TREATMENT OF ADULT CONGENITAL MUSCULAR TORTICOLLIS BY MULTIPLE STERNOCLEIDOMASTOIDHEAD AMPUTATION_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

FU Ronggang ^1,2 , YIN Xiuqing ² , YU Rong. ¹

1Department of Burns and Plastic Surgery, West China Hospital,Sichuan University, Chengdu Sichuan, 610041, P.R.China;;
2Department of Burns and Plastic Surgery, First People’s Hospital,Liangshan Yi Autonomous Prefecture;

Corresponding author：

Keywords：

Adult congenital muscular torticollis; Sternocleidomastoid; Multiple headamputation; Torticollis correction

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

【Abstract】 Objective To investigate the therapeutic method and effectiveness of multi ple sternocleidomastoid head
amputation for adult congenital muscular torticoll is. Methods Between March 2009 and February 2011, 19 patients with
congenital muscular torticoll is were treated with multi ple sternocleidomastoid head amputation. There were 13 males and 6 females, aged 16-32 years (mean, 23.5 years). The X-ray films showed that 12 cases were accompanied with some extent cervical lateral bending and wedge change. Ten patients were with i psilateral facial bradygenesis. Four patients had recieved single sternocleidomastoid head amputation. All of the 19 patients were treated with multi ple sternocleidomastoid head amputation, then plaster support and neck collar were used after operation for 3-6 months. Results The wounds of all the 19 patients healed primarily, without infection or hematoma. Sixteen patients were followed up 5 months to 2 years (mean, 8 months). The head and neck malformations were amel iorated significantly. The effectiveness was assessed 2 weeks later, in 7 patients without cervical vertebral malformation results were excellent; in 12 patients with cervical vertebral malformation, the results were excellent in 1 case, good in 7 cases, and fair in 4 cases. The length between mastoid process and sternoclavicular joints was elongated (1.88 ± 0.30) cm significantly after operation in patients without cervical vertebral malformation (t=6.24, P=0.00), showing no significant difference when compared with normal value (t=1.87, P=0.11); the length was elongated (3.38 ± 0.30) cm significantly (t=11.37, P=0.00) after operation in patients with cervical vertebral malformation, but it was significant shorter than normal value (t=12.19, P=0.00). Conclusion Multi ple sternocleidomastoid head amputation is a safe and effective method for adult congenital muscular torticoll is, which can improve the neck rotation function.

Citation： FU Ronggang,YIN Xiuqing,YU Rong.. TREATMENT OF ADULT CONGENITAL MUSCULAR TORTICOLLIS BY MULTIPLE STERNOCLEIDOMASTOIDHEAD AMPUTATION. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(2): 227-230. doi: Copy

1.
2.	Collins A, Jankovic J. Botulinum injection toxin for congenital muscular torticollis presenting in children and adults. Neurology, 2006, 67(6): 1083-1085.
3.	王炜. 整形外科学. 杭州: 浙江科学技术出版社, 1999: 834-837.
4.	丁自海, 杜心如. 脊柱外科临床解剖学. 济南: 山东科学技术出版社, 2008: 155.
5.	程霞, 马少林. 先天性肌性斜颈的病因与诊断治疗. 中国美容医学, 2009, 18(3): 411-413.
6.	谢宝珊, 乔治, 江志清, 等. 先天性肌性斜颈病因的实验研究. 临床小儿外科杂志, 2002, 1(2): 118-122.
7.	Sönmez K, Türkyilmaz Z, Demiroqğullari B, et al. Congenital muscular torticollis in children. ORL J Otorhinolaryngol Relat Spec, 2005, 67(6): 344-347.
8.	李楠竹, 龙元璋. 小儿先天性肌性斜颈的手术治疗. 实用中西医结合临床, 2007, 7(3): 64.
9.	Ling CM. The influence of age on the results of open sternomastoid tenotomy in muscular torticollis. Clin Orthop Relat Res, 1976, (116): 142-148.
10.	Cheng JC, Tang SP. Outcome of surgical treatment of congenital muscular torticollis. Clin Orthop Relat Res, 1999, (362): 190-200.
11.	Arslan H, Gündüz S, Subaşi M, et al. Frontal cephalometric analysis in the evaluation of facial asymmetry in troticollis, and outcomes of bipolar release in patients over 6 years of age. Arch Orthop Trauma Surg, 2002, 122(9-10): 489-493.
12.	刘景超, 周丽, 黄国玉, 等. 29例先天性肌性斜颈的手术治疗. 中国矫形外科杂志, 2005, 13(15): 1197-1198.
13.	Shim JS, Noh KC, Park SJ. Treatment of congenital muscular troticollis in patients older than 8 years. J Pediatr Orthop, 2004, 24(6): 683-688.
14.	廖华, 于蓉, 邓玉兰. 成人先天性肌性斜颈胸锁乳突肌单侧头与双侧头切断疗效比较. 华西医学, 2010, 25(7): 1242-1243.
15.	高健伟, 朱大成, 郭红燕, 等. 不同年龄段肌性斜颈的外科治疗. 实用医药杂志, 2007, 24(5): 557-558.
16.	Omidi-Kashani F, Hasankhani EG, Sharifi R, et al. Is surgery recommended in adults with neglected congenital muscular torticollis? A prospective study. BMC Musculoskelet Disord, 2008, 9: 158.
17.	Seo ST, Lee IH, Son CS, et al. Support vector regression-based model to analyze prognosis of infants with congenital mucular torticollis. Healthc Inform Res, 2010, 16(4): 224-230.
18.	夏昊辰, 夏双印, 傅朝蓬. 彻底松解治疗早期延误治疗的肌性斜颈. 中华整形外科杂志, 2002, 18(1): 59-60.
19.	蔡斌, 陈博昌, 王志刚, 等. 双极松解术矫治4岁以上儿童先天性肌性斜颈. 中国临床康复, 2004, 8(3): 436-437.
20.	李红军, 孙华斌. 成年肌性斜颈术后不同康复治疗比较. 中国康复, 2005, 20(4): 239.

