Clinical Classification of Infant Nonsynostotic Cranial Deformity - 20/11/12
, Kerstin Schmidtberg, DMD 1, Uta Bierther, MD, DMD 1, Philipp Streckbein, MD, DMD 1, Joern Pons-Kuehnemann, PhD 2, Petros Christophis, MD, PHD 3, Andreas Hahn, MD, PHD 4, Heidrun Schaaf, MD, DMD, PHD 1, Hans-Peter Howaldt, MD, DMD, PHD 1
Reprint requests: Jan-Falco Wilbrand, MD, DMD, Department for Cranio-Maxillofacial Surgery, Plastic Surgery, Klinikstraße 33, 35385 Giessen, Germany.Abstract |
Objective |
Based on a pilot study including >400 children and a comprehensive database analysis of >2500 children, we sought to define the craniofacial norm and to objectify the categorization of positional head deformity.
Study design |
A database was created containing clinical information on children assessed for nonsynostotic cranial deformity. The findings of standardized anthropometric measurements were compared with data from a group of 401 healthy children with a normal head shape collected in terms of a prospective pilot study. Using a statistical analysis of all anthropometric craniofacial measurements, cut-off percentiles for discriminating different groups of deformation and severity classes were generated.
Results |
Normative percentiles for all dimensions in cranial vault anthropometric measurements during the first year of life were calculated. Children with definite nonsynostotic head deformity could be clearly allocated into 3 different groups: positional plagiocephaly (abnormal Cranial Vault Asymmetry Index), positional brachycephaly (abnormal Cranial Index), and combined positional plagiocephaly and brachycephaly (abnormal Cranial Vault Asymmetry Index and Cranial Index). Additionally, a reliable 3-level severity categorization (mild, moderate, and severe) for each group of cranial deformation could be obtained according to age and sex.
Conclusions |
Our results allow a meaningful and reliable classification of nonsynostotic early childhood cranial deformity.
Le texte complet de cet article est disponible en PDF.Keyword : CVAI
Plan
| The authors declare no conflicts of interest. |
Vol 161 - N° 6
P. 1120 - décembre 2012 Retour au numéro
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