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.
Cite this paper
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.
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
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
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
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.
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
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.
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
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
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
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.
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
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.
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
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
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
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
