Anterior plagiocephaly: epidemiology, clinical findings,diagnosis, and classification. A review

Rocco, Concezio Di; Paternoster, Giovanna; Caldarelli, Massimo; Massimi, Luca; Tamburrini, Gianpiero

doi:10.1007/s00381-012-1845-2

Cited by 56 publications

(37 citation statements)

References 57 publications

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“…1B). 26 Premature fusion of the coronal suture also causes a deviation of the skull base, changing the position of the orbits, asymmetry of the eyebrows, asymmetry of the ear position, deviation of the mandible, and change of occlusion, with an important esthetic effect 2324 …”

Section: Methodsmentioning

confidence: 99%

Diagnosis of infant synostotic and nonsynostotic cranial deformities: a review for pediatricians

Ghizoni

Denadai

Raposo‐Amaral

et al. 2016

Revista Paulista de Pediatria (English Edition)

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Objective:To review the current comprehensive care for nonsyndromic craniosynostosis and nonsynostotic cranial deformity and to offer an overall view of these craniofacial conditions.Data source:The review was conducted in the PubMed, SciELO, and LILACS databases without time or language restrictions. Relevant articles were selected for the review.Data synthesis:We included the anatomy and physiology of normal skull development of children, discussing nuances related to nomenclature, epidemiology, etiology, and treatment of the most common forms of nonsyndromic craniosynostosis. The clinical criteria for the differential diagnosis between positional deformities and nonsyndromic craniosynostosis were also discussed, giving to the pediatrician subsidies for a quick and safe clinical diagnosis. If positional deformity is accurately diagnosed, it can be treated successfully with behavior modification. Diagnostic doubts and craniosynostosis patients should be referred straightaway to a multidisciplinary craniofacial center.Conclusions:Pediatricians are in the forefront of the diagnosis of patients with cranial deformities. Thus, it is of paramount importance that they recognize subtle cranial deformities as it may be related to premature fusion of cranial sutures.

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Section: Methodsmentioning

confidence: 99%

Diagnosis of infant synostotic and nonsynostotic cranial deformities: a review for pediatricians

Ghizoni

Denadai

Raposo‐Amaral

et al. 2016

Revista Paulista de Pediatria (English Edition)

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“…Pri zelo hudih oblikah anteriorne plagiocefalije lahko deformacija zajame tudi posterione segmente lobanje, kraniocervikalni prehod in celo prvo vratno vretence (2)(3)(4).…”

Section: Klinični Primerunclassified

“…Razlikovati jo je treba tudi od deformacijske plagiocefalije oziroma sindroma zaležane glave, ki pa ni kraniosinostotične narave (4,5).…”

Section: Klinični Primerunclassified

“…Ob tem se možgani ne morejo prosto razvijati in lahko v kasnejšem življenj-skem obdobju, po fiziološki zakostenitvi vseh lobanjskih šivov, pride do poviša-nega znotrajlobanjskega tlaka. Funkcionalne anomalije, ki lahko posledično nastanejo, so asimetrija zobne okluzije, strabizem in tortikolis (4).…”

Section: Klinični Primerunclassified

“…S tem omogočimo, da se rastoči možgani neovirano razvijajo in sami postopoma oblikujejo lobanjo, ne da bi pri tem naleteli na rigidno področje sinostotične lobanje. Poleg tega s posegom izboljšamo tudi okulomotoriko, zobno okluzijo in tortikolis (4).…”

Section: Klinični Primerunclassified

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Anteriorna plagiocefalija – Prikaz primera in opis kirurške tehnike

Spazzapan¹,

Bošnjak²,

Velnar³

et al. 2017

SlovMedJour

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IzvlečekAnteriorna plagiocefalija nastane zaradi enostranske kraniosinostoze koronarnega šiva. Je tretja najpogostejša oblika nesindromske kraniosinostoze. Glavne značilnosti so enostranska sploščenost čela in supraorbitalnega loka, deformacija baze sprednje lobanjske kotanje in asimetrija orbit. Zdravljenje je kirurško, saj s tem razbremenimo utesnjeno možgansko tkivo in s popravki dosežemo estetski učinek. Opisujemo klinični primer dečka z anteriorno plagiocefalijo, pri katerem je bila s kirurško tehniko opravljena obsežna kraniofacialna rekonstrukcija. AbstractAnterior plagiocephaly is a result of premature unilateral fusion of the coronary suture. It is the third most common form of non-syndromic craniosynostoses. Its main features include forehead, supraorbital arch and anterior cranial fossa deformation as well as orbital asymmetry. The treatment is surgical. The main aim is to relieve compressed brain tissue and achieve an acceptable aesthetic effect. We describe a boy with anterior plagiocephaly, who has undergone an extensive craniofacial reconstruction. UvodAnteriorna plagiocefalija označuje klinično sliko, ki nastane zaradi enostranske kraniosinostoze koronarnega šiva. Izraz izvira iz grške besede πλαγιος (poševen) in označuje deformacijo kostnih elementov lobanjskega svoda, obraza in lobanjske baze, za katero sta značilni sploščenost ene strani čela in asimetrija orbit. V 61 % primerov gre za nesindromske, t. i. izolirane kraniosinostoze, v 49 % pa se anteriorna plagiocefalija pridružuje drugim razvojnim anomalijam v sklopu različnih sindromskih obolenj (1). Enostranska kraniosinostoza koronarnega šiva predstavlja 13-16 % vseh kraniosinostoz in je tretja najpogostejša oblika nesindromske kraniosinostoze (2). Incidenca je približno 1 na 10.000 rojstev. Dvakrat pogosteje zbolevajo deklice. Enostranska kraniosinostoza koronarnega šiva je petkrat bolj pogosta od obojestranske, večkrat pa je prizadeta desna stran (2,3).Posledica enostranske kraniosinostoze koronarnega šiva je kompleksna klinična slika (Slika 1A, 1B). Njeni glavni razpoznavni znaki so enostranska sploščenost čela in supraorbitalnega loka, kompenzacijsko izbočenje kontralateralne polovice čela, deformacija baze sprednje lobanjske kotanje in asimetrija orbit. Pridružujejo se tudi deformacije priležnih lobanjskih kosti. Na prizadeti strani je uho pomaknjeno navzpred,

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