Sternocleidomastoid muscle asymmetry in unilateral congenital superior oblique palsy

Chung, Seung Ah; Yim, Shin-Young; Park, Aram

doi:10.1038/s41433-020-01205-2

Cited by 3 publications

(1 citation statement)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The head tilt angle was measured using traditional goniometers and the toriCAM software (Graham Barrett, AppStore, USA) ( 14 ), which is a smartphone application available on the App Store (Apple Inc., Cupertino, CA, USA) ( Figure 2A ).…”

Section: Methodsmentioning

confidence: 99%

Factors associated with postoperative muscle reconnection in children’s congenital muscular torticollis

Guo,

Zheng,

Zhang

et al. 2023

Transl Pediatr

View full text Add to dashboard Cite

Background In prior studies, there has been no report of clinical observation of postoperative reconnection of the sternocleidomastoid muscle (SCM) in children with congenital muscular torticollis (CMT). Therefore, the objective of this study is to investigate the factors associated with postoperative reconnection of the SCM in children with CMT, and to provide clinical evidence. Methods A retrospective study was conducted, wherein 83 CMT children without any missing data were followed up from November 2019 to June 2021. The age at the time of surgery, sex, preoperative and postoperative follow-up duration, laterality, neck mass history, preoperative physical therapy history, and severity type were recorded. The severity classification of CMT was based on clinical features and ultrasound images of SCM. The postoperative reconnection of SCM was measured. Results Out of 83 patients, ten had postoperative reconnection. The rate of postoperative reconnection of SCM in children with CMT who had undergone unipolar SCM release surgery was 18.994 times higher than in patients who had not undergone such surgery. This difference was statistically significant [odds ratio (OR) =18.994, 95% confidence interval (CI): 1.583 to 227.897, P=0.020]. Conclusions The history of SCM release surgery in CMT children can predict the postoperative reconnection of SCM, which will aid in determining the optimal surgical approach for recurrent CMT patients.

show abstract

Section: Methodsmentioning

confidence: 99%

Factors associated with postoperative muscle reconnection in children’s congenital muscular torticollis

Guo,

Zheng,

Zhang

et al. 2023

Transl Pediatr

View full text Add to dashboard Cite

show abstract

Ophthalmic Features 5 Years after Cranioplasty in Children with Unilateral Coronal Craniosynostosis

Yeo¹,

Chung²

2023

J Korean Ophthalmol Soc

View full text Add to dashboard Cite

Purpose: To investigate ocular asymmetry status 5 years after cranioplasty in children with unilateral coronal craniosynostosis.Methods: The medical records of 41 children who underwent cranioplasty at a mean age of 11.7 months were retrospectively reviewed. The cranial vault asymmetry index (CVAI) and the amount of head tilt were measured on images obtained before cranioplasty. Presence of anisometropia, aniso-astigmatism, amblyopia, and strabismus was evaluated at a mean age of 6.8 years. Correlations among the CVAI, direction of synostotic suture and ocular asymmetries were analyzed.Results: Before cranioplasty, the CVAI was 4.5%; 31 of 41 patients (75.6%) exhibited head tilting, which was contralateral to the synostotic suture site in 29 of these patients. At a mean of 5.6 years after cranioplasty, anisometropia of ≥ 1.00 diopters on the spherical equivalent was present in 9 patients (22.0%) and aniso-astigmatism of ≥ 1.00 diopters in 10 patients (24.4%). Amblyopia was in 15 patients (36.6%); the eye contralateral to the synostotic suture was more frequently affected, and anisometropic amblyopia was the most common subtype. Strabismus was present in 28 patients (68.3%); exodeviation and vertical deviation were the most common subtypes. The non-dominant eye was the eye ipsilateral to the synostotic suture in 12 of 13 patients (92.3%) with simulated superior oblique palsy and in 7 of 10 patients (70.0%) with dissociated vertical deviation. In children with CVAI of ≥ 5%, anisometropia was significantly more common than in other children (<i>p</i> = 0.04), but we found no relationship between any other type of ocular asymmetry and a high CVAI.Conclusions: Ocular asymmetries including anisometropia, aniso-astigmatism, amblyopia, and strabismus were observed even 5 years after successful cranioplasty treatment for unilateral coronal craniosynostosis, emphasizing the need for continuous ophthalmic follow-up.

show abstract

Effect of graded partial inferior rectus muscle tenotomy in treatment for superior oblique paralysis

Huang,

Yan,

Xie

et al. 2024

Indian Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose: To evaluate the surgical outcomes for patients with superior oblique paralysis (SOP) who underwent the inferior oblique weakening and the graded partial inferior rectus muscle tenotomy in the contralateral eye. Methods: Medical records were retrospectively reviewed for those SOP patients who had hyperdeviation of 4△ –20△ in the primary position and 8△ –25△ in the downgaze position. Patients were subdivided into three subgroups according to their vertical deviation angle in the downgaze position. They underwent an ipsilateral inferior oblique muscle recession and a graded partial tenotomy of the contralateral inferior rectus muscle. The vertical deviation angles, abnormal head position, and fundus torsion were compared statistically before and after operations. All patients were followed up at least 1 year. Results: Forty-seven patients were included in this study. The mean follow-up period was 17.2 months after surgery (ranging from 12 to 28 months). The vertical deviation angle was averaged preoperatively to 7.74△ ± 3.23△ in the primary position and 15.30△ ± 5.92△ in the downgaze position and reduced postoperatively to 0.85△ ± 1.15△ in the primary position and 1.53△± 1.49△ in the downgaze position (P < 0.001). All patients had an abnormal head position preoperatively and had improved significantly postoperatively. Fundus extorsion had been improved significantly postoperatively. Conclusion: The surgical procedure of IO weakening combined with contralateral graded partial inferior rectus muscle tenotomy is a successful intervention for the correction of small deviation in primary position of SOP.

show abstract

Sternocleidomastoid muscle asymmetry in unilateral congenital superior oblique palsy

Cited by 3 publications

References 24 publications

Factors associated with postoperative muscle reconnection in children’s congenital muscular torticollis

Factors associated with postoperative muscle reconnection in children’s congenital muscular torticollis

Ophthalmic Features 5 Years after Cranioplasty in Children with Unilateral Coronal Craniosynostosis

Effect of graded partial inferior rectus muscle tenotomy in treatment for superior oblique paralysis

Contact Info

Product

Resources

About