The intent is to improve pediatric care providers' recognition and timely referral for craniosynostosis and their differentiation of synostotic from deformational and other nonoperative head shape changes.Ĭopyright © 2020 by the American Academy of Pediatrics. Most baby head shape issues are temporary and. There are several good reasons why babies don’t have perfectly round shaped heads to begin with. The report ends with a brief discussion of microcephaly as it relates to craniosynostosis as well as fontanelle closure. Baby’s head shape changes are completely normal. This is followed by a description of each type of primary craniosynostosis (metopic, unicoronal, bicoronal, sagittal, lambdoid, and frontosphenoidal) and their resultant head shape changes, with an emphasis on differentiating conditions that require surgical correction from those (bathrocephaly, deformational plagiocephaly/brachycephaly, and neonatal intensive care unit-associated skill deformation, known as NICUcephaly) that do not. Remolding helmets and other treatments can help round out the shape of. into other areas, resulting in a skull with a distorted shape. Due to long hours on their backs, babies can develop a flat spot on their skulls. As an introduction, the physiology and genetics of skull growth as well as the pathophysiology underlying craniosynostosis are reviewed. of age and dont fully fuse until adulthood. Hip impingement may be caused by a misshapen femoral head, deformed femoral neck, or a hip socket that covers too much of the femoral head. Tight or weak neck muscles prevent a newborn from turning. This very common condition, which is also called posterior or deformational plagiocephaly and flat head syndrome, is primarily due to sleep position and tight neck muscles, called torticollis. The purpose of this clinical report is to review the characteristic head shape changes, as well as secondary craniofacial characteristics, that occur in the setting of the various primary craniosynostoses and deformations. Positional plagiocephaly is the flattening of the back or sides of an infants head. Not all cases are caused by sleeping babies on their backs. Positional plagiocephaly may present as a flat spot on part of the head or on the whole back of the head. Pediatric care providers, pediatricians, pediatric subspecialty physicians, and other health care providers should be able to recognize children with abnormal head shapes that occur as a result of both synostotic and deformational processes. Called flat head syndrome or positional plagiocephaly, a misshapen head typically is not a serious problem, but it does requires medical attention.
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