{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T10:50:32Z","timestamp":1791975032019,"version":"4.4.0"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T00:00:00Z","timestamp":1701648000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"crossref","award":["22K09869"],"award-info":[{"award-number":["22K09869"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003With the advent of cranial orthoses as therapeutic medical devices for the treatment of severe positional head deformities in Japan, an increasing number of patients are being treated with them. However, assessing the effectiveness of a treatment is often difficult due to the use of different metrics. This study aimed to evaluate the effectiveness of cranial orthoses for deformational plagiocephaly using two- (2D) and three-dimensional (3D) evaluation metrics.<\/jats:p><jats:p>\n          Methods\u2003We conducted a retrospective study of infant patients with deformational plagiocephaly who underwent cranial orthosis treatment. We evaluated the severity of deformational plagiocephaly using cranial asymmetry (CA) and the cranial vault asymmetry index (CVAI) as 2D metrics, and anterior and posterior symmetry ratios as 3D metrics. The patients were divided into 24 subgroups based on the initial severity of each outcome and their age at the start of treatment. We analyzed the changes in outcomes and correlations within improvements across the age and severity categories.<\/jats:p><jats:p>\n          Results\u2003Overall, 1,038 infants were included in this study. The mean CA, CVAI, and anterior and posterior symmetry ratios improved significantly after cranial orthosis treatment. The improvement in each score was greater in patients with more severe initial deformities and in those who underwent treatment at a younger age.<\/jats:p><jats:p>\n          Conclusion\u2003Cranial orthosis treatment was effective in correcting deformational plagiocephaly in infants, as demonstrated by improvements in both 2D and 3D metrics. Patients with more severe initial deformities and those who underwent treatment at a younger age showed greater improvement.<\/jats:p>","DOI":"10.1055\/a-2222-1494","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:45:01Z","timestamp":1701737101000},"page":"169-181","source":"Crossref","is-referenced-by-count":9,"title":["Efficacy of Cranial Orthosis for Plagiocephaly Based on 2D and 3D Evaluation"],"prefix":"10.1055","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3267-5884","authenticated-orcid":false,"given":"Hiroki","family":"Kajita","sequence":"additional","affiliation":[{"name":"Baby's Head Reshaping Clinic in Tokyo, Japan"},{"name":"Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9786-1418","authenticated-orcid":false,"given":"Ichiro","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Baby's Head Reshaping Clinic in Tokyo, Japan"},{"name":"Department of Plastic and Reconstructive Surgery, Tokyo Dental College Ichikawa General Hospital, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1289-0570","authenticated-orcid":false,"given":"Hiroaki","family":"Komuro","sequence":"additional","affiliation":[{"name":"Baby's Head Reshaping Clinic in Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4351-5891","authenticated-orcid":false,"given":"Shigeru","family":"Nishimaki","sequence":"additional","affiliation":[{"name":"Baby's Head Reshaping Clinic in Tokyo, Japan"},{"name":"Department of Pediatrics, Yokohama City University Hospital, Yokohama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3994-7424","authenticated-orcid":false,"given":"Isao","family":"Kusakawa","sequence":"additional","affiliation":[{"name":"Baby's Head Reshaping Clinic in Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0332-0580","authenticated-orcid":false,"given":"Koichiro","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Baby's Head Reshaping Clinic in Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,1,24]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1097\/SCS.0b013e3181f6c313","article-title":"Deformational plagiocephaly, brachycephaly, and scaphocephaly. 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