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Re: Dent?

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The suture lines are what fuse the plates of the skull together as a

baby's head grows (if you look at an adult skull, it looks like it's

been sewn together, like stitches or sutures). Premature fusing of

the sutures is a condition called craniosynostosis, which looks

similar to plagio but is more serious and typically requires surgery

to correct. Was Elaine ever checked for that prior to banding? Not

every baby is, and it doesn't mean that she has it just because she

has a dent, but some doctors like to rule it out (my son had a CT

scan early on to check for it). It is possible, I think, that the

suture lines can become more or less prominent as the head is being

remolded (hence the reason why it was there before, then it was

gone, now it's back again). My son wasn't banded until he was 17

months old, so his sutures had already begun to fuse (but they don't

fully fuse until our early 20s). He developed a prominent metopic

suture, which is the center one from the bridge of the nose up to

his former soft spot. That has since softened since graduating. He

also had his right lamboid suture fuse faster than his others (not

prematurely, just faster), which appears almost like a dent (across

the back right side of his head and flat spot). That hindered the

rounding out of his flat spot some, although we saw great

improvement in every other area. Again, he was older though, and our

therapist at CT told me that it may or may not improve on its own as

he gets older. It sounds like if it's across her flat spot, it's

also her lamboid suture (kind of diagonal from the center back to

bottom right or left). Here is a link to a photo of the newborn

skull:

http://www.google.com/imgres?

imgurl=http://www.nlm.nih.gov/MEDLINEPLUS/ency/images/ency/fullsize/1

127.jpg & imgrefurl=http://www.nlm.nih.gov/MEDLINEPLUS/ency/imagepages/

1127.htm & h=320 & w=400 & sz=16 & tbnid=-Z0AldTYy-

sJ:: & tbnh=99 & tbnw=124 & prev=/images%3Fq%3Dskull%

2Bsutures & hl=en & usg=__GTvgAWvvzP-

xuWKDcE2zHPfbZKE= & sa=X & oi=image_result & resnum=3 & ct=image & cd=1

It's super long, but it should work. Let me know if it doesn't.

Jake-2 (DOCBand Grad 9/19/08)

Jordan-4.5

>

> Elaine had a dent form between the time she was casted and the

time

> she received her helmet. It's hard to describe other than a dent.

> Um.. it was in her flattened area, was elongated, presumably where

> plates meet.

>

> By the end of the second week in the helmet, even though it took

us

> that long to work up to 23 hours, it was gone. At Sunday's bath

time

> she was fine. On Monday night, she wasn't. I noticed a slight

dent

> in pretty much the same spot. We called the ortho when they

opened

> yesterday and she went in for an adjustment first thing this

morning.

>

> The ortho called it a 'suture line' and said they were quite

common

> and nothing to be concerned about. It will round out in time.

She

> made some minor adjustments and said that her progress is

excellent,

> but she's almost outgrown her helmet. She'll confer with the

surgeon

> but is pretty sure she'll need a second helmet.

>

> Do any of you have experience with these 'suture lines'? Are they

> normal and nothing to worry about like she says? I don't like the

> fact a dent showed up. Feels to me like we're regressing so I'm

just

> looking for some reassurance.

>

>

> Elaine (Twin A) plagio & tort, 6mos, ~6 weeks helmet

>

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Try this link instead:

http://www.nlm.nih.gov/MEDLINEPLUS/ency/images/ency/fullsize/1127.jpg

Jake-2 (DOCBand Grad 9/19/08)

Jordan-4.5

> >

> > Elaine had a dent form between the time she was casted and the

> time

> > she received her helmet. It's hard to describe other than a

dent.

> > Um.. it was in her flattened area, was elongated, presumably

where

> > plates meet.

> >

> > By the end of the second week in the helmet, even though it took

> us

> > that long to work up to 23 hours, it was gone. At Sunday's bath

> time

> > she was fine. On Monday night, she wasn't. I noticed a slight

> dent

> > in pretty much the same spot. We called the ortho when they

> opened

> > yesterday and she went in for an adjustment first thing this

> morning.

> >

> > The ortho called it a 'suture line' and said they were quite

> common

> > and nothing to be concerned about. It will round out in time.

> She

> > made some minor adjustments and said that her progress is

> excellent,

> > but she's almost outgrown her helmet. She'll confer with the

> surgeon

> > but is pretty sure she'll need a second helmet.

> >

> > Do any of you have experience with these 'suture lines'? Are

they

> > normal and nothing to worry about like she says? I don't like

the

> > fact a dent showed up. Feels to me like we're regressing so I'm

> just

> > looking for some reassurance.

> >

> >

> > Elaine (Twin A) plagio & tort, 6mos, ~6 weeks helmet

> >

>

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