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Outcome Analysis of the Effects of Helmet Therapy in Infants with Brachycephaly

Brachycephaly has several potential deleterious effects, including malocclusion, sleep apnea, and abnormal posture. Nevertheless, the research regarding helmet therapy as a treatment strategy for brachycephaly is limited. Herein, we aimed to analyze the factors influencing the effects of helmet ther...

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Detalles Bibliográficos
Autores principales: Choi, Hyehoon, Lim, Seong Hoon, Kim, Joon Sung, Hong, Bo Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230218/
https://www.ncbi.nlm.nih.gov/pubmed/32325869
http://dx.doi.org/10.3390/jcm9041171
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author Choi, Hyehoon
Lim, Seong Hoon
Kim, Joon Sung
Hong, Bo Young
author_facet Choi, Hyehoon
Lim, Seong Hoon
Kim, Joon Sung
Hong, Bo Young
author_sort Choi, Hyehoon
collection PubMed
description Brachycephaly has several potential deleterious effects, including malocclusion, sleep apnea, and abnormal posture. Nevertheless, the research regarding helmet therapy as a treatment strategy for brachycephaly is limited. Herein, we aimed to analyze the factors influencing the effects of helmet therapy in infants with brachycephaly. We retrospectively reviewed the records of 207 infants aged 3–14 months with a cranial index (CI) >90% who received helmet therapy between May 2016 and October 2019 and complied with the treatment protocol well. We used a multiple regression analysis to determine which factors affected the duration of therapy and a Jonckheere–Terpstra test to establish differences in the duration of helmet therapy according to age and severity. We identified brachycephaly severity (p < 0.001), asymmetry (p < 0.001), and age (p < 0.001) as factors affecting the duration of therapy. Helmet therapy might be effective for infants with moderate to severe brachycephaly, assuming good protocol compliance. In addition, younger treatment initiation age and less severe and less asymmetric brachycephaly significantly shorten the treatment duration.
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spelling pubmed-72302182020-05-28 Outcome Analysis of the Effects of Helmet Therapy in Infants with Brachycephaly Choi, Hyehoon Lim, Seong Hoon Kim, Joon Sung Hong, Bo Young J Clin Med Article Brachycephaly has several potential deleterious effects, including malocclusion, sleep apnea, and abnormal posture. Nevertheless, the research regarding helmet therapy as a treatment strategy for brachycephaly is limited. Herein, we aimed to analyze the factors influencing the effects of helmet therapy in infants with brachycephaly. We retrospectively reviewed the records of 207 infants aged 3–14 months with a cranial index (CI) >90% who received helmet therapy between May 2016 and October 2019 and complied with the treatment protocol well. We used a multiple regression analysis to determine which factors affected the duration of therapy and a Jonckheere–Terpstra test to establish differences in the duration of helmet therapy according to age and severity. We identified brachycephaly severity (p < 0.001), asymmetry (p < 0.001), and age (p < 0.001) as factors affecting the duration of therapy. Helmet therapy might be effective for infants with moderate to severe brachycephaly, assuming good protocol compliance. In addition, younger treatment initiation age and less severe and less asymmetric brachycephaly significantly shorten the treatment duration. MDPI 2020-04-19 /pmc/articles/PMC7230218/ /pubmed/32325869 http://dx.doi.org/10.3390/jcm9041171 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Choi, Hyehoon
Lim, Seong Hoon
Kim, Joon Sung
Hong, Bo Young
Outcome Analysis of the Effects of Helmet Therapy in Infants with Brachycephaly
title Outcome Analysis of the Effects of Helmet Therapy in Infants with Brachycephaly
title_full Outcome Analysis of the Effects of Helmet Therapy in Infants with Brachycephaly
title_fullStr Outcome Analysis of the Effects of Helmet Therapy in Infants with Brachycephaly
title_full_unstemmed Outcome Analysis of the Effects of Helmet Therapy in Infants with Brachycephaly
title_short Outcome Analysis of the Effects of Helmet Therapy in Infants with Brachycephaly
title_sort outcome analysis of the effects of helmet therapy in infants with brachycephaly
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230218/
https://www.ncbi.nlm.nih.gov/pubmed/32325869
http://dx.doi.org/10.3390/jcm9041171
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