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[An asymmetrical face due to torticollis in two young children]

M Holla1, E de Visser, J W M Gardeniers

  • 1Universitair Medisch Centrum St Radboud, afd. Orthopedische Chirurgie, Postbus 9101, 6500 HB Nijmegen.

Nederlands Tijdschrift Voor Geneeskunde
|January 6, 2007
PubMed

Insights

Torticollis in infants, caused by a tight sternocleidomastoid muscle, may require surgery if physiotherapy is ineffective. Early intervention with stretching exercises is recommended for better facial symmetry outcomes.

Area of Science:

  • Pediatric Orthopaedics
  • Developmental Paediatrics

Background:

  • Congenital muscular torticollis, often diagnosed shortly after birth, results from sternocleidomastoid muscle shortening.
  • Conservative management including kinesiotherapy may have limited efficacy in resolving the condition and associated facial asymmetry.

Observation:

  • Two young girls diagnosed with torticollis presented with shortened sternocleidomastoid muscles and facial asymmetry.
  • Initial kinesiotherapy over 1.5 years showed minimal improvement in both patients.

Findings:

  • Surgical division of the shortened sternocleidomastoid muscle was performed.
  • Post-surgery, the younger child achieved facial symmetry, while the older child's asymmetry persisted after six months.

Implications:

  • This case highlights the importance of timely and appropriate treatment for congenital muscular torticollis.
  • It suggests a staged approach, prioritizing physiotherapy and considering surgery if conservative methods fail by one year of age for optimal outcomes.

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