A system and method are disclosed for providing a ventilated orthotic cranioplasty helmet for treating positional plagiocephaly in infants. Specifically, a system and method are disclosed in which patient-specific parameters such as head size, patient age, degree of patient sweating, diameter of patients hair, average length of patients hair, and sweat range are input into a computer implemented algorithm along with a user-proposed ventilation hole array to determine an optimal ventilation hole arrangement. The computer may be connected either directly or indirectly to an automated hole drilling machine to drill the hole array in the specified portion of the helmet. The same computer implemented algorithm can be used to revise the ventilation hole array to accommodate changes in patient physiology during treatment to thereby achieve an optimal ventilation hole design throughout the treatment process.
