Evidence map›Paper›PMID 31811494›Full record

ArticleClinical oral investigations2020

Craniofacial growth in infants with deformational plagiocephaly: does prematurity affect the duration of head orthosis therapy and the extent of the reduction in asymmetry during treatment?

Felix Kunz, Tilmann Schweitzer, Alexander Dörr, Nina Waßmuth, Angelika Stellzig-Eisenhauer, Hartmut Böhm, Christian Linz

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Article in Clinical oral investigations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 23% 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

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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

6 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Felix KunzDepartment of Orthodontics, University Hospital Würzburg, Würzburg, Germany. kunz_f@ukw.de.ORCID http://orcid.org/0000-0001-8727-8387
Tilmann SchweitzerDepartment of Neurosurgery, University Hospital Würzburg, Würzburg, Germany.
Alexander DörrDepartment of Orthodontics, University Hospital Würzburg, Würzburg, Germany.
Nina WaßmuthDepartment of Oral and Maxillofacial Surgery, University Hospital Würzburg, Würzburg, Germany.
Angelika Stellzig-EisenhauerDepartment of Orthodontics, University Hospital Würzburg, Würzburg, Germany.
Hartmut BöhmDepartment of Oral and Maxillofacial Surgery, University Hospital Würzburg, Würzburg, Germany.
Christian LinzDepartment of Oral and Maxillofacial Surgery, University Hospital Würzburg, Würzburg, Germany.
Universitätsklinikum Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAlthough prematurity is a risk factor for developing deformational plagiocephaly (DP), to our knowledge, there are no studies that have analyzed the impact of a premature birth on the duration of head orthosis therapy and the extent of the reduction in asymmetry during treatment. MATERIALS AND

methodsWe examined 239 patients with DP who were undergoing head orthosis therapy. Depending on the gestational age, they were assigned to either a premature (gestational age of < 37 weeks) or a full-term (gestational age of ≥ 37 weeks) group. Head shape was analyzed using 3D-stereophotogrammetry at the start and end of treatment. We performed multiple linear regression analyses to evaluate the impact of prematurity on the duration of therapy and the extent of the reduction in asymmetry, taking age and the initial asymmetry of an infant's head into account.

resultsHead orthosis therapy led to a significant reduction in asymmetry in both groups. Using multiple linear regression analyses, we demonstrated that age at the start of treatment, the initial asymmetry and prematurity, significantly influenced the duration of therapy. Patients who were born at an earlier gestational age experienced a shorter treatment length. However, prematurity did not affect the extent of the reduction in cranial asymmetry that was achieved.

conclusionsAlong with age at the start of treatment and the initial asymmetry, prematurity is significantly correlated with the duration of head orthosis therapy, but not with the extent of the reduction in asymmetry achieved. CLINICAL RELEVANCE: Knowledge of these findings is important for clinicians when planning treatment and discussing the effectiveness of head orthosis therapy with the parents of premature infants with DP.

Indexed as

Orthotic DevicesPlagiocephaly, NonsynostoticPremature BirthFemaleHeadHumansInfantInfant, NewbornInfant, PrematurePhotogrammetryPregnancyCraniofacial growthDeformational plagiocephaly (DP)Duration of therapyHead orthosis therapyPrematurityReduction of cranial asymmetry

Identifiers

PMID31811494
OpenAlexW2991874593

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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.