It's in the ears [WAS: I just wanted to send a warning...]

[Guest guest]

First off, I apologize for corresponding at length with myself. I'm

on a tear... you know how it is. )

> http://prayersforlandon.blogspot.com/2010/06/before.html

>

Landon's blog pictures lead me to conclude that the main problem with

recognizing unilateral lambdoid synostoses as distinct from

deformational plagio is the subtlety of the posterior displacement of

the ipsilateral ear. Unless the primary care physician has noticed

the relatively dramatic *anterior* displacement that would be

associated with the same degree of flatness in deformational plagio

(compare Clara's pictures in the Photos section), it doesn't exactly

jump out at you. And the contralateral frontal bossing can be absent

in cranio as well.

*sigh*

But, since deformational plagio can theoretically cause lambdoid

synostosis (going back to the first article), it's still worth

looking out for in unresolved cases like Clara's, I think.

Thad Launderville

town, VT

Clara age 2, STARband '10