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Welcome to CAPP (Craniosynostosis and Positional Plagiochephaly).

Abnormal head shapes may result from various causes. The skull is made up of multiple bones, with growth junctions (sutures) between them. During the delivery process the skull contracts (the bones overlap) in the birth canal. This may cause temporary distortion of the head, which should return to normal within six weeks. The sutures also allow the skull to expand during rapid brain growth in the first year of life.

Craniosynostosis can affect one or more sutures. The names indicate the shape that occurs when different sutures are involved. Early closure (synostosis) of one of these crainal sutures can cause uneven growth of the skull. As the brain enlarges, skull growth in the prematurely closed area is constricted, forcing bone overgrowth in other areas. Treatment for craniosynostosis requires surgery.

Plagiocephaly (Fig.2a); uneven shaped forehead. Trigonocephaly (Fig.2b); triangular shaped forehead. Scaphocephaly (Fig.2c); Long narrow head. Brachycephaly (Fig.2d); Short wide head.

Causes for abnormal head shapes positional molding and can also be associated with premature birth, restrictive intrauterine positioning, cervical abnormalities, birth trauma, torticollis (shortening of the neck muscle) and even sleeping positions. Treatment for positional molding includes repositioning the head, exercise and/or a corrective orthotic headband. Positional molding may resemble craniosynostosis. It is essential to obtain the correct diagnosis for proper treatment.

 

 

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