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Sometimes, if the positioning doesn’t work to round out the head, or if the baby has very severe flatness, doctors recommend a helmet. “This can be done by turning the head toward the other direction, or doing lots of tummy time throughout the day while the baby is awake and you are watching.” “We usually start with keeping baby off the flat side of his or her head to help with rounding out the head,” Dr. While babies should still always be placed on their backs to lower risk of sudden death, mild cases of positional plagiocephaly can be corrected with positional changes to keep the baby off the flat spot. “Sometimes we will order an ultrasound, X-rays, or a CT scan if craniosynostosis is suspected,” Treatment Options
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“Most of the time, we don’t need a scan or other imaging tests to diagnose or treat flat-head syndrome,” Dr. 3D photos can determine exact measurements, which helps guide treatment. Pediatric neurosurgery and plastic surgery team members can usually determine from physical exam whether a baby has positional plagiocephaly. That is a more serious problem that is referred to pediatric neurosurgery and plastic surgery experts and requires surgery. With certain head shapes, doctors will want to rule out a deformity called craniosynostosis, an abnormal fusion of the growth plates. Anywhere from 20 percent to 50 percent of kids develop this nowadays as a result of the ‘Back to Sleep’ campaign. When they spend a lot of time lying down, the skull can flatten. If your baby’s head has a flat spot, experts recommend seeing your pediatrician or a specialist for evaluation, says Krystal Tomei, MD, MPH, chief of pediatric neurosurgery at UH Rainbow Babies & Children’s Hospital.
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Positional plagiocephaly may present as a flat spot on part of the head or on the whole back of the head. But one result of the safe sleep movement is that more babies develop misshapen heads from lying on their backs all the time.Ĭalled flat head syndrome or positional plagiocephaly, a misshapen head typically is not a serious problem, but it does requires medical attention. Campaigns urging parents to put infants to sleep on their backs have saved young lives, reducing the incidence of Sudden Infant Death Syndrome (SIDS).
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