Surgical Evaluation of Congenital Muscular Torticollis

نویسندگان

  • Takashi Iioka
  • Nobuyuki Ito
  • Masao Eto
  • Masayuki Egashira
  • Katsuro Iwasaki
چکیده

Twenty patients with congenital muscular torticollis who were treated surgically were evaluated with an average follow up period of 10 years. The age at surgery ranged from l to 24 years. The patcients were evaluated by Egashira's method. Cosmesis, neck ROM and appearance of the clavicle were examined and the final evaluation was dene. We also investigated factors influencing the results. Results were very much influenced by the age at operation, particularly with regard to the cosmetic point of view. Below 5 years of age, satisfactory results were obtained, compared to the older group. The post-operative immobilization period and follow up period did not influence the results.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

CONGENITAL MUSCULAR TORTICOLLIS: EVALUATION OF SURGICAL TREATMENT IN FIFTEEN CONSECUTIVE PATIENTS

 ABSTRACT Bachground: The main objective of this study was to define the clinical changes of facial deformity in patients older than 5 years with congenital torticollis treated by proximal and distal sternocleidomastoid tenotomy. Methods: We retrospectively evaluated fifteen patients who had had an open tenotomy of the sternal and clavicular and mastoid origins of the sternocleidomastoid muscle...

متن کامل

Reversal of Degenerative Changes in Cervical Spine Following Bipolar Release in a Neglected Case of Congenital Muscular Torticollis

Congenital muscular torticollis (CMT) is a common cause of torticollis in children. Despite the ease in diagnosis in management, rare cases may be neglected and untreated which may not only impose cosmetic problems for the individual, but also affects the cervical spine with accelerated degeneration. Most patients with CMT can be managed non-surgically with medical and physical therapies, a...

متن کامل

A Surgical Treatment for Adult Muscular Torticollis

Adult presentation of neglected congenital muscular torticollis (CMT) is rare. Therefore, efficacy of surgical treatment for adult CMT is unclear. We experienced a case of neglected CMT in a 28-year-old male patient and report the surgical result here. We conducted unipolar resection at the distal end of the sternocleidomastoid muscle (SCM). After surgery, the range of neck movement and head ti...

متن کامل

Operative treatment of congenital torticollis.

There were 47 patients with congenital muscular torticollis who underwent operative release. After a mean follow-up of 74 months (60 to 90), they were divided into two groups, one aged one to four years (group 1) and the other aged five to 16 years (group 2). The outcomes were assessed by evaluating the following parameters: deficits of lateral flexion and rotation, craniofacial asymmetry, surg...

متن کامل

Congenital muscular torticollis. A spectrum of disease.

Sternocleidomastoid muscle fibrosis has been recognized for centuries, but its pathogenesis and treatment remains controversial. Pseudotumor of infancy is a firm fibrous mass in the sternocleidomastoid muscle appearing at 2 to 3 weeks of age. Congenital muscular torticollis is less common and appears later in life. Pseudotumor and congenital muscular torticollis probably represent different man...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2009