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Newbie Needs Help - Two different suggestions from CT and Starband

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Hi, I am new here and have been struggling if we need to band our son who is 6 months now. My MIL is the person that push us to see a specialist for my son's head shape. SO, we went to CT 3 weeks ago and they said that my son has sever Brachycephaly with right Plagiocephaly. Here are his figures from CTCephalic Index : 92.4%Cranial Vault Asymmetry : 12mmMid-face: 3 mmSkull-Base: 5mmBased on the above measurements, CT clinician recommended us its DOC band.I also heard about the Starband so I took my son to a Starband O & P for his second opinion. Here are the data from StarScanner report just three days after CT hand measurement.Cephalic Ratio: 93.6%RSI: 27.9 (Radial Symmetry Index)PSR: 0.88 or 88%? (Posterior Symmetry Ratio)CVAI index: 5.3OSR: 0.933 (Overall Symmetry Ratio)Base on this report, the Starband OP did not feel we need to band our son. He comment that "Your son's head is fine, maybe a little asymmetry but he does not need a band".Three pediatrics we saw (two in person and one by email photos) do not suggest us to band our son, either. They feel reposition should work but will take long time to see result. Any you know how hard to reposition a 6 month old baby boy at sleeping time... I would like to know your thoughts about my son's measurement. Are they better or worse than your dear baby's figures before s/he start the treatment? Would you band you baby if those are her/his figures?Have a lot of pressure from in-laws... And I worry that if we decide to have him wear a band how discomfort my baby would be...Thanks in advance,Laurie, a don't know what to do mom

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Both

places you have gone to have given you measurements for the Cephalic Index (Cranial

Breadth/Cranial Length) which measures the severity of Brachycephaly

and it your case I would say the measurements are severe and warrant a band:

ideal ratio

- 78%

normal -

73-83%

moderate -

83.1% to 87.9%

severe - 88%

and higher

It also

sounds like your son has some plagiocephaly as well based on the Cranial Vault

Asymmetry of 12 mm that CT gave you.

0-3 mm is

normal

<6 mm is

very mild

6-10 mm is

mild

10-15 mm is

moderate

15+ mm is

severe

On your

STARscanner report, did it give you numbers for Oblique – Diagonal 1 and

Oblique – Diagonal 2? If you have those number and subtract the

smaller number from the larger one you should get a similar measurement as the

Cranial Vault Asymmetry that CT gave you.

Despite all

the numbers, what it really comes down to is how you feel about the shape of

his head. Ask yourself, " If his head

doesn't get any better than it is right now, am I OK with that? " If your

answer is " yes " then you can probably skip the band. If it's

" no " or " I'm not sure " you might want to consider a band.

Molly

Novato, California

Nicolas, 3, tort & plagio, STARband (CIRS Oakland) 4/24/06-9/12/06,

Graduate!

, 6

, 9

From: Plagiocephaly

[mailto:Plagiocephaly ] On Behalf Of laurieosaka

Sent: 19 May 2009 10:12

Plagiocephaly

Subject: Newbie Needs Help - Two different suggestions from CT

and Starband

Hi, I am new here and have been struggling if we need to band our son who is 6

months now. My MIL is the person that push us to see a specialist for my

son's head shape. SO, we went to CT 3 weeks ago and they said that my son

has sever Brachycephaly with right Plagiocephaly. Here are his figures

from CT

Cephalic Index : 92.4%

Cranial Vault Asymmetry : 12mm

Mid-face: 3 mm

Skull-Base: 5mm

Based on the above measurements, CT clinician recommended us its DOC band.

I also heard about the Starband so I took my son to a Starband O & P for

his second opinion. Here are the data from StarScanner report just three

days after CT hand measurement.

Cephalic Ratio: 93.6%

RSI: 27.9 (Radial Symmetry Index)

PSR: 0.88 or 88%? (Posterior Symmetry Ratio)

CVAI index: 5.3

OSR: 0.933 (Overall Symmetry Ratio)

Base on this report, the Starband OP did not feel we need to band our

son. He comment that " Your son's head is fine, maybe a little

asymmetry but he does not need a band " .

