Evidence map›Paper›PMID 28835328›Full record

ReviewDeutsches Arzteblatt international2017

Positional Skull Deformities.

Christian Linz, Felix Kunz, Hartmut Böhm, Tilmann Schweitzer

Open access · greenAbstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 38 citations in OpenAlex.

  1. Age-related patterns and strong correlation between cranial and ear asymmetry in healthy children: a CT-based cross-sectional study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
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  14. In Reply.Deutsches Arzteblatt international · 2018
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  15. Caused by Spinal Block.Deutsches Arzteblatt international · 2018
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  16. Osteopathy as an Aid to Treatment.Deutsches Arzteblatt international · 2018
    Article
  17. The Cause is Cesarean Section.Deutsches Arzteblatt international · 2018
    Article
  18. Failure to Consider Everyday Pediatric Practice.Deutsches Arzteblatt international · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Christian Linz
Felix Kunz
Hartmut Böhm
Tilmann Schweitzer
Universitätsklinikum Würzburg · DEAlbert Schweitzer Hospital · GA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEspecially in the first 6 months of life, skull deformities manifesting as a uni- or bilateral flattening of the occiput often give rise to questions of differential diagnosis and potential treatment. In this review, the authors summarize the current understanding of risk factors for this condition, and the current state of the relevant diagnostic assessment and options for treatment.

methodsThe recommendations given in this selective review of the literature are based on current studies and on existing guidelines on the prevention of sudden infant death, the recommendations of the German Society for Pediatric Neurology (Deutsche Gesellschaft für Neuropädiatrie), and the American guidelines on the treatment of positional plagiocephaly in infancy.

resultsPre-, peri-, and postnatal risk factors can contribute to the development of positional skull deformities. These deformities can be diagnosed and classified on the basis of their clinical features, supplemented in unclear cases by ultrasonography of the cranial sutures. The putative relationship between positional skull deformities and developmental delay is currently debated. The main preventive and therapeutic measure is parent education to foster correct positioning habits (turning of the infant to the less favored side; prone positioning on occasion when awake) and beneficial stimulation of the infant (to promote lying on the less favored side). If the range of motion of the head is limited, physiotherapy is an effective additional measure. In severe or refractory cases, a skull orthosis (splint) may be useful.

conclusionThe parents of children with positional skull deformities should be comprehensively informed about the necessary preventive and therapeutic measures. Treatment should be initiated early and provided in graded fashion, according to the degree of severity of the problem. Parental concern about the deformity should not be allowed to lead to a rejection of the reasonable recommendation for a supine sleeping position.

Indexed as

Plagiocephaly, NonsynostoticFemaleHumansInfantInfant, NewbornMaleSkullSudden Infant Death

Identifiers

PMID28835328
PMCPMC5624275
OpenAlexW2802265737

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.