Artikel
Surgical treatment of neglected torticollis
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Veröffentlicht: | 10. Oktober 2016 |
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Gliederung
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Objectives: Torticollis is a clinical condition resulting from sternocleidomastoid muscle shortening and as a result of this face is tilted and head is rotated to the contralateral side. In neonatal period it is not rare and can treated nonsurgically without residuel deformity. Surgical treatment is recomended before 5 years and neglected torticollis cause permanent craniofascial deformities.
Methods: We reviewed medical records of eight patients who had sternocleidomastoid muscle release surgery between 2012 and 2014 in early adulthood. For 7 patients release of sternal head of the muscle performed and for the other release of twe heads of the muscle was needed. Patients were evaluated according to cervical range of motion, and radiological measurement of cervicomandibular angle.
Results and Conclusion: Average patient age was 23,2 and average follow up period was 9,4 months. Lateral servical flexion deficiency decrease to 8,7° from 35,4° and sevical rotation deficiency decrease to 5,9° from 25,3°. Average cervicomandibular angle which was 22,7° before surgery became 7,8° after surgery. All patients stisfied from the results.
Although craniofascial asimetry is irreversible in adults, release of sternocleidomastoid muscle helps to improve cervical range of motion and cosmesis. In adulthood surgical complication rate is higher and with early surgical interventions better results can be achieved.