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Article

Natural-Course Evaluation of Infants with Positional Severe Plagiocephaly Using a Three-Dimensional Scanner in Japan: Comparison with Those Who Received Cranial Helmet Therapy

1
Department of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo 173-8610, Japan
2
Noto Children’s Clinic, Tokyo 179-0084, Japan
3
Kasukabe Medical Center, Department of Pediatrics, Kasukabe 344-8588, Japan
4
Department of Neurological Surgery, Nihon University School of Medicine, Tokyo 173-8610, Japan
*
Author to whom correspondence should be addressed.
These authors contributed equally.
Academic Editor: Karen Benzies
J. Clin. Med. 2021, 10(16), 3531; https://doi.org/10.3390/jcm10163531
Received: 22 July 2021 / Revised: 7 August 2021 / Accepted: 10 August 2021 / Published: 11 August 2021
(This article belongs to the Special Issue Clinical Care for Neonatology and Paediatrics)
This study aimed to clarify the natural course of positional plagiocephaly using a three-dimensional (3D) scanner and investigate the effectiveness of cranial helmet therapy (CHT). One hundred infants with severe plagiocephaly who visited our institutions between April 2020 and March 2021 were included. Cranial shape was measured using an Artec Eva 3D scanner. A cranial asymmetry (CA) >12 mm was diagnosed as severe plagiocephaly. An infant whose CA subsided to <12 mm was considered to have improved naturally or by CHT. The difference in CA between the second and initial scans was defined as the improvement value (median scan interval was two months). In the natural-course group comprising 56 infants with severe plagiocephaly, 37 (66%) with a median CA of 15.6 mm exhibited no improvement after two months. In the scan age- and evaluation interval-matched case-control study, the CA value in the CHT group improved by three times that in the natural-course group (−4.6 mm [n = 33] vs. −1.55 mm [n = 24], p < 0.001). Severe plagiocephaly did not improve naturally in 66% of the cases. Therefore, CHT should be considered if the CA is >12 mm on the initial evaluation. View Full-Text
Keywords: cranial asymmetry; improvement; natural course; severity; scanner cranial asymmetry; improvement; natural course; severity; scanner
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MDPI and ACS Style

Noto, T.; Nagano, N.; Kato, R.; Hashimoto, S.; Saito, K.; Miyabayashi, H.; Sasano, M.; Sumi, K.; Yoshino, A.; Morioka, I. 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. https://doi.org/10.3390/jcm10163531

AMA Style

Noto T, Nagano N, Kato R, Hashimoto S, Saito K, Miyabayashi H, Sasano M, Sumi K, Yoshino A, Morioka I. Natural-Course Evaluation of Infants with Positional Severe Plagiocephaly Using a Three-Dimensional Scanner in Japan: Comparison with Those Who Received Cranial Helmet Therapy. Journal of Clinical Medicine. 2021; 10(16):3531. https://doi.org/10.3390/jcm10163531

Chicago/Turabian Style

Noto, Takanori, Nobuhiko Nagano, Risa Kato, Shin Hashimoto, Katsuya Saito, Hiroshi Miyabayashi, Mari Sasano, Koichiro Sumi, Atsuo Yoshino, and Ichiro Morioka. 2021. "Natural-Course Evaluation of Infants with Positional Severe Plagiocephaly Using a Three-Dimensional Scanner in Japan: Comparison with Those Who Received Cranial Helmet Therapy" Journal of Clinical Medicine 10, no. 16: 3531. https://doi.org/10.3390/jcm10163531

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