Korrektur der ausgeprgten Plagiozephalie mittels Orthese

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• 作者：A. Yacoub (1)
  G. von Salis-Soglio (2)
  Prof. Dr. C.-E. Heyde (2)
  
• 关键词：Kopfdeformitt ; Sugling ; Helmorthese ; Cranial ; vault ; asymmetry(CVA) ; Index ; Laserscanner ; Cranial deformity ; Infant ; Helmet orthosis ; Cranial vault asymmetry (CVA) index ; Laser scanner
• 刊名：Der Orthop?de
• 出版年：2013
• 出版时间：November 2013
• 年：2013
• 卷：42
• 期：11
• 页码：928-933
• 全文大小：
• 作者单位：A. Yacoub (1)
  G. von Salis-Soglio (2)
  Prof. Dr. C.-E. Heyde (2)
  
  1. Orthopdische Praxis, Taucha, Deutschland
  2. Klinik und Poliklinik f Orthopdie, Universitt Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland
  
• ISSN：1433-0431

文摘

For the treatment of pronounced deformational plagiocephaly in infants different therapeutic options are under discussion in the literature. This article presents a prospective observational study of 45 infants enrolled with distinct plagiocephaly and treated with a custom-made helmet orthosis. Treatment with the helmet orthosis was indicated by a difference in the skull diagonals of more than 0.5cm or a cranial vault asymmetry (CVA) index >3.5. The follow-up results were controlled with the help of a mobile spatial laser scanner and the CVA index and the skull deformity were measured. The average duration of treatment was 131 days. The CVA index improved from 9.95 to a normal value of 3.35 (median) and the skull deformity improved from 1.3cm to 0.5cm (median). The only side effects observed were easily treatable pressure marks. The results of this study reveal that pronounced deformational plagiocephaly can be successfully treated with a custom-made helmet orthosis and closely controlled monitoring.