Outcome analysis of helmet therapy for positional plagiocephaly using a three-dimensional surface scanning laser.
BACKGROUND
A dramatic rise in positional plagiocephaly has been noted over the last decade. Methods for treating and following outcomes are varied. We present our results from a passive soft helmet molding therapy using a surface scanning laser to provide objective outcomes.


METHODS
One hundred seventy-five infants with positional plagiocephaly were treated at our institution over a 6-month period. The helmets used were soft foam helmets modified to fit each patient. Results were measured using a three-dimensional surface scanning laser and objective measurements of asymmetry. Compliance was also documented.


RESULTS
The scanning laser allowed for objective measurements of symmetry over time and was useful in following outcomes. Improvement in head shape was noted after about 4 months of therapy. Patients who were more compliant with therapy achieved better results.


CONCLUSIONS
Use of the three-dimensional scanning laser and objective scoring system shows significant improvement in patients who were compliant with helmet therapy.
Thompson
James T
JT
Department of Plastic and Reconstructive Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA. jimthomp@wfubmc.edu
David
Lisa R
LR
Wood
Benjamin
B
Argenta
Anne
A
Simpson
Jordan
J
Argenta
Louis C
LC
D002508:Cephalometry; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D005624:Frontal Bone / Q000473:pathology; D006260:Head Protective Devices; D006696:Holography; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D007223:Infant; D007834:Lasers; D008297:Male; D009777:Occipital Bone / Q000473:pathology; D010349:Patient Compliance; D049068:Plagiocephaly, Nonsynostotic / Q000628:therapy*; D013701:Temporal Bone / Q000473:pathology; D016896:Treatment Outcome