Adult Patients with Congenital Muscular Torticollis Treated with Bipolar Release: Report of 31 Cases.
10.3340/jkns.2016.0303.018
- Author:
Gun Sang LEE
1
;
Myung Ki LEE
;
Woo Jae KIM
;
Ho Sang KIM
;
Jeong Ho KIM
;
Yun Suk KIM
Author Information
1. Department of Neurosurgery, Maryknoll General Hospital, Busan, Korea. stereomk@naver.com
- Publication Type:Original Article
- Keywords:
Congenital;
Torticollis;
Adult;
Sternocleidomastoid muscle;
Tenotomy
- MeSH:
Adult*;
Ear;
Follow-Up Studies;
Head;
Humans;
Neck;
Retrospective Studies;
Tenotomy;
Torticollis*
- From:Journal of Korean Neurosurgical Society
2017;60(1):82-88
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: We assessed the surgical results of bipolar release in 31 adult patients with uncorrected congenital muscular torticollis (CMT) and more than 12 months of follow-up. METHODS: Thirty-one patients underwent a bipolar release of the sternocleidomastoid muscle (SCM) and were retrospectively analyzed. The mean follow-up period was 14.9 months (range, 12–30). The mean age at time of surgery was 30.3 years (range, 20–54). Patients were evaluated with a modified Lee’s scoring system, cervicomandibular angle (CMA) measurement, and a global satisfaction rating scale using patient self-reporting. RESULTS: The modified Lee’s scoring system indicated excellent results in 4 (12.9%) patients, good in 18 (58.1%), and fair in 9 (29.0%) at the last follow-up after surgery. The improvements in neck movement and head tilt were statistically significant (p<0.05). The preoperative mean CMA was 15.4° (range, 5.4–29.0), which was reduced to a mean of CMA of 6.3° (range, 0–25) after surgery (p<0.05). The global satisfaction rating scale was 93.7% (range, 90–100). A transient sensory deficit on the ipsilateral lower ear lobe was noted in three cases. No significant permanent complications occurred. CONCLUSION: Bipolar release of the SCM is a safe and reliable technique for the treatment of CMT in adults.
