Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
권호 표지

A Simple Evaluation Method Using a "Sun-Wukong's Headband" Wire for Positional Plagiocephaly Correction after Cranial Remodeling Helmet Therapy

손오공 머리띠를 이용한 간편한 사두증 치료결과 평가방법

  • Kim, Peter Chanwoo (Department of Plastic and Reconstructive Surgery, Daegu Catholic University) ;
  • Lee, Young Bae (Department of Plastic and Reconstructive Surgery, Daegu Catholic University) ;
  • Park, Dae Hwan (Department of Plastic and Reconstructive Surgery, Daegu Catholic University)
  • 김찬우 (대구가톨릭대학교 의과대학 성형외과학교실) ;
  • 이영배 (대구가톨릭대학교 의과대학 성형외과학교실) ;
  • 박대환 (대구가톨릭대학교 의과대학 성형외과학교실)
  • Received : 2011.02.15
  • Accepted : 2011.03.31
  • Published : 2011.04.10
⟨ Previous Next ⟩

Abstract

Purpose: A cranioremodeling helmet for correcting plagiocephaly was recently developed. However, no discrete objective methods to evaluate how the deformity is being corrected have been developed. We have established an easy and cost-effective method that can be used not only to show the correction process, but can also be used by physicians to assess the degree of plagiocephaly two-dimensionally. Methods: For two-dimensional evaluation, a length of malleable memory wire (2 mm in diameter) resembling "Sun-Wukong's headband" was placed on the patient's head. The wire around the patient's head was positioned on a plane including points 1 cm above the eyebrow and 1 cm above the auricle. The wire was placed on a sheet of paper and the outline was marked using pens of various colors during each visit. The degree of plagiocephaly correction could then be shown to the patient's parents at every consultation. Results: The method established by the present study easily shows the horizontal cross-section transformation of the head, illustrates plagiocephaly correction by the helmet, and shows the degree of correction in a two-dimensional manner. Conclusion: A soft-shell helmet is widely used for correcting plagiocephaly. However, evaluating the effectiveness of the helmet has been determined in a subjective manner, and a more objective method is now in demanded. Our study found that a "Sun-Wukong's headband" wire can accurately measure two-dimensional changes. Future studies will be required to identify landmarks needed for assessing plagiocephaly correction.

Keywords

References

  1. Biggs WS: Diagnosis and management of positional head deformity. Am Fam Physician 67: 1953, 2003
  2. Bialocerkowski AE, Vladusic SL, Howell SM: Conservative interventions for positional plagiocephaly: a systematic review. Dev Med Child Neurol 47:563, 2005 https://doi.org/10.1017/S0012162205001118
  3. Rekate HL: Occipital plagiocephaly: a critical review of the literature. J Neurosurg 89: 24, 1998 https://doi.org/10.3171/jns.1998.89.1.0024
  4. McGarry A, Dixon MT, Greig RJ, Hamilton DR, Sexton S, Smart H: Head shape measurement standards and cranial orthoses in the treatment of infants with deformational plagiocephaly. Dev Med Child Neurol 50: 568, 2008 https://doi.org/10.1111/j.1469-8749.2008.03017.x
  5. Graham JM Jr, Gomez M, Halberg A, Earl DL, Kreutzman JT, Cui J, Guo X: Management of deformational plagiocephaly: repositioning versus orthotic therapy. J Pediatr 146: 258, 2005 https://doi.org/10.1016/j.jpeds.2004.10.016
  6. van Vlimmeren LA, Takken T, van Adrichem LN, van der Graaf Y, Helders PJ, Engelbert RH: Plagiocephalometry: a non-invasive method to quantify asymmetry of the skull; a reliability study. Eur J Pediatr 165: 149 2006 https://doi.org/10.1007/s00431-005-0011-1
  7. Wilbrand JF, Wilbrand M, Pons-Kuehnemann J, Blecher JC, Christophis P, Howaldt HP, Schaaf H: Value and reliability of anthropometric measurements of cranial deformity in early childhood. J Craniomaxillofac Surg 39: 24, 2011 https://doi.org/10.1016/j.jcms.2010.03.010
  8. Bruner TW, David LR, Gage HD, Argenta LC: Objective outcome analysis of soft shell helmet therapy in the treatment of deformational plagiocephaly. J Craniofac Surg 15: 643, 2004 https://doi.org/10.1097/00001665-200407000-00022
  9. Miller RI, Clarren SK: Long-term developmental outcomes in patients with deformational plagiocephaly. Pediatrics 105: E26, 2000 https://doi.org/10.1542/peds.105.2.e26