Mandibular asymmetry associated with congenital muscular torticollis

An unusual case involving an adult patient with marked facial and mandibular asymmetry secondary to congenital muscular torticollis is presented. The etiology and pathology of congenital muscular torticollis are reviewed. A team approach was used to correct this deformity. Procedures included a transcranial total orbital osteotomy, open distal myectomy of the sternocleidomastoid muscle, and a mandibular horizontal osteotomy.