FLAT HEAD SYNDROME

Flat Head Syndrome is a condition characterised by the flattening on one side of the back of the head. This is due to the distortion of the skull plates. 80% of skull growth takes place in the first year of life and slows after the first 12-18 months. Skull fuses at around 18-24 months.

Headshapes

Types of Flat Head Syndrome

Plagiocephaly

• Most common type of flat head syndrome, also known as deformational or positional plagiocephaly

• Misshapen (asymmetrical) shape of the head from repeated pressure to the same area of the head, resulting in head being flat on one side

• Facial asymmetry might be present (positions of ears and differing size of eyes and cheeks)

• Head shape resembles a parallelogram from top view

Plagiocephaly Top View
Plagiocephaly Top View
Parallelogram
Parallelogram

Brachycephaly

• Head is abnormally wide (in a normal head shape, width is about 73-78% of length) 

• Flattened back of the head visible from side view

• Head can be very high at the back causing a bulging forehead (visible from side view)

• Face appears small relative to the size of the head

• Widest part of the head is just above the ears

• Tips of ears protrude

• Head shape resembles a trapezoid from above

Brachycephaly - Trapezoid
Brachycephaly - Trapezoid
Brachycephaly Side View
Brachycephaly Side View

Asymmetrical Brachycephaly

• Combination of plagiocephaly and brachycephaly

• Present of facial asymmetry (where ears and eyes might appear mis-aligned)

• Head is excessively wider and taller than normal with sloped forehead 

• Head shape resembles a trapezoid from above

Scaphycephaly

• Characterised by a long and narrow head shape, sometimes caused by consistent positioning of the baby on its side

• Deformity of proportion

• Premature babies are particularly prone to this deformity since their skulls are so fragile and a side-lying position is often used in the neonatal intensive care for easy access to monitors and other equipment.

What causes Flat Head?

Possible causes include Torticollis (Tilted neck), sleeping positions, premature or multiple (eg. twins) births, inter-uterine position, birth trauma, assisted birth and more.

Torticollis

When an infant has torticollis, the head will be tilted to one side while the chin is turned to the other side, sometimes called wryneck. It may look painful, it usually isn’t. While it may look painful, it usually isn’t. When a baby is born with the condition, it’s called congenital torticollis. The prolong, one-sided head positioning potentially causes flattening on the side that the head is tilted towards, resulting in plagiocephaly.

Left Sided Torticollis
Left Sided Torticollis

Client Testimonials

Thank you Heidi & the staff of Orthopaedia in helping to correct Lila's flat head. Every time we have to come for an appointment, it’s always so supportive & positive. Lila also enjoyed the toys & playing, singing with the aunties. Thanks again!

Lila

Thank you very much for your kind support, I'm very satisfied with the treatment and enjoyed coming to see you. I'll really miss you but happy to continue the treatment in Tokyo. Hope to see you again :)

Yoshino & Anri

Thank you very much for your help in making our little Enzo's head look even more fantastic! We are very happy with the attention & care that you have given our little one and of course, super happy with the results! Thank you very very much!

Love, Nico, Olive & Enzo

We were lucky enough to have had helmet fitted at a great time, as my son's head grew quickly after we started wearing it. We saw real change in just one week that we definitely would not have achieved without the helmet. Listen to the girls at Orthopaedia, they know their stuff!

Rebecca

I have been wearing the braces prescribed by Orthopaedia for 2 months. Considering the fact that I have passed the growing age, I am thankful that my posture could even improve slightly due to the braces. This allows me to avoid surgery, a great relief to my family and me. I am looking forward to more significant results in a few months’ time!

Megan

We felt very happy with the new AFO. Very nice. Thanks to Heidi & Orthopaedia being very helpful and concern with my daughter BB. Now my daughter can walk with the AFO.

I custom made a pair of insoles at Orthopaedia after consultation. I got the insoles approximately a month ago and have been wearing them since. The pain in my heels has subsided significantly and I am confident that the pain will be gone in no time. I will definitely recommend Orthopaedia to people who have heel pain.

Lynn

I was born with Spina Bifida and Hydrocephalus. I have had many surgeries in hope that they would correct my gait and my parents and I were so happy when we were referred to Orthopaedia! It has been amazing to be served so kindly and gently by both Susanna and Heidi and been transformational for me to be able to walk well wherever I go. Susanna fitted me with a Cascade brace and recommended some Keeping Pace shoes too. My mom has noted that I have a lot more energy at the end of the day and many less bruises on my knees and my head! Thanks so much for taking good care of me.

Amelia

Orthopaedia is a unique practice, providing a superb mix of skilled staff, who are uncommonly caring, motivational and fun to work with. Susanna & Heidi, the senior therapists are greatly talented at their work and will inspire you to do things above and beyond your expectations. I worked primarily with Susanna Koh, who is amazing and embodies all the qualities above-and also contributes heavily to the fun, caring and kind nature of everyone there. Susanna herself is nothing short of AWESOME! She is an expert in her field, and combines that with a unique ability to motivate, help, care about, and provide the best resources to her clients. She has a wonderfully magnetic personality and anyone would be blessed to work with her. I have worked with more than 10 therapists in the last 2 years, and feel confident in recommending Susanna as a clinician who's outstanding among her peers. Good luck with her demanding sessions!

Adil

My son had a perfect round head at birth, but at 2 months old, I noticed he had a preference to look at right side. By 5 months old, he had such a severe flathead on his right side of the head that I had to do something before it was too late. I was not sure if I wanted to proceed with the helmet treatment until I met Heidi and Susanna. They were very professional and helpful in answering all my concerns, and passionate about babies' heads! I am confident to say that my 11 months old son's head would not have improved so much without their help.

Mommy of 11mo

息子は生後二ヶ月から右を向く癖があり、5ヶ月検診の時には一目で分かるほど右 側後頭部が潰れ、両耳の位置もずれていました。小児科の先生からヘルメット療法 が存在する事を聞き、こちらの専門家を紹介していただきました。Heidi先生と Susanna先生に会うまでは不安でしたが、先生達がとても経験豊富で頼りになり、 また、子供好きで親しみやすく気軽に相談にのってくれたので、安心して息子の治 療をお任せする決心がつきました。生後5ヶ月から治療を始め現在生後11ヶ月にな りますが、左右の後頭部の差は目立たなくなり、両耳の位置も改善しました。

Mom of 11mo

谢谢你们帮我把脚行器分开,谢谢你们帮我把脚脱里面放了海棉,不让我的脚感觉疼; 谢谢你们关心我。祝你们工作顺利。

杜丹

Thank you for helping me to fix my brace & take care of my back. You guys are the best!

Love, Eleanor

谢谢! Thank you for treating my flat feet

cheers, Priscilla

Thank you for treating me Susanna!

love, Eshana

Thank you Susanna for helping me to walk much better!

Ashritha

Tristan says Thank You!

Tristan

Dear Heidi, Faith, Susanna & Ros, thank you for helping me with my scoliosis and bracing!

Love, Reeti

とても, まんぞく, しています。 やさしく, ていねいに, ちりょう していただき, かんしゃ、しています。 Thank you very much

Fujii

Susanna & Heidi, Terima kasih sudah membantu Marcia... kepala Marcia Sudah bulat & Marcia tampal manis

Marcia

Thank you Heidi

love, Sheldon of Brunei