Positional Skull Deformities and Neurodevelopmental Delay: Study on 449 Infants.
Journal
The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410
Informations de publication
Date de publication:
06 Feb 2024
06 Feb 2024
Historique:
received:
09
10
2023
accepted:
07
12
2023
medline:
8
2
2024
pubmed:
8
2
2024
entrez:
8
2
2024
Statut:
aheadofprint
Résumé
Provide data on a cross-sectional study of neurodevelopmental delays (NDD) in patients with positional skull deformities (PSD), based on severity and gender, in early childhood. Neurodevelopment of 449 patients with PSD, with an age range of 3 to 59 months, was assessed with Battelle Developmental Inventory (BDI) tests during and after their cranial orthotic treatment. Data obtained were compared with the anthropometric measurements taken the same day the test was made, and results were grouped by diagnosis and severity, segmented by age group, and split by gender. From 3983 patients with PSD and simple craniosynostosis, 526 accepted to participate and took a total of 1261 BDI tests. Premature patients, patients with neurological diseases or congenital malformations, and tests taken when PSD had been corrected were excluded. The resulting study group was 449 children (123 girls and 326 boys) and 972 BDI tests. Ninety-five percent of tests presented significant NDD (median value, expressed in months) in one or more BDI domains; male patients present larger NDD than do female patients; largest delays were found in brachycephaly and plagiocephaly combined (-7 mo at age range 48-59 mo), scaphocephaly (-3.5 mo at age range 12-17 mo), plagiocephaly (-3.2 mo at age range 12-17 mo). No significant NDD were found in the receptive or cognitive domains. When evaluating PSD, BDI tests, or similar, as well as mixed PSD classification should be considered. Patients with PSD should be monitored by a coordinated set of medical specialists.
Identifiants
pubmed: 38330434
doi: 10.1097/SCS.0000000000009962
pii: 00001665-990000000-01325
doi:
Types de publication
Journal Article
Langues
eng
Informations de copyright
Copyright © 2024 by Mutaz B. Habal, MD.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
Références
Battelle Inventario de Desarrollo. Adaptación española: Maria Victoria Cruz y Marina González, TEA Ediciones S. A., Depósito legal M-44.525, Madrid; 1996
Martiniuk AL, Vujovich-Dunn C, Park M, et al. Plagiocephaly and developmental delay: a systematic review. J Dev Behav Pediatr 2017;38:67–78
Panchal J, Amirsheybani H, Gurwitch R, et al. Neurodevelopment in children with single-suture craniosynostosis and plagiocephaly without synostosis. Plast Reconstr Surg 2001;108:1492–1500
Kordestani RK, Patel S, Bard DE, et al. Neurodevelopmental delays in children with deformational plagiocephaly. Plast Reconstr Surg 2006;117:207–220
Speltz ML, Collett BR, Stott-Miller M, et al. Case-control study of neurodevelopment in deformational plagiocephaly. Pediatrics 2010;125:e537–e542
Miller RI, Clarren SK. Long-term developmental outcomes in patients with deformational plagiocephaly. Pediatrics 2000;105:E26
Squires J, Bricker D. Ages & Stages Questionnaires®, Third Edition (ASQ-3™) [Database record]. APA PsycTests; 2009
Hutchison BL, Stewart AW, Mitchell EA. Characteristics, head shape measurements and developmental delay in 287 consecutive infants attending a plagiocephaly clinic. Acta Paediatr 2009;98:1494–1499
Korpilahti P, Saarinen P, Hukki J. Deficient language acquisition in children with single suture craniosynostosis and deformational posterior plagiocephaly. Childs Nerv Syst 2012;28:419–425
Habal MB, Leimkuehler T, Chambers C, et al. Avoiding the sequela associated with deformational plagiocephaly. J Craniofac Surg 2003;14:430–437
Collett BR, Wallace ER, Kartin D, et al. Cognitive outcomes and positional plagiocephaly. Pediatrics 2019;143:e20182373
Hutchison BL, Stewart AW, de Chalain T, et al. Serial developmental assessments in infants with deformational plagiocephaly. J Paediatr Child Health 2012;48:274–278
