(an asymmetrical head shape) is most often the result of an infant spending
extended periods of time on their back, typically during sleep. Plagiocephaly
can also occur as a feature of other disorders (e.g., craniofacial disorders,
torticollis, and cervical anomalies) and is categorized as either positional or
synostotic (premature union of cranial sutures). Although 1 in 300 infants’
exhibit variable degrees of plagiocephaly, true sutural synostosis, which
interferes with cranium development and may cause increased intracranial
pressure, occurs in only 0.4 to 1 per 1000 live births.
plagiocephaly is treated conservatively and many cases do not require any
treatment as the condition may resolve spontaneously when the infant begins to
sit up. When the deformity is moderate or severe and a trial of repositioning
the infant has failed, a pediatric neurologist, neurosurgeon, or other
appropriate specialist in craniofacial deformities may prescribe a cranial
remodeling band to remodel the misshapen head.
of brands of cranial remodeling bands and helmets include the Dynamic Orthotic
Cranioplasty (DOC) Band™, Gillette Children`s Craniocap, and the STARband™
Cranial Headband. Average treatment time with the cranial remodeling band or
helmet is four and a half months.