Primary Care Perspectives

Primary Care Perspectives: Episode 51 - Positional Plagiocephaly

Mar 11, 2019

Jesse Taylor, MD, Chief of Plastic and Reconstructive Surgery at Children’s Hospital of Philadelphia, talks about positional plagiocephaly, a common condition in infants. He discusses the Back to Sleep campaign's impact on its prevalence and differentiates it from craniosynostosis. Dr. Taylor highlights risk factors and management strategies, stressing the importance of early intervention and parental concerns about aesthetics. The conversation also covers critical assessment techniques to ensure effective monitoring in infants.

19:31

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Episode guests

Jesse Taylor, MD

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Episode notes

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Quick takeaways

The rise in positional plagiocephaly, linked to the Back to Sleep campaign, highlights the trade-off between infant safety and head shape concerns.

Clinically differentiating positional plagiocephaly from craniosynostosis is essential, as they present distinct head shapes and developmental timelines.

Deep dives

Increasing Incidence of Positional Plagiocephaly

The prevalence of positional plagiocephaly has risen significantly, primarily attributed to the back-to-sleep campaign designed to enhance infant safety. While this campaign effectively reduces sudden infant death syndrome (SIDS), it has resulted in more babies developing flat head syndrome. Evidence indicates that children aged two to seven months are particularly at risk, with incidence rates soaring to as high as 60%. This phenomenon raises concerns about whether flat heads might become a common feature of this generation's infants, prompting discussions on potential shifts in sleep positioning recommendations.

Intro

2min

Exploring Risk Factors of Positional Plagiocephaly and Its Comparison with Craniosynostosis

2min

Distinguishing Positional Plagiocephaly from Craniosynostosis

3min

Understanding and Managing Positional Plagiocephaly

2min

Intervening in Positional Plagiocephaly

11min

Jesse Taylor, MD, Chief of the Division of Plastic and Reconstructive Surgery at Children’s Hospital of Philadelphia sits down to discuss positional plagiocephaly (development of a flat spot on a baby’s head), the impact of the Back to Sleep campaign, risk factors for developing plagiocephaly, how it can be clinically differentiated from craniosynostosis and more. Published March 2019. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

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