Plagiocephaly and torticollis (Flat heads and head tilt) Clinic
Most ROUTINE visits are scheduled at the Morristown Pediatric Hospital- Goryeb Children’s Pediatric Outpatient Clinic building (CAMP = Center for Advanced Medicine and Pediatrics)located on the main hospital campus in a child-friendly outpatient center
In a single, large conference room all team members meet. The patient’s history and relevant images are presented by the coordinator or by the team member who received the initial referral and preliminary recommendations are suggested. Subsequently the patient and parents are brought in to the conference room with all team members. Additional history is asked of the patient / parents, the patient is examined by all team members. Discussion of symptoms, disease diagnosis and explanation of radiology studies are carried out with the patient / parents. Treatment options are discussed amongst team members and recommendations are made to the parents at the same sitting.
During initial discussions of patient history, team members rotate between discussion with the patient / parents and patient examination. The patient is observed interacting with speech or physical therapists during presentation of history and during Q+A with the parents and team. All team members are available to the parents during this session and office numbers / office visits are available through the coordinator if the parents have additional, discipline-specific questions at a later date.
Treatment consensus is achieved through cordial dialogue among team members. Differing opinions are discussed with significant weight being given to those team members having more extensive experience treating the particular disorder or having more experience in the field, overall. With the permission of patients / parents, additional opinions may be sought from national or international experts known to team members. Risks and benefits of various treatments are discussed candidly with the parents to obtain their thoughts and opinions as well.
Diagnostic Services:
3D computed tomography (CT) scans
3D laser screening with topographic craniofacial modeling
Brainstem auditory-evoked response
Bronchoscopy
Electroencephalography (EEG)
Electromyography studies
Genetic testing and counseling
Magnetic resonance imaging (MRI), including MR angiograms, MR spectroscopy, and cine phase-contrast MR and cerebral spinal fluid (CSF) flow studies
Psychological testing
Sleep studies
Speech and swallowing studies
Medical Services:
Cranial remodeling with orthotic therapy
Comprehensive team evaluation and long-term follow-up
Examinations under anesthesia for children with developmental disorders
Multidisciplinary consultations allowing the patient and family to be evaluated by our medical team without traveling to multiple physician offices
Physical, occupational, audiological, speech and feeding therapies
Reconstructive craniofacial and maxillofacial surgery when indicated
Social work support:
All diagnostic results and treatment recommendations are communicated to the patient's primary care physician.
Psychological Services
We understand that as children age, craniofacial disorders will have a varying impact on their lives, as well as those of their families.
For younger children, our psychologist will assess their developmental level, provide referrals for appropriate evaluations and assist in obtaining relevant services to ensure they are reaching key developmental milestones.
In older children, appearance often plays a role in their self esteem and social development. As such, our psychologist will check if any emotional, learning or adjustment disorders are present. Additional psychological treatment may be necessary to help patients develop effective coping skills, as well as to provide support for their families.
