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Treatment of Congenital Muscular Torticollis with Unipolar Release  

Park, Myong Chul (Department of Plastic and Reconstructive Surgery, Physical Medicine and Rehabilitation, School of Medicine, Ajou University)
Song, Hyun Suk (Department of Plastic and Reconstructive Surgery, Physical Medicine and Rehabilitation, School of Medicine, Ajou University)
Kim, Chee Sun (Department of Plastic and Reconstructive Surgery, Physical Medicine and Rehabilitation, School of Medicine, Ajou University)
Yim, Shin Young (Department of Plastic and Reconstructive Surgery, Physical Medicine and Rehabilitation, School of Medicine, Ajou University)
Park, Dong Ha (Department of Plastic and Reconstructive Surgery, Physical Medicine and Rehabilitation, School of Medicine, Ajou University)
Pae, Nam Suk (Department of Plastic and Reconstructive Surgery, Physical Medicine and Rehabilitation, School of Medicine, Ajou University)
Lee, Il Jae (Department of Plastic and Reconstructive Surgery, Physical Medicine and Rehabilitation, School of Medicine, Ajou University)
Publication Information
Archives of Plastic Surgery / v.36, no.1, 2009 , pp. 38-45 More about this Journal
Abstract
Purpose: The congenital muscular torticollis is a neck deformity involving shortening of the sternocleidomastoid muscle, which is detected at birth or shortly after birth. This childhood disease is the third most common congenital musculoskeletal anomaly. The indication for surgery is a persistent head tilt with dificit of passive rotation and lateral bending of the neck and a tight band or tumor in the sternocleidomastoid muscle even after physical therapy. The purpose of this article is to report surgical outcomes with patients who had no or little response to physical therapy. Methods: Surgery was performed on 29 patients and their average age was 4.1 years (from 6 months to 20.1 years). The unipolar open release and partial myectomy were done in 28 cases and the muscle lengthening was done in 1 case. Physical therapy was started from postoperative seventh day. Follow - up period was ranged from 2 months to 5.4 years(mean follow - up, 20.4 months). Result: There were neither rotation nor lateral bending deficit after surgical treatment. Mild head tilt was noticed in 3 cases and residual bend was observed in 4 cases. The subjective assessments of surgical results by parents were excellent. Conclusion: Our surgical outcome encourages the surgical treatment of congenital muscular torticollis for patients who failed to respond to physical therapy.
Keywords
Congenital muscular torticollis; sternocleidomastoid muscle; unipolar release and partial myectomy;
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