Positional head deformity significantly increased after the "back-to-sleep-campaign" of 1994 leading to major psychological strain in parents of deformed children. The number of Patients seen and treated in our clinic respectively rose since 1999. Misdiagnoses and mis-therapy still happen in frequent cases. We filter approximately ten synostotic deformities per year in more than 400 patients after all. Treatment of non-synostotic head deformities with individual head-ortheses leads to significant improvement in asymmetry indexes and vault results. Due to a learning curve we found higher or lower necessity for treatment by grouping head deformities into PLagiocephaly, Brachycephaly and combination of both. Brachycephaly alone finds spontaneous correction in a high percentage without treatment while the combination out of Brachycephaly and Plagiocephaly direly needs treatment in many cases. We arose a standardized craniocephalic measurement concept to find repeatable and relieable parameters independent of examiner. Finally we see very good compliance in parents due to a high psychological concern regarding partly severe positional head deformities.
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