treatment effect was best at 5 months old or less. The helmet wearing time per day was proportional to the treatment effect up to 20 hours. In addition, the rate of the successful treatment (final CVA ≤5 mm) significantly decreased when the initiation age was 9.1 months or older and the treatment period was less than 7.83 months. CONCLUSIONS: This study showed the effectiveness of the helmet therapy for nonsynostotic plagiocephaly patients. Based on analysis of this study, helmet therapy should be started at the age of 9 months or younger for 7.83 months or more, and the helmet wearing time should be more than 20 hours a day. The Korean Society of Plastic and Reconstructive Surgeons 2012-07 2012-07-13 /pmc/articles/PMC3408279/ /pubmed/22872837 http://dx.doi.org/10.5999/aps.2012.39.4.338 Text en Copyright © 2012 The Korean Society of Plastic and Reconstructive Surgeons http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Yoo, Han-Su
Rah, Dong Kyun
Kim, Yong Oock
Outcome Analysis of Cranial Molding Therapy in Nonsynostotic Plagiocephaly
title Outcome Analysis of Cranial Molding Therapy in Nonsynostotic Plagiocephaly
title_full Outcome Analysis of Cranial Molding Therapy in Nonsynostotic Plagiocephaly
title_fullStr Outcome Analysis of Cranial Molding Therapy in Nonsynostotic Plagiocephaly
title_full_unstemmed Outcome Analysis of Cranial Molding Therapy in Nonsynostotic Plagiocephaly
title_short Outcome Analysis of Cranial Molding Therapy in Nonsynostotic Plagiocephaly
title_sort outcome analysis of cranial molding therapy in nonsynostotic plagiocephaly
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3408279/
https://www.ncbi.nlm.nih.gov/pubmed/22872837
http://dx.doi.org/10.5999/aps.2012.39.4.338
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