Cargando…

Significant Factors in Cranial Remolding Orthotic Treatment of Asymmetrical Brachycephaly

This retrospective chart review focuses on determining the most effective time to begin cranial remolding orthosis (CRO) treatment for infants with asymmetrical brachycephaly. Subjects with asymmetrical brachycephaly started CRO treatment between 3 and 18 months of age. These infants had a cranial v...

Descripción completa

Detalles Bibliográficos
Autores principales: Graham, Tiffany, Millay, Kelly, Wang, Jijia, Adams-Huet, Beverley, O’Briant, Elizabeth, Oldham, Madison, Smith, Shacoya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231243/
https://www.ncbi.nlm.nih.gov/pubmed/32260587
http://dx.doi.org/10.3390/jcm9041027
_version_ 1783535146222223360
author Graham, Tiffany
Millay, Kelly
Wang, Jijia
Adams-Huet, Beverley
O’Briant, Elizabeth
Oldham, Madison
Smith, Shacoya
author_facet Graham, Tiffany
Millay, Kelly
Wang, Jijia
Adams-Huet, Beverley
O’Briant, Elizabeth
Oldham, Madison
Smith, Shacoya
author_sort Graham, Tiffany
collection PubMed
description This retrospective chart review focuses on determining the most effective time to begin cranial remolding orthosis (CRO) treatment for infants with asymmetrical brachycephaly. Subjects with asymmetrical brachycephaly started CRO treatment between 3 and 18 months of age. These infants had a cranial vault asymmetry index (CVAI) ≥ 3.5 and a cranial index (CI) ≥ 90. Subjects were excluded if they had any comorbidities affecting growth, dropped out of treatment, were lost to follow-up, or were noncompliant. Factors which were found to statistically influence treatment outcomes were subject initial age, initial CVAI, and initial CI. Overall, younger subjects were more likely to achieve a corrected head shape. The presence of prematurity or torticollis had statistically nonsignificant effects on the success of treatment. Initial CI was found to be a stronger predictor than initial CVAI as to which subjects achieved correction. The less severe the starting CI, the more likely the subject was to achieve full correction. The clinical understanding is that it requires more cranial growth to “round out” a full posterior skull flattening than an asymmetry. Based on the study results, infants with asymmetrical brachycephaly should be treated as early as possible to increase chances of achieving full correction of the deformity.
format Online
Article
Text
id pubmed-7231243
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-72312432020-05-22 Significant Factors in Cranial Remolding Orthotic Treatment of Asymmetrical Brachycephaly Graham, Tiffany Millay, Kelly Wang, Jijia Adams-Huet, Beverley O’Briant, Elizabeth Oldham, Madison Smith, Shacoya J Clin Med Article This retrospective chart review focuses on determining the most effective time to begin cranial remolding orthosis (CRO) treatment for infants with asymmetrical brachycephaly. Subjects with asymmetrical brachycephaly started CRO treatment between 3 and 18 months of age. These infants had a cranial vault asymmetry index (CVAI) ≥ 3.5 and a cranial index (CI) ≥ 90. Subjects were excluded if they had any comorbidities affecting growth, dropped out of treatment, were lost to follow-up, or were noncompliant. Factors which were found to statistically influence treatment outcomes were subject initial age, initial CVAI, and initial CI. Overall, younger subjects were more likely to achieve a corrected head shape. The presence of prematurity or torticollis had statistically nonsignificant effects on the success of treatment. Initial CI was found to be a stronger predictor than initial CVAI as to which subjects achieved correction. The less severe the starting CI, the more likely the subject was to achieve full correction. The clinical understanding is that it requires more cranial growth to “round out” a full posterior skull flattening than an asymmetry. Based on the study results, infants with asymmetrical brachycephaly should be treated as early as possible to increase chances of achieving full correction of the deformity. MDPI 2020-04-05 /pmc/articles/PMC7231243/ /pubmed/32260587 http://dx.doi.org/10.3390/jcm9041027 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
Graham, Tiffany
Millay, Kelly
Wang, Jijia
Adams-Huet, Beverley
O’Briant, Elizabeth
Oldham, Madison
Smith, Shacoya
Significant Factors in Cranial Remolding Orthotic Treatment of Asymmetrical Brachycephaly
title Significant Factors in Cranial Remolding Orthotic Treatment of Asymmetrical Brachycephaly
title_full Significant Factors in Cranial Remolding Orthotic Treatment of Asymmetrical Brachycephaly
title_fullStr Significant Factors in Cranial Remolding Orthotic Treatment of Asymmetrical Brachycephaly
title_full_unstemmed Significant Factors in Cranial Remolding Orthotic Treatment of Asymmetrical Brachycephaly
title_short Significant Factors in Cranial Remolding Orthotic Treatment of Asymmetrical Brachycephaly
title_sort significant factors in cranial remolding orthotic treatment of asymmetrical brachycephaly
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231243/
https://www.ncbi.nlm.nih.gov/pubmed/32260587
http://dx.doi.org/10.3390/jcm9041027
work_keys_str_mv AT grahamtiffany significantfactorsincranialremoldingorthotictreatmentofasymmetricalbrachycephaly
AT millaykelly significantfactorsincranialremoldingorthotictreatmentofasymmetricalbrachycephaly
AT wangjijia significantfactorsincranialremoldingorthotictreatmentofasymmetricalbrachycephaly
AT adamshuetbeverley significantfactorsincranialremoldingorthotictreatmentofasymmetricalbrachycephaly
AT obriantelizabeth significantfactorsincranialremoldingorthotictreatmentofasymmetricalbrachycephaly
AT oldhammadison significantfactorsincranialremoldingorthotictreatmentofasymmetricalbrachycephaly
AT smithshacoya significantfactorsincranialremoldingorthotictreatmentofasymmetricalbrachycephaly