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What is Plagiocephaly Or Flat Head Syndrome?

Plagiocephaly is a Greek word meaning crooked head, a child’s head that is asymmetrical or flattened.

The characteristics of Deformed palgiocephaly are variable; the back of the head can be flat on one side; the ear on this side may be further forward; and there may be some flattening of the forehead on the opposite side. The diagnosis of Deformed palgiocephaly is usually made by a physical examination of the head. Sometimes an x-ray of the head is needed to rule out other more serious causes of the cranial deformity, e.g. craniosynostosis – which may require surgical treatment.

Causes

The incidence of Deformed palgiocephaly varies from between 5% – 48% of healthy newborn babies. One of the causes can be compressive forces against the soft developing bones of the baby’s head before birth – this can be the case with twins or as a result of an early descent into the pelvis. During the process of birth, excessive forces can also lead to deformation of the skull. Excessive pressure on one part of the head can also occur as a result of a strained neck muscle – an imbalance of head position known as Torticollis. In addition, babies spending a long time with the back of their heads in contact with a crib mattress, car seats and strollers may also be at risk. The “back to sleep” program recommended by many pediatricians in the United States in the 1990s, which encourages parents to lay babies on their backs to reduce the chances of SIDS (Submerged Infant Death Syndrome), has also seen a significant increase in the number of babies with Deformed palgiocephaly.

Treatment

Two types of treatment can help, Tummy Time, and for moderate to severe plagiocephaly; orthotic management.

Tummy Time: This play is a very important part for young babies, many babies can develop a flat head from lying on their back for a long time during the day. Although often temporary, this condition, called positional plagiocephaly, this can often be prevented by positioning the baby on his tummy a few times during the day, this should last for about 10 to 20 minutes at a time.

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