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Related Experiment Videos

Torticollis.

F G Wolfort1, M A Kanter, L B Miller

  • 1Division of Plastic and Reconstructive Surgery, New England Deaconess Hospital, Boston, Mass.

Plastic and Reconstructive Surgery
|October 1, 1989
PubMed
Summary
This summary is machine-generated.

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Congenital muscular torticollis, a neck deformity, often requires surgery if physiotherapy fails. Surgical release of the sternocleidomastoid muscle is effective, especially in young children, to correct asymmetry and improve range of motion.

Area of Science:

  • Pediatric Orthopedics
  • Reconstructive Surgery
  • Physical Medicine

Background:

  • Torticollis presents as an isolated deformity or a symptom of underlying neuromuscular or central nervous system disorders.
  • Congenital muscular torticollis is characterized by a restricting band within the sternocleidomastoid muscle, often presenting with a palpable mass.
  • Aesthetic improvement and functional recovery are primary goals in managing torticollis.

Purpose of the Study:

  • To outline the indications, principles, and surgical techniques for managing congenital muscular torticollis.
  • To emphasize the importance of early intervention for optimal craniofacial asymmetry reversal.
  • To discuss various surgical options and their expected outcomes.

Main Methods:

  • Surgical intervention is indicated for congenital muscular torticollis unresponsive to conservative treatments like physiotherapy and stretching.

Related Experiment Videos

  • Key surgical principles include identification and release of restricting bands, ensuring full range of motion, and prompt resumption of physical therapy.
  • Inferior open tenotomy of the sternocleidomastoid muscle is a commonly recommended and reliable procedure.

    • Main Results:

    • Surgical release of the sternocleidomastoid muscle effectively addresses the restricting bands causing torticollis.
    • Early surgical intervention, ideally before school age, maximizes the potential for reversing craniofacial asymmetry.
    • Postoperative physical therapy is crucial to prevent scar contracture and ensure functional recovery.

    Conclusions:

    • Congenital muscular torticollis, particularly when resistant to conservative care, benefits from surgical management.
    • Optimal surgical outcomes, including correction of asymmetry, are achieved with early intervention.
    • Careful surgical technique and diligent postoperative rehabilitation are essential for successful management.