Three pediatrics we saw (two in person and one by email photos) do not suggest

us to band our son, either. They feel reposition should work but will

take long time to see result. Any you know how hard to reposition a 6

month old baby boy at sleeping time...

I would like to know your thoughts about my

son's measurement. Are they better or worse than your dear baby's figures

before s/he start the treatment? Would you band you baby if those are

her/his figures?

Have a lot of pressure from in-laws... And I worry that if we decide to

have him wear a band how discomfort my baby would be...

Thanks in advance,

Laurie, a don't know what to do mom

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Thank you, Molly. The difference of two Oblique numbers are 8mm.

Personally, I think i am ok with his current head shape but I do not

know if I will regret that if we choose not to band him... I guess it

sounds like that we should give him a try.

>

> Both places you have gone to have given you measurements for the

Cephalic

> Index (Cranial Breadth/Cranial Length) which measures the severity of

> Brachycephaly and it your case I would say the measurements are severe

and

> warrant a band:

>

> ideal ratio - 78%

>

> normal - 73-83%

>

> moderate - 83.1% to 87.9%

>

> severe - 88% and higher

>

>

>

> It also sounds like your son has some plagiocephaly as well based on

the

> Cranial Vault Asymmetry of 12 mm that CT gave you.

>

> 0-3 mm is normal

>

> <6 mm is very mild

>

> 6-10 mm is mild

>

> 10-15 mm is moderate

>

> 15+ mm is severe

>

>

>

> On your STARscanner report, did it give you numbers for Oblique -

Diagonal 1

> and Oblique - Diagonal 2? If you have those number and subtract the

smaller

> number from the larger one you should get a similar measurement as the

> Cranial Vault Asymmetry that CT gave you.

>

>

>

> Despite all the numbers, what it really comes down to is how you feel

about

> the shape of his head. Ask yourself, " If his head doesn't get any

better

> than it is right now, am I OK with that? " If your answer is " yes " then

you

> can probably skip the band. If it's " no " or " I'm not sure " you might

want to

> consider a band.

>

>

>

> Molly

>

> Novato, California

>

> Nicolas, 3, tort & plagio, STARband (CIRS Oakland) 4/24/06-9/12/06,

> Graduate!

>

> , 6

>

> , 9

>

>

>

> From: Plagiocephaly

[mailto:Plagiocephaly ]

> On Behalf Of laurieosaka

> Sent: 19 May 2009 10:12

> Plagiocephaly

> Subject: Newbie Needs Help - Two different suggestions from

CT and

> Starband

>

>

>

>

>

> Hi, I am new here and have been struggling if we need to band our son

who is

> 6 months now. My MIL is the person that push us to see a specialist

for my

> son's head shape. SO, we went to CT 3 weeks ago and they said that my

son

> has sever Brachycephaly with right Plagiocephaly. Here are his

figures from

> CT

> Cephalic Index : 92.4%

> Cranial Vault Asymmetry : 12mm

> Mid-face: 3 mm

> Skull-Base: 5mm

> Based on the above measurements, CT clinician recommended us its DOC

band.

>

> I also heard about the Starband so I took my son to a Starband O & P

for his

> second opinion. Here are the data from StarScanner report just three

days

> after CT hand measurement.

> Cephalic Ratio: 93.6%

> RSI: 27.9 (Radial Symmetry Index)

> PSR: 0.88 or 88%? (Posterior Symmetry Ratio)

> CVAI index: 5.3

> OSR: 0.933 (Overall Symmetry Ratio)

> Base on this report, the Starband OP did not feel we need to band our

son.

> He comment that " Your son's head is fine, maybe a little asymmetry but

he

> does not need a band " .

>

> Three pediatrics we saw (two in person and one by email photos) do not

> suggest us to band our son, either. They feel reposition should work

but

> will take long time to see result. Any you know how hard to

reposition a 6

> month old baby boy at sleeping time...

>

> I would like to know your thoughts about my son's measurement. Are

they

> better or worse than your dear baby's figures before s/he start the

> treatment? Would you band you baby if those are her/his figures?

>

> Have a lot of pressure from in-laws... And I worry that if we decide

to

> have him wear a band how discomfort my baby would be...

>

> Thanks in advance,

> Laurie, a don't know what to do mom

>

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