Subject(s)
Cleft Palate/surgery , Surgical Flaps , Articulation Disorders/epidemiology , Articulation Disorders/etiology , Articulation Disorders/therapy , Child , Child, Preschool , Follow-Up Studies , Hospitals, University/statistics & numerical data , Humans , Iowa , Postoperative Complications/epidemiology , Terminology as Topic , Treatment Outcome , Velopharyngeal Insufficiency/epidemiologyABSTRACT
This is a preliminary study of 37 infants with deformational plagiocephaly. In this first effort to create a profile of factors that may contribute to the onset and progress of developmental plagiocephaly, parents were interviewed concerning selected practices before and immediately after the birth of their infants. Results of the study do not reveal a clear or concise pattern of factors that may contribute to this condition. There needs to be additional research on the benefits and potential hazards of sleep position to infants as one of the factors that may contribute to deformational plagiocephaly.
Subject(s)
Craniosynostoses/etiology , Supine Position , Birth Order , Bone Density , Breast Feeding , Caffeine , Child, Preschool , Drinking , Humans , Infant , Maternal Age , Risk Factors , Skull/anatomy & histology , Sleep , SmokingABSTRACT
Longitudinal follow-up data on development and school placement are presented for three groups of patients. Having had or not having had early surgical intervention and stimulation distinguishes the two groups of patients with craniosynostosis. The third group is patients with cleft lip and palate who received early intervention but did not achieve minimal criteria for communication by age 22 months. Educational placement (for patients 8 to 20 years of age) follows the pattern of distribution of students nationally for patients who had early intervention.
Subject(s)
Cleft Lip/psychology , Cleft Palate/psychology , Communication Disorders/etiology , Craniosynostoses/psychology , Adaptation, Physiological , Adaptation, Psychological , Adolescent , Adult , Child , Cleft Lip/complications , Cleft Palate/complications , Communication Disorders/diagnosis , Craniosynostoses/complications , Craniosynostoses/surgery , Female , Humans , Infant , Language Tests , Longitudinal Studies , Male , Mental Disorders/etiology , Parent-Child Relations , Speech Production MeasurementABSTRACT
Over the last decade, infants with deformities in the craniofacial skeleton have been seen at our craniofacial center, and similar observations have been noted in infants seen for evaluation and management after birth, where there are not any evident pathological findings such as craniosynostosis or another known genetic disorder. The known condition of deformational plagiocephaly has been related to a sequela of the infants being placed on their back for sleep. The change in the position of the infants to sleep on their back was altered from the traditional position, where infants were placed in the prone position for many decades in the past in the Western world. A special study was initiated to compile meaningful data to help those in the field pursue their treatment of affected children in a systematic and comprehensive manner. Avoidance of unnecessary surgery was essential in those children unless the deformational condition persisted and was not resolvable by nonsurgical means and change in the cultural habitat.
