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Positional Plagiocephaly: Experience with a Passive Orthotic Mattress

Sillifant, Paul FRACDS (OMS)*; Vaiude, Partha MSc, FRCS (Plast)*; Bruce, Sarah MBChB; Quirk, Debra RNC (Dip HE)*; Sinha, Ajay FRCS (SN)*; Burn, Sasha C. FRCS (SN)*; Richardson, David FRCS, FDSRCS (Eng)*; Duncan, Christian MPhil, FRCS (Plast)*

Journal of Craniofacial Surgery: July 2014 - Volume 25 - Issue 4 - p 1365–1368
doi: 10.1097/SCS.0000000000000835
Clinical Studies

Positional plagiocephaly (deformational or occipital plagiocephaly) is the most common head-shape deformity, which is presented to specialist craniofacial units. The aim of management is to reduce pressure on the affected area in the expectation that brain growth will drive normalization of the head shape. Current management includes a variety of protocols based on repositioning advice or helmet orthotics. The aim of this study is to document changes in head shape associated with use of a passive orthotic mattress for the management of positional plagiocephaly of a series of 30 patients at Alder Hey Children’s Hospital between April 2008 and June 2010. Cranial vault asymmetry was assessed before treatment and was classified into mild, moderate, or severe plagiocephaly. Follow-up demonstrated a significant improvement in cranial vault asymmetry in those treated with the passive orthotic mattress.

From the Departments of *Craniofacial Surgery and †Plastic Surgery, Alder Hey Children’s Hospital, Liverpool, United Kingdom.

Received November 12, 2013.

Accepted for publication February 1, 2014.

Address correspondence and reprint requests to Christian Duncan, MPhil, FRCS (Plast), Department of Craniofacial Surgery, Alder Hey Children’s National Health Service Foundation Trust, Eaton Rd, Liverpool, United Kingdom L122AP; E-mail: Christian.Duncan@alderhey.nhs.uk

The authors report no conflict of interest concerning the materials or methods used in this study or the findings; however, the makers of the Sleepcurve mattress donated the mattresses to the hospital for the study but had no other involvement with the study or its findings. Sleepcurve is a registered trademark of Sprog Ltd, St Nicholas House, St Nicholas Road, Sutton, Surrey, United Kingdom SM1 1EL.

© 2014 by Mutaz B. Habal, MD.