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제목 [전문가 소식] 스페인 소아과 신경외과 원장님 편지 (Dr Costa Clara, Head of the pediatric Neurosurgery Sant Joan de Deu Hospital, Barcelona.)



To infocefalia:
As you know, over the past ten years we have witnessed an alarming increase in the positional skull deformities in pediatric neurosurgery consultation. The lack of support from the Catalan health institute to tackle this problem has led to long patient's waiting lists (up to several months of waiting) and saturation of our medical staffs and resources in order to attend to all these patients according to the established protocol. Treatments to the urgent cases such as craniosynostosis are inevitably delayed as we review positional plagiocephaly cases which are less serious.
Prevention of cranial deformities can be easily done by following preventative guideline. We estimated that about 10% of the babies have some degree of deformity but this is ignored once the hair grows, although in many of the cases this deformity does not really resolve.
The babies' head shape should be systematically monitored and measured in the first 6 months of life in the same way as the current weight, height and head circumference check. In this way a quick and effective action can be taken directly by the pediatricians and the problem can be corrected easily and quickly.
After using your Craneometer for several months, I have confirmed that the proper measurement obtained is as good as the 3 dimensional scanner that we have in our hospital. I believe that this Craneometer would be very useful for pediatricians to take head measurement of all the babies between 0 to 6 months of age in order to detect and quantify the positional deformities early. These deformities can be treated easily by the primary care pediatricians with repositioning and the pillow that you promote and hence avoid the helmet therapy that is unnecessary in majority of the cases.
I wish you luck in your prevention campaign and hope all the pediatricians get involved in this prevention campaign and we can solve this problem together.

Dr Jose M. Costa Clara

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