Evidence map›Paper›PMID 41678434›Full record

ArticleThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association2026

Helmet Therapy in Infants with Positional Skull Deformity: A Retrospective Study of 455 Patients from a German Tertiary Care Center.

Katja Himmelstoß, Lisa-Marie Lottner, Steffen Spoerl, Michael Maurer, Johannes K Meier, Antonios Moralis, Monika Friedrich, Christian Ott, Torsten E Reichert, Tobias Ettl and 2 more

Abstract read
In one paragraph

Article in The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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

12 authors.

Katja HimmelstoßDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.ORCID 0009-0002-0639-631X
Lisa-Marie LottnerDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.ORCID 0009-0009-2867-529X
Steffen SpoerlDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.
Michael MaurerDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.
Johannes K MeierDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.
Antonios MoralisDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.ORCID 0009-0000-2042-0254
Monika FriedrichDepartment of Neurosurgery, University Hospital Regensburg, Regensburg, Germany.
Christian OttDepartment of Neurosurgery, University Hospital Regensburg, Regensburg, Germany.
Torsten E ReichertDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.
Tobias EttlDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.
Felix NieberleDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.ORCID 0000-0001-5662-6879
Juergen TaxisDepartment of Cranio- and Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany.ORCID 0000-0002-9733-3703

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ObjectiveThis study aimed to investigate the impact of helmet therapy on changes in cranial asymmetry of infants with positional cranial deformities and to identify clinical and morphometric factors associated with treatment outcome.DesignThis retrospective monocentric cohort study included 455 infants treated between 2011 and 2021.SettingData were collected using manual measurements in a tertiary care setting within the outpatient clinic of a maxillofacial surgery department in Germany.PatientsInfants with positional cranial deformities, including plagiocephaly, brachycephaly, and combined types, were included.InterventionAll patients were treated with a helmet orthosis, and data were analyzed to assess changes in cranial measurements and associated factors.Main Outcome MeasuresPredefined outcome thresholds based on cranial asymmetry reduction and prognostic factors.ResultsPlagiocephaly was the most common deformity in 332 infants. Increased ear shift (Exp(B) = 0.199; 95% CI: 0.087-0.451;

Indexed as

Head Protective DevicesOrthotic DevicesPlagiocephaly, NonsynostoticCephalometryFemaleGermanyHumansInfantMaleRetrospective StudiesTertiary Care CentersTreatment Outcomeanthropometrybrachycephalycranial deformitiescranial orthosesnonsynostoticplagiocephaly

Identifiers

PMID41678434
PMCPMC13542393

What OpenQuestion holds

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Registered trials

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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.