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These include: the inion process, the mastoid process, the frontal ridges, the dentition (Miles, 1958), the dental arch, the shape of the chin, the shape of the angular process, the zygomatic arch, the cranial sutures, and the overall thickness of the cranial bones (Bass, 1971).
The cranial sutures are open and normal, therefore conservative management, such as physiotherapy and helmet therapy, is frequently used to treat this condition.
Differential diagnosis should be made to exclude craniosyntosis, which is a more serious condition involving premature fusion of one or more of the cranial sutures.
The cranial sutures are a physiological mechanism designed to accommodate or adapt to the existing anatomical make-up, with or without an imposed strain or restriction being present.
The scoring system, detailed in an appendix, focuses upon defining readily recognisable and replicable bony developmental stages of pubic symphyses, auricular surfaces and cranial sutures.
Craniosynostosis, or premature closure of the cranial sutures, occurs in 1:2,100 children (Lajeunie et al.