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.
3D computed tomography (CT) scans
3D laser screening with topographic craniofacial modeling
Brainstem auditory-evoked response
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
Speech and swallowing studies
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.
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.
Infants, children and adolescents with craniofacial disorders have complex problems related to facial appearance, feeding and swallowing, hearing and middle ear infections, speech and breathing, dental and oral-maxillofacial development, and psychosocial development. Craniofacial anomalies encompass a variety of disorders affecting the development, function and appearance of structures within the face, head and neck. Because of their close proximity, one or more of these organ systems may be affected and may require the attention of one or more medical and surgical disciplines dedicated to their treatment. At the Craniofacial Center, a team of specialists from a variety of disciplines collaborate to identify the multifaceted needs of each child and their family and provide appropriate treatment following guidelines established by the American Cleft Palate-Craniofacial Association (ACPCA). We have assembled a multidisciplinary team of pediatric specialists dedicated to treating infants, young children and adolescents with problems, such as:
We believe that many pediatric disorders benefit from multidisciplinary care. Although an individual patient may not need the attention of each member of our team, we strive to make every member and every resource available. Every child is evaluated by the entire team, in a single location, to foster collaboration among team members and to minimize the patient’s time and travel needs. Unified team meetings allow for an accurate diagnosis, coordination of testing and treatments across disciplines, creation of individual care plans for immediate and long-term treatment and timely answering of questions for the patient and parent. We follow patients from infancy to adolescence and adjust care plans to accommodate for anatomical, neurological and emotional growth. The patient, parents and primary care physician are apprised of diagnostic results and treatment decisions. Regular reports of patient’s progress are provided. Our multidisciplinary approach is based on the guidelines of The American Cleft Palate— Craniofacial Association (ACPCA) and we have been recognized for providing a level of technical expertise consistent with their standards for Craniofacial Team excellence.
We care for pediatric patients with moderate to severe craniofacial disorders, plagiocephaly, torticollis, craniosynostosis, cleft lip and palate, craniofacial tumors, craniofacial hemangiomas and birthmarks, and Goldenhaar syndrome, among others. These issues are often diagnosed prenatally or at birth, during early childhood or adolescence or may be acquired.
We offer the latest technology and the newest advances in diagnostic medicine. Most tests are rapid, noninvasive and are performed in an office setting. All results are evaluated by our experts and are discussed promptly with the patient, their family and the patient’s primary care physician.
Our Pediatric experts have received specialized training across a variety of medical, surgical and affiliated disciplines. Most are board certified or board-eligible in their area of expertise. We have Pediatric Sub-Specialists in the areas of:
Neurology and Neurosurgery
Oral and Maxillofacial Surgery
Physical, Occupational and Speech/ Swallowing Therapy
Plastic and Reconstructive Surgery
Psychology and Neuropsychology