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Deformational Plagiocephaly, Brachycephaly, and Scaphocephaly. Part II: Prevention and Treatment

Rogers, Gary F. MD, JD, MBA, MPH

Journal of Craniofacial Surgery: January 2011 - Volume 22 - Issue 1 - p 17-23
doi: 10.1097/SCS.0b013e3181f6c342
Original Articles

Cranial deformation is the most common cause of abnormal head shape. Intentional and unintentional alterations of cranial form are associated with the application of external pressure to the growing infant head, and such changes have been recorded throughout man's history. Recent changes in Western sleeping practices, instituted to reduce the incidence of sudden infant death syndrome, have led to a dramatic rise in cranial deformation and renewed interest in this subject. This 2-part review presents a pragmatic clinical approach to this topic including a critical review of the literature as it applies to each aspect of this common diagnosis: historical perspective, terminology, differential diagnosis, etiopathogenesis and predisposing factors, and prevention and treatment.

From the Department of Plastic and Oral Surgery, Children's Hospital Boston, and Harvard Medical School, Boston, Massachusetts.

Received May 10, 2010.

Accepted for publication June 4, 2010.

Address correspondence and reprint requests to Gary F. Rogers, MD, JD, MBA, MPH, 300 Longwood Ave, Boston, MA 02115; E-mail:

The author has an ownership interest in PlagioPrevention, LLC.

© 2011 Mutaz B. Habal, MD