The Incidence of Complications Associated With Molding Helmet Therapy
| Autor: | Michael Engel, Steffen Kargus, Jürgen Hoffman, Jens Bodem, Christian Freudlsperger, Gregor Castrillon-Oberndorfer |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Erythema Plagiocephaly medicine.medical_treatment Skin infection Craniosynostoses Germany Deformity medicine Humans Child Reduction (orthopedic surgery) Cephalic index business.industry Incidence Incidence (epidemiology) technology industry and agriculture General Medicine medicine.disease Surgery Otorhinolaryngology Child Preschool Female Head Protective Devices medicine.symptom business Brachycephaly |
| Zdroj: | Journal of Craniofacial Surgery. 26:e299-e302 |
| ISSN: | 1049-2275 |
| DOI: | 10.1097/scs.0000000000001649 |
| Popis: | Molding helmet therapy using an individual head orthosis presents a widely accepted treatment option for children with positional head deformities; however, studies addressing the incidence of complications during helmet therapy are rare. The current study evaluates the incidence of complications in 205 children with positional head deformity undergoing molding helmet therapy. Children were classified according to the severity of their deformity as presented by the Cranial Vault Asymmetry Index (CVAI) and the Cephalic Index (CI). Fifty-nine (28.8%) of our patients presented a moderate and 146 (71.2%) a severe form of a positional head deformity. Of these children, 166 (81.0%) were diagnosed for plagiocephaly, 19 (9.3%) were brachycephalic, and 20 (9.7%) showed a combination of plagiocephaly and brachycephaly. Overall, 54 children (26.3%) showed minor complications during their helmet molding including pressure sores (13.7%), ethanol erythema (2.9%), skin erosions/skin infections (4.3%), or deficient fitting (5.4%). Children with a combination of plagiocephaly and brachycephaly (n = 20) showed the highest risk for complications, which was significantly higher compared with children with plagiocephaly (50% vs 22.3%; P = 0.012). Irrespective of the type of positional head deformity, no statistical difference was revealed between the moderate and the severe form. Minor complications are a relatively frequent event during helmet molding therapy. Especially children with a combination of plagiocephaly-brachycephaly are at high risk for complications. A reduction of this rate might be reached by a close follow-up for a short period between helmet manufacturing adjustments. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|