1.
2. Collins A, Jankovic J. Botulinum injection toxin for congenital muscular torticollis presenting in children and adults. Neurology, 2006, 67(6): 1083-1085.
3. 王炜. 整形外科学. 杭州: 浙江科学技术出版社, 1999: 834-837.
4. 丁自海, 杜心如. 脊柱外科临床解剖学. 济南: 山东科学技术出版社, 2008: 155.
5. 程霞, 马少林. 先天性肌性斜颈的病因与诊断治疗. 中国美容医学, 2009, 18(3): 411-413.
6. 谢宝珊, 乔治, 江志清, 等. 先天性肌性斜颈病因的实验研究. 临床小儿外科杂志, 2002, 1(2): 118-122.
7. Sönmez K, Türkyilmaz Z, Demiroqğullari B, et al. Congenital muscular torticollis in children. ORL J Otorhinolaryngol Relat Spec, 2005, 67(6): 344-347.
8. 李楠竹, 龙元璋. 小儿先天性肌性斜颈的手术治疗. 实用中西医结合临床, 2007, 7(3): 64.
9. Ling CM. The influence of age on the results of open sternomastoid tenotomy in muscular torticollis. Clin Orthop Relat Res, 1976, (116): 142-148.
10. Cheng JC, Tang SP. Outcome of surgical treatment of congenital muscular torticollis. Clin Orthop Relat Res, 1999, (362): 190-200.
11. Arslan H, Gündüz S, Subaşi M, et al. Frontal cephalometric analysis in the evaluation of facial asymmetry in troticollis, and outcomes of bipolar release in patients over 6 years of age. Arch Orthop Trauma Surg, 2002, 122(9-10): 489-493.
12. 刘景超, 周丽, 黄国玉, 等. 29例先天性肌性斜颈的手术治疗. 中国矫形外科杂志, 2005, 13(15): 1197-1198.
13. Shim JS, Noh KC, Park SJ. Treatment of congenital muscular troticollis in patients older than 8 years. J Pediatr Orthop, 2004, 24(6): 683-688.
14. 廖华, 于蓉, 邓玉兰. 成人先天性肌性斜颈胸锁乳突肌单侧头与双侧头切断疗效比较. 华西医学, 2010, 25(7): 1242-1243.
15. 高健伟, 朱大成, 郭红燕, 等. 不同年龄段肌性斜颈的外科治疗. 实用医药杂志, 2007, 24(5): 557-558.
16. Omidi-Kashani F, Hasankhani EG, Sharifi R, et al. Is surgery recommended in adults with neglected congenital muscular torticollis? A prospective study. BMC Musculoskelet Disord, 2008, 9: 158.
17. Seo ST, Lee IH, Son CS, et al. Support vector regression-based model to analyze prognosis of infants with congenital mucular torticollis. Healthc Inform Res, 2010, 16(4): 224-230.
18. 夏昊辰, 夏双印, 傅朝蓬. 彻底松解治疗早期延误治疗的肌性斜颈. 中华整形外科杂志, 2002, 18(1): 59-60.
19. 蔡斌, 陈博昌, 王志刚, 等. 双极松解术矫治4岁以上儿童先天性肌性斜颈. 中国临床康复, 2004, 8(3): 436-437.
20. 李红军, 孙华斌. 成年肌性斜颈术后不同康复治疗比较. 中国康复, 2005, 20(4): 239.

Chinese Journal of Reparative and Reconstructive Surgery

TREATMENT OF ADULT CONGENITAL MUSCULAR TORTICOLLIS BY MULTIPLE STERNOCLEIDOMASTOIDHEAD AMPUTATION

Abstract Full text Figures/Tables Video References Cited by

Format

Content