Wilbrand JF, Schmidtberg K, Bierther U, et al. Clinical classification of infant nonsynostotic cranial deformity. J Pediatr 2012;161:1120–1125
Hutchison BL, Stewart AW, Mitchell EA. Deformational plagiocephaly: a follow-up of head shape, parental concern and neurodevelopment at ages 3 and 4 years. Arch Dis Child 2011;96:85–90
Bass WM. Human Osteology: A Laboratory and Field Manual, 3rd ed.. Missouri Archaeological Society; 1987
Gripp KW, Slavotinek AM, Hall JG, et al. Handbook of Physical Measurements. Oxford University Press; 2013
Dekaban AS. Tables of cranial and orbital measurements, cranial volume, and derived indexes in males and females from 7 days to 20 years of age. Ann Neurol 1977;2:485–491
Loveday BP, de Chalain TB. Active counterpositioning or orthotic device to treat positional plagiocephaly? J Craniofac Surg 2001;12:308–313
van Wijk RM, Boere-Boonekamp MM, Groothuis-Oudshoorn CG, et al. HElmet therapy Assessment in infants with Deformed Skulls (HEADS): protocol for a randomised controlled trial. Trials 2012;13:108
Graham T, Millay K, Wang J, et al. Significant factors in cranial remolding orthotic treatment of asymmetrical brachycephaly. J Clin Med 2020;9:1027
Naidoo SD, Skolnick GB, Patel KB, et al. Long-term outcomes in treatment of deformational plagiocephaly and brachycephaly using helmet therapy and repositioning: a longitudinal cohort study. Childs Nerv Syst 2015;31:1547–1552
Orish CN. Cephalic index in sexual dimorphism and racial diversity: a mini review. MOJ Anat Physiol 2018;5:23–26
Holowka MA, Reisner A, Giavedoni B, et al. Plagiocephaly severity scale to aid in clinical treatment recommendations. J Craniofac Surg 2017;28:717–722
Moss SD. Nonsurgical, nonorthotic treatment of occipital plagiocephaly: what is the natural history of the misshapen neonatal head? J Neurosurg 1997;87:667–670
Hutchison BL, Hutchison LA, Thompson JM, et al. Quantification of plagiocephaly and brachycephaly in infants using a digital photographic technique. Cleft Palate Craniofac J 2005;42:539–547
Fahrenkopf MP, Adams NS, Mann RJ, et al. Deformational plagiocephaly Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Nelson Textbook of Pediatrics, 21st ed. Elsevier; 2020:3082–3086
Noto T, Nagano N, Kato R, et al. Natural-course evaluation of infants with positional severe plagiocephaly using a three-dimensional scanner in Japan: comparison with those who received cranial helmet therapy. J Clin Med 2021;10:3531
Looman WS, Flannery AB. Evidence-based care of the child with deformational plagiocephaly, Part I: assessment and diagnosis. J Pediatr Health Care 2012;26:242–253
Villagomez AN, Muñoz FM, Peterson RL, et al. Neurodevelopmental delay: case definition & guidelines for data collection, analysis, and presentation of immunization safety data. Vaccine 2019;37:7623–7641
Laughlin J, Luerssen TG, Dias MS; Committee on Practice and Ambulatory Medicine, Section on Neurological Surgery. Prevention and management of positional skull deformities in infants [published correction appears in Pediatrics. 2012 Mar;129(3):595]. Pediatrics 2011;128:1236–1241
Persing J, James H, Swanson J, et al; American Academy of Pediatrics Committee on Practice and Ambulatory Medicine, Section on Plastic Surgery and Section on Neurological Surgery. Prevention and management of positional skull deformities in infants.. Pediatrics 2003;112(1 pt 1):199–202
De Bock F, Braun V, Renz-Polster H. Deformational plagiocephaly in normal infants: a systematic review of causes and hypotheses. Arch Dis Child 2017;102:535–542
Habal MB. Skull deformities at a crossroads: the need for new directions. J Craniofac Surg 2011;22:1–2
Habal MB. The urgent need for the development of guidelines of care for patients with craniofacial deformities. J Craniofacial Surg 2015;26:1731–1732
Habal MB, Castelano C, Hemkes N, et al. In search of causative factors of deformational plagiocephaly. J Craniofac Surg 2004;15:835–841
Williams E, Galea M. Another look at “tummy time” for primary plagiocephaly prevention and motor development. Infant Behav Dev 2023;71:101839