Thompson James T, David Lisa R, Wood Benjamin, Argenta Anne, Simpson Jordan, Argenta Louis C
Department of Plastic and Reconstructive Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA.
J Craniofac Surg. 2009 Mar;20(2):362-5. doi: 10.1097/SCS.0b013e3181992382.
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.
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.
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.
Use of the three-dimensional scanning laser and objective scoring system shows significant improvement in patients who were compliant with helmet therapy.
在过去十年中,人们注意到体位性斜头畸形显著增加。治疗方法和跟踪结果各不相同。我们展示了使用表面扫描激光进行被动软头盔塑形治疗的结果,以提供客观的结果。
在6个月的时间里,我们机构对175名患有体位性斜头畸形的婴儿进行了治疗。使用的头盔是经过改良以适合每个患者的软泡沫头盔。使用三维表面扫描激光和不对称性的客观测量来测量结果。还记录了依从性。
扫描激光能够对随时间变化的对称性进行客观测量,并且在跟踪结果方面很有用。治疗约4个月后,头部形状有改善。更依从治疗的患者取得了更好的效果。
使用三维扫描激光和客观评分系统显示,依从头盔治疗的患者有显著改善。