Endoscopic transaxillary approach for congenital muscular torticollis

Tang, Shaotao; Yang, Ying; Mao, Yina; Wang, Yong; Li, Shiwang; Tong, Qiangsong; Cao, Guoqing; Li, Shuai

doi:10.1016/j.jpedsurg.2010.06.027

Cited by 12 publications

(5 citation statements)

References 10 publications

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“…Nevertheless, in our opinion, this technology has a higher risk of nerve injury. Dutta and Tang et al reported their technique of transaxillary subcutaneous endoscopic release of the sternocleidomastoid muscle for treatment of CMT [ 7 , 9 , 10 , 26 ]. Because the incision was made in the anterior axillary fold, a long subcutaneous tunnel over the clavicular and sternal heads of the SCM muscle was needed.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic release of congenital muscular torticollis with radiofrequency in teenagers

Wang¹,

Qi²,

Liu³

2018

J Orthop Surg Res

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BackgroundCongenital muscular torticollis (CMT) is due to contracture of the sternocleidomastoid muscle which may cause activity limitations of the neck, tilt of the head, craniofacial asymmetry, and deformity of the skull. The authors present their experience of arthroscopic tight fibrous band release with radiofrequency in teenagers under local anesthesia and evaluate the clinical results.MethodsA total of 69 patients who underwent arthroscopic release of CMT with radiofrequency under local anesthesia by a single surgeon could participate in this study. Before operation, surface landmarks of sternocleidomastoid muscle, bone, and neurovascular structures were marked. Local infiltrating anesthesia of the surgical region was then performed. Through a working space created by blunt dissection, the arthroscopy and radiofrequency devices were introduced. Then, the clavicular and sternal heads of the sternocleidomastoid muscle were identified and gradually transected. The patients were followed up postoperatively with Cheng’s scoring system.ResultsThere were 31 male patients and 38 female patients. The mean age of the patients was 16.1 years. The mean length of follow-up in this series was 36.7 months (range, 28 to 67 months). During the operation, 62 patients (89.9%) had no pain, 6 patients (8.7%) felt mild pain, and only 1 patient (1.4%) regarded the procedure as very painful. At all follow-up periods, there were no repeat arthroscopies for any of these patients. At the final follow-up, the average rotation deficit improved from 22.5° to 4.1° postoperatively, and the average lateral bending deficit improved from 14.6° to 3.3° (p < 0.05). Overall, the clinical result was good or excellent in 65 patients (94.2%), fair in 4 patients, and poor in 0 patients within the follow-up period according to Cheng’s scoring system. To date, no patients had any intraoperative or postoperative complications from this procedure.ConclusionThe arthroscopic release with radiofrequency under local anesthesia provides surgeons with an alternative to traditional open techniques for the management of congenital muscular torticollis (CMT). Our date shows that this method is minimally invasive and provides good functional recovery with a lower risk of complications.

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Section: Discussionmentioning

confidence: 99%

Endoscopic release of congenital muscular torticollis with radiofrequency in teenagers

Wang¹,

Qi²,

Liu³

2018

J Orthop Surg Res

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“…Dutta and Albanese 22 have described a transaxillary full endoscopic technology in 2008. Tang et al 23 have described a modified subcutaneous endoscopic transaxillary and microneck incision approach in 2010. The approach to the SCM was straightforward, and no significant vascular or neural structures were encountered.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Surgical Treatment for Neglected Congenital Muscular Torticollis in Adults

Yuan

Zhao³

et al. 2015

Journal of Craniofacial Surgery

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“…Botox injections were reported to be used as a non surgical approach, with different outcomes [6,12]. An endoscopic surgical approach was used in children and adolescents with good results [13,14]. Liu et al [15] used radiofrequency therapy in an endoscopic approach with satisfactory results.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Neglected Congenital Muscular Torticollis in an Adult and Review of Literature

Moussaoui¹,

Ennouhi²,

Guerrouani³

2015

BJMMR

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Aim:We report a rare case of congenital muscular torticollis in an adult and review most of the different treatment approaches reported by authors. Presentation of Case: A 25 year old woman who underwent an unsuccessful surgery for her congenital torticollis in the childhood, presented to our department for the same problem. We performed a unipolar release of the sternocleidomastoid muscle with a large dissection and a resection of a fibrous part of the clavicular head followed by a muscular rehabilitation. Result was satisfactory with an 18 month follow-up. Discussion: Congenital muscular torticollis is rarely seen in adults. There are almost as many treatment protocols for congenital muscular torticollis as authors, with unequal outcomes. Surgical treatments give the best results in adults. We review most of the treatment protocols described in the literature. Case Report Conclusion:As surgeons, we have to deal with every special situation in the aim of respecting the integrity of healthy tissues and providing the best care for good functional and cosmetic outcome.

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Endoscopic transaxillary approach for congenital muscular torticollis

Cited by 12 publications

References 10 publications

Endoscopic release of congenital muscular torticollis with radiofrequency in teenagers

Endoscopic release of congenital muscular torticollis with radiofrequency in teenagers

Arthroscopic Surgical Treatment for Neglected Congenital Muscular Torticollis in Adults

A Rare Case of Neglected Congenital Muscular Torticollis in an Adult and Review of Literature

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