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There are two main causes\u00a0of PP: postural plagiocephaly and craniosynostosis. Early diagnosis is important, as it prevents neurological\u00a0complications and emergencies. Diagnosis in the past was often made late and with imaging tests that subjected\u00a0the infant to a high radiation load. Suture ultrasound does not use ionizing radiation; it is easy to perform, allows an\u00a0early diagnosis, and directs toward the execution of the cranial 3D-CT scan, neurosurgical consultation, and\u00a0possible intervention. The aim of the study is to describe the high sensitivity and specificity of suture ultrasound for\u00a0the differential diagnosis between plagiocephaly and craniosynostosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reported our prospective experience and compared it with the data in the literature through a\u00a0systematic review. The systematic review was conducted on electronic medical databases (PubMed, Embase,\u00a0Cochrane Library, Scopus, and Web of Science) evaluating the published literature up to November 2020.\u00a0According to Preferred Reporting Items for Systematic Reviews and Meta-ANALYSES (PRISMA statement), we\u00a0identified 2 eligible studies. Additionally, according to AMSTAR 2, all included reviews have been critically rated as\u00a0high quality. A total of 120 infants with abnormal skull shape were examined in NICU. All underwent clinical and\u00a0ultrasound examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the total, 105 (87.5%) had plagiocephaly and 15 dolichocephaly\/scaphocephaly (12.5%). None of these\u00a0had associated other types of malformations and\/or neurological disorders. The synostotic suture was identified\u00a0ultrasonographically in 1 infant and subsequently confirmed by 3D CT scan (100%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Cranial sutures ultrasonography can be considered in infants a selective, excellent screening method\u00a0for the evaluation of skull shape deformities as first technique before the 3D CT scan exam and subsequent\u00a0neurosurgical evaluation. Cranial suture ultrasonography should be considered part of clinical practice especially\u00a0for pediatricians.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00381-021-05324-3","type":"journal-article","created":{"date-parts":[[2021,8,28]],"date-time":"2021-08-28T08:02:46Z","timestamp":1630137766000},"page":"3715-3720","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Sutures ultrasound: useful diagnostic screening for posterior plagiocephaly"],"prefix":"10.1007","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6598-9903","authenticated-orcid":false,"given":"Silvia","family":"Marino","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martino","family":"Ruggieri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lidia","family":"Marino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaele","family":"Falsaperla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,8,28]]},"reference":[{"key":"5324_CR1","unstructured":"Unnithan AKA, De Jesus O (2021) Plagiocephaly. 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