Custom-Fitted Protective Headwear

BRIAN J. GIAVEDONI, BSc, CP(C)***, AND GREG BELBIN, CO(C)Toronto, Ontario


A significant population of children requires maxillofacial protection because of numerous falls. These patients represent three categories: a) neuromuscular disorders, b) grand mal seizures, and c) self injury. Most helmets on the market are unsatisfactory for these children, because commercial headwear is designed for sports-related injuries. We designed four models: cranial cap, full helmet, face shield, and full helmet with face shield. After assessment, the patient's head is casted. From the positive mold, a Plastazote liner is designed and vacuum formed. An outer shell of high density polyethylene is vacuum formed over the liner. Helmets weigh approximately 280 gm and permit total peripheral vision. More than 70 helmets have been fitted.

***Hugh MacMillan Medical Centre, 350 Rumsey Road, Toronto, Ontario, Canada M4G 1R8

Vol. 21, No. 2, Summer 1986