%0 Journal Article
%T A Comparison of Outcome of Age at Time Surgery between Younger and Older than 8 Years Old in Children with Congenital Muscular Torticollis
%A Nguyen Ngoc Hung
%A Le Tuan Anh
%J Open Access Library Journal
%V 4
%N 11
%P 1-12
%@ 2333-9721
%D 2017
%I Open Access Library
%R 10.4236/oalib.1104105
%X <div style="text-align:justify;">
	<span style="line-height:1.5;">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 n</span><span style="line-height:1.5;">eck 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 </span><i style="line-height:1.5;">et al</i><span style="line-height:1.5;">. Results: The patients were divided
into two Variants.</span><i style="line-height:1.5;"> </i><span style="line-height:1.5;">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.</span> 
</div>
%K Congenital Muscular Torticollis
%K Sternocleidomastoid Muscles
%K Translational Deformity
%K Facial Asymmetry
%U http://www.oalib.com/paper/5291218