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

DOI: 10.4236/oalib.1104105, PP. 1-12

Subject Areas: Pediatrics, Orthopedics

Keywords: Congenital Muscular Torticollis, Sternocleidomastoid Muscles, Translational Deformity, Facial Asymmetry

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Abstract

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. Sex: Female: 18, Male 26; Mean age: 6.2 years old; Affect side: Right: 31, Left: 13; Operative Methods: Unipolar: 33, Bipolar: 11; Follow-up: 55.0 months (24-81). Improvement of limitation of Lateral Bending in Variant 1/Variant 2: 95.2%/63.2%; Improvement of Limitation of Rotation in Variant 1/Variant 2: 63.9%/52.7%; Improvement of Angle of Head Tilt in Variant 1/Variant 2: 86.6%/66.3%. Accepted result (Excellent Good): 30/33 (90.9% in Variant 1, 8/11 (72.7%) in Variant 2. Conclusion: The diagnostic and evaluation of CMT requires a systematic team approach with members from fields of radiology, physiotherapy, craniofacial surgery, orthopaedics, neurosurgery and ophthalmology. The patients should be performed surgery for neck muscle release only if torticollis persists after the age of one year. The rehabilitation should be performed soon after surgery.

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Hung, N. N. and Anh, L. T. (2017). A Comparison of Outcome of Age at Time Surgery between Younger and Older than 8 Years Old in Children with Congenital Muscular Torticollis. Open Access Library Journal, 4, e4105. doi: http://dx.doi.org/10.4236/oalib.1104105.

References

[1]  Chen, M.M., Chang, H.C., Hsieh, C.F., Yen, M.F. and Chen, T.H. (2005) Predictive Model for Congenital Muscular Torticollis: Analysis of 1021 Infants with Sonography. Archives of Physical Medicine and Rehabilitation, 86, 2199-2203.
https://doi.org/10.1016/j.apmr.2005.05.010
[2]  Hsu, T.C., Wang, C.L., Wong, M.K., Hsu, K.H., Tang, F.T. and Chen, H.T. (1999) Correlation of Clinical and Ultrasonographic Features in Congenital Muscular Torticollis. Archives of Physical Medicine and Rehabilitation, 80, 637-641.
https://doi.org/10.1016/S0003-9993(99)90165-X
[3]  Yim, S.Y., Lee, I.Y., Cho, K.H., Kim, J.K., Lee, I.J. and Park, M.C. (2010) The Laryngeal Cough Reflex in Congenital Muscular Torticollis: Is It a New Finding? American Journal of Physical Medicine & Rehabilitation, 89,147-152.
https://doi.org/10.1097/PHM.0b013e3181b7275b
[4]  Binder, H., Eng, G.D., Gaiser, J.F. and Koch, B. (1987) Congenital Muscular Torticollis: Results of Conservative Management with Long-Term Follow-Up in 85 Cases. Archives of Physical Medicine and Rehabilitation, 68, 222-225.
[5]  Canale, S.T., Griffin, D.W. and Hubbard, C.N. (1982) Congenital Muscular Torti-collis, A long-Term Follow-Up. The Journal of Bone & Joint Surgery, 64, 810-816.
https://doi.org/10.2106/00004623-198264060-00002
[6]  Cho, K.H., Kim, J.Y., Lee, I.Y. and Yim, S.Y. (2009) Congenital Muscular Torticollis in Siblings: A Case Report and Literature Review. Journal of Korean Academy of Rehabilitation Medicine, 33, 731-734.
[7]  Engin, C., Yavuz, S.S. and Sahin, F.I. (1997) Congenital Muscular Torticollis: Is Heredity a Possible Factor in a Family with Five Torticollis Patients in Three Generations? Plastic and Reconstructive Surgery, 99, 1147-1150.
https://doi.org/10.1097/00006534-199704000-00037
[8]  Cheng, J.C., Tang, S.P., Chen, T.M., Wong, M.W. and Wong, E.M. (2000) The Clinical Presentation and Outcome of Treatment of Congenital Muscular Torticollis in Infants—Study of 1,086 Cases. Journal of Pediatric Surgery, 35, 1091-1096.
https://doi.org/10.1053/jpsu.2000.7833
[9]  Hummer, C.D. and MacEwen, G.D. (1972) The Coexistence of Torticollis and Congenital Dysplasia of the Hip. The Journal of Bone & Joint Surgery, 54, 1255-1256. https://doi.org/10.2106/00004623-197254060-00014
[10]  Ling, C.M. and Low, Y.S. (1972) Sternomastoid Tumor and Muscular Torticollis. Clinical Orthopaedics and Related Research, 86, 144-150.
[11]  Canale, S.T., Griffin, D.W. and Hubbard, C.N. (1982) Congenital Muscular Torticollis: A Long-Term Follow-Up. The Journal of Bone & Joint Surgery, 64, 810-816.
[12]  Lim, K.S., Shim, J.S. and Lee, Y.S. (2014) Is Sternocleidomastoid Muscle Release Effective in Adults with Neglected Congenital Muscular Torticollis? Clinical Orthopaedics and Related Research, 472, 1271-1278.
https://doi.org/10.1007/s11999-013-3388-6
[13]  Yim, S.Y., Lee, I.Y., Cho, K.H., Kim, J.K., Lee, I.J. and Park, M.C. (2010) The Laryngeal Cough Reflex in Congenital Muscular Torticollis: Is It a New Finding? American Journal of Physical Medicine & Rehabilitation, 89, 147-152.
[14]  Cheng, C.Y. and Tang, S.P. (1999) Outcome of Surgical Treatment of Congenital Muscular Torticollis. Clinical Orthopaedics, 362, 190-200.
[15]  Lidge, R.T., Bechtol, R.C. and Lambert, C.N. (1957) Congenital Muscular Torticollis, Etiology and Pathology. The Journal of Bone & Joint Surgery, 39, 1165-1182.
https://doi.org/10.2106/00004623-195739050-00015
[16]  Cheng, J.C., Metreweli, C., Chen, T.M. and Tang, S. (2000) Correlation of Ultrasonographic Imaging of Congenital Muscular Torticollis with Clinical Assessment in Infants. Ultrasound in Medicine and Biology, 26, 1237-1241.
https://doi.org/10.1016/S0301-5629(00)00301-X
[17]  Burstein, F.D. and Cohen, S.R. (1998) Endoscopic Surgical Treatment for Congenital Muscular Torticollis. Plastic and Reconstructive Surgery, 101, 20-26.
https://doi.org/10.1097/00006534-199801000-00004
[18]  Luther, B.L. (2002) Congenital Muscular Torticollis. Ortho-pedic Nursing, 21, 21-29.
https://doi.org/10.1097/00006416-200205000-00005
[19]  Hollier, L., Kim, J., Grayson, B.H. and McCarthy, J.G. (2000) Congenital Muscular Torticollis and the Associated Craniofacial Changes. Plastic and Reconstructive Surgery, 105, 827-835.
https://doi.org/10.1097/00006534-200003000-00001
[20]  Shim, J.S., Noh, K.C. and Park, S.J. (2004) Treatment of Congenital Muscular Torticollis in Patients Older than 8 Years. Journal of Pediatric Orthopaedics, 24, 683-688. https://doi.org/10.1097/01241398-200411000-00016

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