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RE: So is this good progress?

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Yah, dat's good! :) You NAILED the lower levels, and the angular

changes (evident in the photos) make all the difference. That's

probably where they burn up most of the helmet's useful life, so I

would now hope to see you hang in there for some filling in of the

forehead. But this has been, unquestionably, a hugely successful

treatment, probably as perfect as anyone could do. Congratulations,

!

I'd just want to make that 6 mm CVA a 2 or 3 because it probably will

bug you, once this well-deserved relief wears off. I measure 2 mm

diagonal difference on my untreated twin B, and I still see it.

Knowing that under 3 mm is considered " normal " would eliminate the

financial term of your decision equation, and completely, 100% assure

your peace of mind in the long term.

Thad Launderville

town, VT

Clara age 2, STARband '10

On Oct 15, 2010, at 11:37 AM, R wrote:

> [....] I wanted your opinion on her progress since Im clueless and

> would like someone else's thoughts outside from the CT specialist.

> Here are the measurements:

[snip]

> Cranial Vault Asymmetry: 6mm

> Mid-Face Asymmetry: 0mm

> Skull-Base Asymmetry: 3mm

>

> I will post her pics (if I figure out how to do it) in the files

> under the same Subject line.

>

> Thanks in advance!!!

>

> -

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Can someone please explain to me the meanings of these measurements? I keep getting confused. My son is in a starband and they never really went over what the measurements on the side of the picture of the head meant.

All I know is the difference between the two diagonals and that it is "getting better".

Thanks! Estrella Moeller

From: R <rrican1@...>Plagiocephaly Sent: Fri, October 15, 2010 8:37:43 AMSubject: So is this good progress?

Hello,My daughter was banded at 6 1/4 months and has been on the band for 2 months. Our insurance did not cover it and we are planning to start the appealing process. There is a SLIGHT possibility of needing a 2nd band but the way we see it is that she's made progress enough that we are happy with the results. We KNOW we are doing what's best for her and we are not strict to the point that it must be PERFECT so I think we'll be ok with a bit more progress and no more band. Since I see there are a lot of smart people in this board, so I wanted your opinion on her progress since Im clueless and would like someone else's thoughts outside from the CT specialist. Here are the measurements:ORIGINALCranial Width: 126mmCranial Length: 142mmCephalic Index: 88.7 Standard Deviation +2.3Cranial Vault Asymmetry: 19mmMid-Face Asymmetry: 4mmSkull-Base Asymmetry: 10mm 2 MONTHS LATERCranial Width:

127mmCranial Length: 148mmCephalic Index: 85.8 Standard Deviation +1.6Cranial Vault Asymmetry: 6mmMid-Face Asymmetry: 0mmSkull-Base Asymmetry: 3mm I will post her pics (if I figure out how to do it) in the files under the same Subject line. Thanks in advance!!!-

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Here is an explanation of the different numbers on the

STARscanner report:

Cephalic Ratio

(CR)

= Cranial Breadth / Cranial Length.  An ideal ratio would be 0.78

or 78%.  Brachycephaly Severity - normal - 73-83%; moderate - 83.1% to

87.9%; severe - 88% and higher.  Scaphocephaly Severity - normal - 73-83%;

moderate - 68.1% to 72.9%; severe - 68% and below.

·

Radial Symmetry Index (RSI) = from the front of the head, 15° segments are measured

and added.  The addition of the right side segments is subtracted to the addition

of the left side segments. An ideal ratio would be left side – right side = 0

(<30 mm normal)

·

Oblique Cranial Maximum and Minimum = Ideally one is looking to have the maximum line vertical

and the minimum line horizontal. 

·

Oblique at 30 deg (US1 and US2) = Length of diagonal taken at 30° on each side (30°

corresponds to the corner of the eye).  The subtraction of US1 and US2 gives an

indication of the asymmetry of the head.  An asymmetry between 0-3 mm is

normal; <6 mm is very mild; 6-10 mm is mild; 10-15 mm is moderate; 15+ mm is severe

·

Q1, Q2, Q3, Q4 volumes: Draws vertical and horizontal lines centered on middle

point of head.  Measures volume of each corner starting front left, then front

right, back right and back left.

·

Anterior Symmetry Ratio: looks at front of head and divides front left volume with

front right volume.  An ideal ratio would be 1

·

Posterior Symmetry Ratio: looks at back of head and divides back right volume with

back left volume.  An ideal ration would be 1

·

Overall Symmetry Ratio: Divides left side with right side.  An ideal ratio would

be 1

·

Upper facial left and upper facial right: Measures the length between the centre of the front to

each left and right ear.  This corresponds to a cranial bone and determines the

position of the ear.

·

Upper Facial Symmetry Ratio: Divides Upper Facial Right with Upper Facial Left. An ideal

ratio would be 1

·

Cranial Vault Asymmetry Index (CVAI):  the percentage difference in plagio, (100%-(US1/US2)).  0-3 mm normal

·

Ear Offset - this

number seems to be very subjective because the ortho places stickers near the

ears that the machine picks up to take this measurement.  If they are placed

differently each time the number will come out differently

Molly

Novato, California

Nicolas, 5, tort & plagio,

STARband (CIRS Oakland) 4/24/06-9/12/06, Graduate!

, 7.5

, 11

From: Plagiocephaly

[mailto:Plagiocephaly ] On Behalf Of Estrella Vila

Sent: 16 October 2010 3:14 PM

Plagiocephaly

Subject: Re: So is this good progress?

Can

someone please explain to me the meanings of these measurements? I keep getting

confused. My son is in a starband and they never really went over what the

measurements on the side of the picture of the head meant.

All I

know is the difference between the two diagonals and that it is " getting

better " .

Thanks!

Estrella

Moeller

From: R

<rrican1@...>

Plagiocephaly

Sent: Fri, October 15, 2010 8:37:43 AM

Subject: So is this good progress?

Hello,

My daughter was banded at 6 1/4 months and has been on the band for 2 months.

Our insurance did not cover it and we are planning to start the appealing

process. There is a SLIGHT possibility of needing a 2nd band but the way we see

it is that she's made progress enough that we are happy with the results. We

KNOW we are doing what's best for her and we are not strict to the point that

it must be PERFECT so I think we'll be ok with a bit more progress and no more

band. Since

I see there are a lot of smart people in this board, so I wanted your opinion

on her progress since Im clueless and would like someone else's thoughts

outside from the CT specialist. Here are the measurements:

ORIGINAL

Cranial Width: 126mm

Cranial Length: 142mm

Cephalic Index: 88.7 Standard Deviation +2.3

Cranial Vault Asymmetry: 19mm

Mid-Face Asymmetry: 4mm

Skull-Base Asymmetry: 10mm

2 MONTHS LATER

Cranial Width: 127mm

Cranial Length: 148mm

Cephalic Index: 85.8 Standard Deviation +1.6

Cranial Vault Asymmetry: 6mm

Mid-Face Asymmetry: 0mm

Skull-Base Asymmetry: 3mm

I will post her pics (if I figure out how to do it) in the files under the same

Subject line.

Thanks in advance!!!

-

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