Treatment of Congenital Muscular Torticollis in Patients Older Than 8 Years

Shim, Jong Sup; Noh, Kyu Cheol; Park, Seung Jun

doi:10.1097/01241398-200411000-00016

Cited by 45 publications

(4 citation statements)

References 14 publications

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“…Age of patient at time of operation could have good result is younger 4 years Open Access Library Journal old [19] or 8 years old [20] with accepted result was 90.6% and our study was 86.4% ( Figure 6 & Figure 7).…”

Section: Surgerymentioning

confidence: 48%

A Comparison of Outcome of Age at Time Surgery between Younger and Older than 8 Years Old in Children with Congenital Muscular Torticollis

Hưng¹,

Anh²

2017

OALib

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Objective: Comparing results between surgical techniques and age at the time of surgery, and the effectiveness of surgical release unipolar or bipolar or both the sternocleidomastoid muscle for congenital muscular torticollis. Methods: This study was a retrospective study of 44 cases with sternocleidomastoid muscle. Children had operated release at mean age: 6.2 years old, at Pediatric Orthopaedic Department of National Hospital for Padiatrics between October 2006 and December 2015. Preoperative assessment included the age of child at presentation, any previous history of swelling in the neck in infancy. The degree of neck tilt and range of motion of the neck, flexion and limitation of rotation were recorded. The ultrasound, measure cervico-mandibular angle (CMA). Children had performed operation by Unipolar or Bipolar release. Operative results were according to assess by the score of Cheng et al. Results: The patients were divided into two Variants. Variant 1 (patients Younger than 8 Years) had 33 Patients and Variant 2 (patients Older than 8 Years) had 11 patients.

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Section: Surgerymentioning

confidence: 48%

A Comparison of Outcome of Age at Time Surgery between Younger and Older than 8 Years Old in Children with Congenital Muscular Torticollis

Hưng¹,

Anh²

2017

OALib

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“…This is because such early surgical intervention involves the risk of general anesthesia in newborns, as well as the challenging environment of the surgical field. 10,11 The surgical environment of the infant head and neck is very narrow and small. The underlying structures such as internal jugular vein, spinal accessory nerve, or thoracic duct are highly susceptible to injury, especially in early and very fibro-contracted SCM.…”

Section: Discussionmentioning

confidence: 99%

Age Group-Specific Improvement of Vertebral Scoliosis after the Surgical Release of Congenital Muscular Torticollis

Choi,

Seol,

Kim

et al. 2023

Arch Plast Surg

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Background Congenital muscular torticollis (CMT) is one of the most common musculoskeletal disorders prevalent in childhood. Secondary scoliosis can be induced in patients with CMT; however, there are insufficient reports on the extent of inclination and improvement of scoliotic change after surgical correction of CMT. This study aims to evaluate and measure the improvement of vertebral tilting after surgical correction according to the age of surgical correction. Methods Between June 2007 and January 2020, 831 patients with CMT underwent sternocleidomastoid (SCM) release. Among them, 426 patients were enrolled, and their records were retrospectively reviewed. Patients were divided into four groups according to their age at the time of surgery to determine the relationship between age and change in the scoliosis. Results Our findings showed improvement in scoliosis for all age groups after surgery. The follow-up results for six months and one year confirmed an improvement in vertebral tilting. The degree of improvement in scoliosis increased significantly in the young age group compared to those aged 18 or older. Conclusions The effect of surgical release on scoliosis in all age groups was significant. The findings in this study suggest that CMT should be corrected before the age of three to obtain the optimum surgical mitigation effect from the perspective of scoliosis. At the same time, in the case of neglected CMT, since there is a significant improvement, a surgical release should be actively attempted.

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“…This suggests that when an ultrasound examination reveals diffusely increased or cord-like hyperechoic signals inside the SCM lesion and no blood flow signal within the lesion, indicating significant SCM fibrosis, surgery rather than rehabilitative therapy should be offered, even if the patient is < 1 year of age. Thus, an ultrasound examination can guide treatment decisions for patients with CMT [19]. …”

Section: Discussionmentioning

confidence: 99%

The value of high-frequency and color Doppler ultrasonography in diagnosing congenital muscular torticollis

Wang

Zhang

Tang

et al. 2012

BMC Musculoskelet Disord

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Background: Congenital muscular torticollis (CMT) is a relatively common neck deformity in infancy. The aim of our research was to determine the value of high-frequency and color Doppler ultrasonography in diagnosing CMT. Methods: Patients with a clinical suspicion of CMT underwent an ultrasound examination before diagnosis, and the sonographic characteristics were analyzed and compared with the clinical findings.

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Treatment of Congenital Muscular Torticollis in Patients Older Than 8 Years

Cited by 45 publications

References 14 publications

A Comparison of Outcome of Age at Time Surgery between Younger and Older than 8 Years Old in Children with Congenital Muscular Torticollis

A Comparison of Outcome of Age at Time Surgery between Younger and Older than 8 Years Old in Children with Congenital Muscular Torticollis

Age Group-Specific Improvement of Vertebral Scoliosis after the Surgical Release of Congenital Muscular Torticollis

The value of high-frequency and color Doppler ultrasonography in diagnosing congenital muscular torticollis

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