Understanding craniofacial abnormalities 

The birth of each baby can bring its own set of questions and concerns. You may notice your child’s head shape or facial features are different. Many times, abnormal head shapes are simply the result of sleeping preferences or Flat Head Syndrome (Positional Plagiocephaly) which usually gets better on its own without intervention. This may be followed by your pediatrician.  

There are some case where an unusual head shape or facial feature is caused by a change in how the skull and facial bones were formed before birth. Sometimes this happens as your child is growing. However, these can be associated with other health problems. If this is the case, your child may benefit most from an evaluation from a team of experts who specialize in craniofacial care.  

At Randall Children’s Hospital, we provide family-focused care based on compassion and respect. Our specialists take the time to listen to your concerns and thoroughly explain procedures. We are with you and your child every step of the way, and together we’ll develop a total care plan to meet physical, emotional and social development needs. 

Conditions We Treat

Our specialists are highly experienced at treating a number of craniofacial abnormalities, including:  

  • Cleft lip/cleft palate  An abnormality in which the lip or mouth's palette doesn't close properly before birth and has to be fixed surgically.
  • Misshapen head — a variety of disorders that can cause abnormally-shaped heads in children    
  • Disorders of ear development (BOR, CHARGE, Townes-Brocks syndrome) 
  • Trauma: damage through accident or injury

Your Care Team

Our specialists come together and work as a team on behalf of your child and family, and coordinate referrals between each other. Our team is with you every step of the way. 


Plastic surgery 



Ear, Nose and Throat

Oral and Maxillofacial Surgery

Speech pathology, feeding support, communication, neuropsychology and development 

Dentistry and orthodontics

  • Richard Garfinkle, DDS, MSD 
  • David Neil, DDS
  • Rich Wolfgramm, DDS

OUR Location

Randall Children’s Hospital at Legacy Emanuel Craniofacial Clinic 
Pediatric Development and Rehabilitation 
501 N. Graham, Suite 2225 
Portland, OR 97227
Phone: 503-413-4505

Get Connected & Stay Informed   

MyHealth gives you access to your child's medical records. View test results, diagnoses, medications, follow-up instructions, make an appointment and more.   

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