Result of Sternocleidomastoid Release in the Management of Congenital Muscular Torticollis

Abstract

Background: Congenital muscular torticollis (CMT), primarily a neck deformity resulting from shortening of the sternocleidomastoid muscle that leads the head to turn towards the affected side and the chin points to the opposite side. In developing countries, the parent often neglects and present late, when conservative management has a limited role. Various surgical procedures have been described for the correction of the deformity. The purpose of this study is to find out the result of SCM release followed by definite rehabilitation protocol. Materials and methods:Twelve cases confirming to inclusion criteria were operated on for congenital muscular torticollis. The affected side, either unipolar or bipolar sternocleidomastoid muscle release was done, depending on preoperative assessment. The sternal head was lengthening by Z-plasty method to maintain the shape of suprasternal notch. Postoperatively all the patients had followed a definite rehabilitation protocol.Results: Clinical and functional results were assessed using modified Lee's scoring system and Tanabe's assessment criteria for torticollis. Results were satisfactory in all the cases except two cases. Conclusion:The sternocleidomastoid release is an effective technique for the management of congenital muscular torticollis. The procedure is relatively complication free and safe method with predictable outcomes.