The incidence of
positional plagiocephaly and
brachycephaly in infants has increased. Treatment options include physiotherapy and helmet
therapy.No information exists on the prevalence, cosmetic, and psychological consequences of
plagiocephaly and
brachycephaly later in life. This study was performed to assess the prevalence and cosmetic relevance of
plagiocephaly and
brachycephaly, as well as its influence on quality of life in adolescence.The authors performed plagiocephalomety to assess cranial shape and used a questionnaire that included question about educational level, medical history, cosmetic appearance, and cranial shape. To evaluate quality of life, the authors used the KIDSCREEN-27 questionnaire.All data were analyzed using SPSS version 19.0 2010. The authors included 87 adolescents. The prevalence of
plagiocephaly, defined as an oblique diameter difference index (ODDI) higher than 106%, was 10.3%; the prevalence of
brachycephaly, defined as a cranial proportional index (
CPI) higher than 95%, was 0%.There was no significant correlation between the level of the ODDI or
CPI and the cosmetic assessment of cranial shape (P = 0.128/0.541). There was no significant correlation with the level of the ODDI (P = 0.428).There was no significant correlation between the level of the ODDI or
CPI and the average T-value for quality of life using the KIDSCREEN quality-of-life questionnaire (P = 0.461/0.713). The prevalence of positional
deformities in our population of adolescents, born after the "back to sleep" campaign, is low. There was no significant correlation between the presence of a cranial
deformity and the cosmetic judgement and quality of life.