![]() ![]() Babies may need physical therapy or start neck stretching if the baby has tight neck muscles that make changing positions difficult.īecause an abnormal head shape in a baby should be properly evaluated to determine if it is plagiocephaly or craniosynostosis, parents should not purchase a shaping helmet without their baby having proper medical evaluation, she says. Sometimes, if the positioning doesn’t work to round out the head, or if the baby has very severe flatness, doctors recommend a helmet. “This can be done by turning the head toward the other direction, or doing lots of tummy time throughout the day while the baby is awake and you are watching.” “We usually start with keeping baby off the flat side of his or her head to help with rounding out the head,” Dr. While babies should still always be placed on their backs to lower risk of sudden death, mild cases of positional plagiocephaly can be corrected with positional changes to keep the baby off the flat spot. “Sometimes we will order an ultrasound, X-rays, or a CT scan if craniosynostosis is suspected,” Treatment Options “Most of the time, we don’t need a scan or other imaging tests to diagnose or treat flat-head syndrome,” Dr. 3D photos can determine exact measurements, which helps guide treatment. Pediatric neurosurgery and plastic surgery team members can usually determine from physical exam whether a baby has positional plagiocephaly. That is a more serious problem that is referred to pediatric neurosurgery and plastic surgery experts and requires surgery. With certain head shapes, doctors will want to rule out a deformity called craniosynostosis, an abnormal fusion of the growth plates. Anywhere from 20 percent to 50 percent of kids develop this nowadays as a result of the ‘Back to Sleep’ campaign. When they spend a lot of time lying down, the skull can flatten. If your baby’s head has a flat spot, experts recommend seeing your pediatrician or a specialist for evaluation, says Krystal Tomei, MD, MPH, chief of pediatric neurosurgery at UH Rainbow Babies & Children’s Hospital. Limit your baby’s time in carriers and car seats.Change your baby’s position in the crib often by reversing the position of the head and feet, so your baby isn’t always resting on the same part of the head.Engage in lots of supervised play time while your baby lies on his or her tummy.Some simple measures can help reduce the risk and severity of flat head syndrome: Plagiocephaly can happen in utero or when tight muscles on one side of the neck keep the baby’s head in the same position. Not all cases are caused by sleeping babies on their backs. Positional plagiocephaly may present as a flat spot on part of the head or on the whole back of the head. But one result of the safe sleep movement is that more babies develop misshapen heads from lying on their backs all the time.Ĭalled flat head syndrome or positional plagiocephaly, a misshapen head typically is not a serious problem, but it does requires medical attention. This is effective until four months of age.Campaigns urging parents to put infants to sleep on their backs have saved young lives, reducing the incidence of Sudden Infant Death Syndrome (SIDS). Another prevention measure for plagiochephaly and torticollis is repositioning. ![]() Different repositioning techniques and adequate Tummy Time are keys to prevention and also help your baby meet developmental milestones. The common causes are restrictive intrauterine environment ( eg multiple fetuses – twins or triplets), congenital muscular torticollis, prematurity, back sleeping, infant car seats, carriers, bouncy seats and swings.īeing aware of preventative measures can help reduce the chance your child will develop positional plagiocephaly. Can be congenital (CMT) or develop weeks/months later.Most often associated with SCM muscle dysfunction.Commonly linked to intrauterine constraint, birthing trauma, or positioning but can result from other underlying disorders.Causes the head to tilt to one side and the chin to rotate and point to the opposite shoulder resulting in limited neck range of motion.Unilateral tightness or shortening (imbalance) of one or more of the cervical muscles (also known as “wry neck”). ![]()
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