In the “severe” deformation group, the earlier the cranial orthotic is treatment started, the higher symmetry ratio recovery is obtained. Treatment is especially effective when started in four-month old infants. The “mild” deformation group showed that cranial orthotic remolding was most effective if treatment started before six months of age.
The deformity is only on the back of the head, and probably will be covered with hair
The deformation of one element leads to compensatory deformation and displacement of all other connected elements. This can include facial deformation, mandibular asymmetry, congenital and/or acquired muscular torticollis, abnormal eye placement, external ear deformity and misalignment, orbital asymmetry resulting in strabismus and other ocular problems.
In addition abnormal cranial height, abnormal cranial width/breadth, and occipital flattening with ipsilateral forehead bossing may be present. This compensation for the head’s abnormal orientation in space results in ocular and vestibular impairment and distortion of the orbits with pressure on the extraocular muscles and nerves, resulting in sensorimotor disturbances
Cranial remolding orthosis only correct the posterior (occipital) flatness
Cranial orthotics fitted and managed correctly have a direct effect on frontal, parietal, sphenoid, temporal, and one of the occipital bones of the neurocranium. Indirectly, it affects the entire facial alignment (i.e. viscerocranium) due to the direct transfer of forces through the neurocranial structures. Throughout the orthotic treatment programme, measurable changes in the cranial base, cranial vault, orbitotragial depth, and cephalic index are documented. By returning the cranial and facial bones to a normal alignment, long-term dysfunction to hearing, vision, and mandibular mechanics could likely be avoided
Cranial remolding orthoses are uncomfortable to the baby and might be unsafe
The vast majority of infants have very few problems tolerating the orthotic. As can be expected, specialized care and proper fitting insures comfort and compliance. Clarren et al. and numerous other studies documented the safety and efficacy of cranial remolding orthosis for positional plagiocephaly and other positional cranial deformities.
Cranial orthotics management is not approved by insurance companies
In the event protocols are adhered too, early repositioning attempted and chronological referenced anthropometric measurements indicate, most insurance companies consider cranial remodeling orthotics as medically necessary for treatment of moderate to severe positional head deformities.