nonsynostoticlaposfej

Nonsynostotic plagiocephaly, often referred to as positional plagiocephaly, is a common condition in infants characterized by an asymmetrical flattening of the skull. This occurs when an infant spends a significant amount of time lying on their back, leading to a gradual flattening of the occipital bone on one side. It is not a fusion of the skull sutures, which distinguishes it from true craniosynostosis.

The primary cause of nonsynostotic plagiocephaly is external pressure on the infant's soft, developing skull. Factors contributing to this can include prolonged periods in a crib, car seat, or swing, as well as in-utero positioning. Torticollis, a condition where the neck muscles are tight, can also play a role by limiting the infant's ability to turn their head, leading to preferential positioning.

Diagnosis is typically made through clinical examination, observing the shape of the infant's head. Imaging is usually not required unless there is suspicion of synostosis or other underlying issues. The condition is purely cosmetic and does not affect brain development.

Treatment for nonsynostotic plagiocephaly focuses on reducing pressure on the flattened area and encouraging symmetrical head turning. Strategies include repositioning the infant during sleep and awake times, tummy time to strengthen neck muscles and provide relief from back pressure, and sometimes physical therapy if torticollis is present. In more persistent cases, a custom-molded helmet can be used to gently reshape the skull. Early intervention generally leads to excellent outcomes.