Is Sternocleidomastoid Muscle Release Effective in Adults With Neglected Congenital Muscular Torticollis? Background. Neglected congenital muscular torticollis is rare in adults but may be associated with pain and cosmetic problems. The efficacy of surgical correction in these patients has not been well established in the literature. Questions/purposes. Congenital muscular torticollis: Current concepts and review of treatment. Curr Opin Pediatr, 18. Outcome of treatment for congenital muscular torticollis. Congenital muscular torticollis: Current concepts and review of treatment. Congenital muscular torticollis: Current concepts and review of treatment. We sought to describe (1) the primary goals that influenced adults with neglected muscular torticollis to seek surgical correction, (2) improvements of patients. The mean age of the patients was 2. The primary goal of the operation for each patient was determined to assess if it was met. Functional outcomes were assessed in terms of motion deficit: lateral flexion and rotation. Radiographic outcomes were assessed for cervicomandibular angle, lateral translation of the head and neck, and Cobb. The overall clinical results of surgery were assessed with the modified Cheng and Tang scoring system, and complications were tallied from a chart review. Results. The primary goals of surgery were cosmesis in 1. Patients for whom pain was the primary goal of surgery were older than the other patients. ROM and radiographic parameters associated with deformity consistently improved in these patients (p < 0. Cheng and Tang scoring system indicated that 2. There were no serious complications and no reoperations in these patients. Conclusions. Sternocleidomastoid release was beneficial for the treatment of neglected congenital muscular torticollis in adults and was not associated with any serious complications. Surgical treatment led to cosmetic and functional improvements and relieved pain originating from the muscle imbalance brought about by the long- standing deformity. The review of Aleksandar Beric. Congenital muscular torticollis: current concepts and review of treatment. Congenital muscular torticollis: current concepts and review of treatment. Congenital Muscular Torticollis in Adult Patients: Literature Review and a Case Report Using a Harmonic Scalpel. Level of Evidence. Level IV, therapeutic study. Botulinum Toxin for the Treatment of Congenital Muscular Torticollis: Clinical Effectiveness. Congenital muscular torticollis: current concepts and review of treatment.See the Instructions for Authors for a complete description of levels of evidence.
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January 2017
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