Treatment of Congenital Muscular Torticollis in Patients Older than 8 Years.
10.4055/jkoa.2004.39.1.14
- Author:
Jong Sup SHIM
1
;
Kyu Cheol NOH
;
Seok Je LEE
;
Hee Pyo JANG
Author Information
1. Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. sjsra@samsung.co.kr
- Publication Type:Original Article
- Keywords:
Congenital muscular torticollis;
Operative treatment
- MeSH:
Follow-Up Studies;
Head;
Humans;
Neck;
Postoperative Care;
Torticollis*
- From:The Journal of the Korean Orthopaedic Association
2004;39(1):14-19
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the clinical result of congenital muscular torticollis treatment in patients older than 8 years. MATERIALS AND METHODS: Thirty two patients over 8 years who had not received any prior medical treatment or who recurred after the initial operation were included in this study. The patients were divided into two groups (Group 1; still in growth and Group 2; reached full growth). The average follow-up period was 9 months. Clinical results were assessed by using motion deficits, craniofacial asymmetry, scarrng, band, head tilt, and by subjective assessment. RESULTS: Clinical results were less successful in Group 2 than in Group 1. However, most members of Group 2 showed a marked improvement of neck motion and head tilt with satisfactory functional and cosmetic results. CONCLUSIONS: In patients older than school age, even in those who have reached full growth, satisfactory results can be expected by complete releasing the sternocleidomastoid muscle and intensive postoperative care.
