Congenital muscular torticollis. A long-term follow-up.

Canale, S T; Griffin, David; Hubbard, Chandler

doi:10.2106/00004623-198264060-00002

Cited by 189 publications

(121 citation statements)

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“…Well-controlled manual stretching is a safe and effective treatment for CMT in about 95% of patients aged less than 1 year. 1,2,12 However, patients who respond poorly require other treatment methods. Although some authors have recommended botulinum toxin as an adjunctive therapy in infants with CMT who have not responded to 3 months of physical therapy, it presents the risks of general anaesthesia, systemic diffusion and haematoma formation and, besides, no long-term results are available.…”

Section: Discussionmentioning

confidence: 99%

“…13 Although when physical therapy is not successful after the age of 1 year, some authors advocate surgical correction to improve cervical motion and cosmetic deformity. 1,3,4 Surgical procedures include, unipolar release, bipolar release, release with Z-plasty, post-auricular or trans-axillary endoscopic release, and muscle resection. 1e6,12e15 The purpose of this retrospective study was to analyse the postoperative functional results of 20 CMT patients who underwent complete fibrous band release and resection.…”

mentioning

confidence: 99%

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Complete tight fibrous band release and resection in congenital muscular torticollis

Lee

Lim

Song

et al. 2010

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Complete tight fibrous band release and resection in congenital muscular torticollis

Lee

Lim

Song

et al. 2010

Journal of Plastic, Reconstructive & Aesthetic Surgery

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“…Ophthalmological examination may reveal extra ocular muscle imbalance as the causing factor of torticollis [16].…”

Section: Diagnosismentioning

confidence: 99%

Congenital Muscular Torticollis: An Overview

Angoules¹

2013

J Gen Pract

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Congenital Muscular Torticollis (CMT) is a congenital deformity characterized by unilateral shortening of the sternocleidomastoid muscle resulting in lateral inclination of the neck associated with contralateral torsion. It is a relatively common infantile deformity associated with typically favourable prognosis when early detected and treated. Although stretching exercises is still the most common treatment, this therapeutic approach should be applied early in younger subjects to be efficient. Surgical intervention is guaranteed before an established craniofacial asymmetry. The purpose of this is to provide an overview of the current therapeutic approaches with additional analysis of their effectiveness.

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“…Prolonged head tilt can lead to plagiocephaly. 4 In cases below the age of one-year conservative management can lead to good results, but after the age of one year functional and cosmetic benefits require corrective surgery. Neglected congenital torticollis is commoner in developing countries compared to developed countries.…”

Section: Introductionmentioning

confidence: 99%

Management of neglected cases of congenital muscular torticollis with bipolar release

2016

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Background: Congenital muscular torticollis (CMT) is the third most common congenital musculoskeletal anomaly in children. After the age of one year functional and cosmetic benefits require corrective surgery. Neglected congenital torticollis is commoner in developing countries. The purpose of this study was to evaluate the results of bipolar release in this age group.Methods: 16 cases were operated on for neglected congenital muscular torticollis. Inclusion criteria included age of more than ten years, absence of any previous surgery, and absence of any known pathology. Inferior release was done through an incision 1 cm above the medial third of the clavicle. The clavicular head was released completely while the sternal head was lengthened by z-plasty. The mastoid head was released though an incision just below the tip of the mastoid process. The postoperative management included physiotherapy with halter traction. Neck ROM, head tilt, craniofacial asymmetry were assessed.Results: Excellent results were noted in four patients, good in eight, fair in two, and poor in two. Conclusions: We believe that bipolar release is a very viable option for correcting neglected CMT as it brought about both functional improvement as well as improvement in cosmesis, resulting in improved quality of life.

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Congenital muscular torticollis. A long-term follow-up.

Cited by 189 publications

References 0 publications

Complete tight fibrous band release and resection in congenital muscular torticollis

Complete tight fibrous band release and resection in congenital muscular torticollis

Congenital Muscular Torticollis: An Overview

Management of neglected cases of congenital muscular torticollis with bipolar release

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