Re: Two Different Opinions

[Guest guest]

,

The orthos that treat plagio see a lot of plagio babies.

Some " specialist " don't see that many or they see a lot but their idea

of severe are the ones that need surgery. I would go with the ortho.

From " talking " to all the folks on this board I have yet to hear of an

ortho who wanted to band a baby that didn't need it. There may have

been some borderline cases but the ortho indicated that. (Even the

orthos that are inexperienced in banding have a good eye for the

plagio).

The AAP recomends banding if by 6 months the headshape has not

improved. The PT for tort will help the ears and range of motion but

more than likely at 6 months with agressive repo he would only see 2-3

mm improvement. If he is severe, 15+ mm that still only brings him

down to moderate (10-15 mm). Normal is 0-3 mm. When na

graduated at 8 1/2 months she had 3 mm cranial vault and 4 mm ear

assymmetry. (She started at 11 mm and 9 mm) She was re-measured at

30 months and was 2 mm CVA and 3 mm ears, so only 1 mm improvement.

Repo works well in very young infants and with mild to moderate

plagio. We've had some parents who started repo young and saw

improvement keep it up until 12 months with the result being no need

to band. However, I don't think any of them would say their child was

evaluated severe by an ortho.

If you see ear assymmetry, facial assymetry and flatness in the back I

would say you are very warranted in banding. He is at a great age for

correction.

na, DOC Grad X2, Feb 04, Tort Resolved

Kiersten, DOC Band, 1/10/06, Tort

www.thefilyaws.com/plagio/plagio.html

>

> His flat spot is to the side...The left side of his head is pushed

forward

> affecting the ear alignment, forehead, cheek...If you look from the

top he

> looks like a parallelogram. I don't have cranial tech near me but

I did see an

> experienced orthotist at Hanger and he said that he is severe and

should be

> banded. I'm worried about banding him for no reason...

>

>

[Guest guest]

,

The orthos that treat plagio see a lot of plagio babies.

Some " specialist " don't see that many or they see a lot but their idea

of severe are the ones that need surgery. I would go with the ortho.

From " talking " to all the folks on this board I have yet to hear of an

ortho who wanted to band a baby that didn't need it. There may have

been some borderline cases but the ortho indicated that. (Even the

orthos that are inexperienced in banding have a good eye for the

plagio).

The AAP recomends banding if by 6 months the headshape has not

improved. The PT for tort will help the ears and range of motion but

more than likely at 6 months with agressive repo he would only see 2-3

mm improvement. If he is severe, 15+ mm that still only brings him

down to moderate (10-15 mm). Normal is 0-3 mm. When na

graduated at 8 1/2 months she had 3 mm cranial vault and 4 mm ear

assymmetry. (She started at 11 mm and 9 mm) She was re-measured at

30 months and was 2 mm CVA and 3 mm ears, so only 1 mm improvement.

Repo works well in very young infants and with mild to moderate

plagio. We've had some parents who started repo young and saw

improvement keep it up until 12 months with the result being no need

to band. However, I don't think any of them would say their child was

evaluated severe by an ortho.

If you see ear assymmetry, facial assymetry and flatness in the back I

would say you are very warranted in banding. He is at a great age for

correction.

na, DOC Grad X2, Feb 04, Tort Resolved

Kiersten, DOC Band, 1/10/06, Tort

www.thefilyaws.com/plagio/plagio.html

>

> His flat spot is to the side...The left side of his head is pushed

forward

> affecting the ear alignment, forehead, cheek...If you look from the

top he

> looks like a parallelogram. I don't have cranial tech near me but

I did see an

> experienced orthotist at Hanger and he said that he is severe and

should be

> banded. I'm worried about banding him for no reason...

>

>