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Deformations (Positional Plagiocephaly):

Overview:

There are two basic causes for an abnormal skull shape in an infant: craniosynostosis and skull deformations. Craniosynostosis involves a fusion of one of the sutures of the skull that restricts growth and needs to be treated with surgery. This condition is discussed elsewhere (go to "Craniosynostoses").

The most common cause of an abnormal skull shape is a deformation. A deformation is an abnormal skull shape that results from outside pressure on the skull. Since the "Back To Sleep" campaign was initiated by the American Academy of Pediatrics in 1992, physicians noted this condition appeared to be occurring more frequently. This campaign has successfully lowered the incidence of SIDS (Sudden Infant Death Syndrome). Shortly following the recommendation of the Academy to put babies to sleep on their backs instead of their tummies, pediatricians began noticing that more and more babies were showing up in their offices with the back of their heads flat on one side. Early on, many children with flat heads were incorrectly diagnosed as having craniosynostosis and were undergoing unnecessary surgery. After a number of articles were published about this misdiagnosis (including one on the front page of the Wall Street Journal), many doctors became better educated about the differences between the two conditions.

What causes a deformation?

How do I know if my child has a deformation?

Do deformations cause any internal problems?

Why do deformations need to be treated? | Treatment