caa a22 4500 463181239 CHVBK 20180406164839.0 cr unu---uuuuu 170326e20071101xx s 000 0 eng 10.1007/s00381-007-0373-y doi (NATIONALLICENCE)springer-10.1007/s00381-007-0373-y Long-term outcome of infants with positional occipital plagiocephaly [Elektronische Daten] [Paul Steinbok, David Lam, Swati Singh, Patricia Mortenson, Ashutosh Singhal] Background: Despite much interest in positional (deformational) plagiocephaly, the natural history is unclear. The purpose of this study was to determine cosmetic and developmental outcomes at a minimum of 5years of age in children diagnosed in infancy with positional plagiocephaly (PP) and the impact of cranial orthotic use. Methods: A questionnaire survey was sent to parents of children diagnosed with PP in infancy and now aged more than 5years. A retrospective review of the child's clinic chart was performed of consenting families, and prospective follow-up was done when families agreed to return for assessment. Results: Of 278 eligible children with plagiocephaly, questionnaires were completed by 65 parents, and 27 brought their child for assessment. Participants and nonparticipants were similar. Cranial orthoses were used in 18 of 65 children. Parents perceived the cosmetic appearance of their child as "very abnormal” in 2, "mildly abnormal” in 25, and "normal” in 38. Residual asymmetry was noted by parents in 58%, but only 21% were concerned about appearance. In the last year, 7.7% of children commented about asymmetry of head, and 4.6% were teased occasionally. Thirty-three percent had received learning assistance, and 14% were in a special class. Long-term outcomes, as perceived by the parent or child, were no different between children with and without orthosis use. Conclusions: The results allow better counselling of parents about outcome of infants with PP, reducing anxiety, and allowing more rational selection of management modality. Springer-Verlag, 2007 Occipital plagiocephaly nationallicence Positional plagiocephaly nationallicence Outcome nationallicence Headband nationallicence Orthotic nationallicence Counter-positioning nationallicence Steinbok Paul Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada aut Lam David Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada aut Singh Swati Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada aut Mortenson Patricia Department of Occupational Therapy, Children's and Women's Health Centre of British Columbia, Vancouver, British Columbia, Canada aut Singhal Ashutosh Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada aut Child's Nervous System Springer-Verlag 23/11(2007-11-01), 1275-1283 0256-7040 23:11<1275 2007 23 381 https://doi.org/10.1007/s00381-007-0373-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-007-0373-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Steinbok Paul Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada aut NATIONALLICENCE 700 1- Lam David Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada aut NATIONALLICENCE 700 1- Singh Swati Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada aut NATIONALLICENCE 700 1- Mortenson Patricia Department of Occupational Therapy, Children's and Women's Health Centre of British Columbia, Vancouver, British Columbia, Canada aut NATIONALLICENCE 700 1- Singhal Ashutosh Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/11(2007-11-01), 1275-1283 0256-7040 23:11<1275 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer