Congenital Muscular Torticollis in Children: Analysis of 12 Delayed Cases

Conclusions: In this study, neck motion and head tilt showed marked improvement with surgical and conservative treatment in majority of children with CMT who admitted to the hospital lately

📌 3 Key Takeaways

🎯

Objective & Hypothesis:Purpose: The aim of this study was to estimate the records of patients treated for congenital muscular torticollis (CMT) in the period between 1986 and 2005.

📊

Key Findings & Data:Results: The mean age of the patients (7 girls, 5 boys) was 6.7 years (range: 1.5- 12 years).

💡

Conclusion & Impact:Conclusions: In this study, neck motion and head tilt showed marked improvement with surgical and conservative treatment in majority of children with CMT who admitted to the hospital lately

🔬Design:Research Article

📍Scope:2005 Verileri

⚙️Variables:Tortikollis · Çocuk · Torticollis

Abstract

Purpose: The aim of this study was to estimate the records of patients treated for congenital muscular torticollis (CMT) in the period between 1986 and 2005. At this point we report our clinical experience with delayed CMT in the light of current literature. Methods: We retrospectively evaluated the records of our patients in terms of age, sex, clinical presentation, localization of the lesion, diagnostic tests, additional abnormalities, findings at operation and surgical procedures. Results: The mean age of the patients (7 girls, 5 boys) was 6.7 years (range: 1.5- 12 years). Most of the lesions were seen on the left aspect of the neck (58%). The most encountered complaint at application was restriction of neck motion (83%). Sternocleidomastoid tumor accounted for only 17% of the patients’ complaints. All patients in this study were treated by surgical intervention. Conclusions: In this study, neck motion and head tilt showed marked improvement with surgical and conservative treatment in majority of children with CMT who admitted to the hospital lately

Özet

Amaç: Bu çalışmadaki amacımız geç başvuran konjenital musküler tortikollis (KMT)’li hastalarımızın klinik, tanı ve tedavi özelliklerini analiz etmek ve literatür ile karşılaştırmaktır. Yöntem: Retrospektif olarak hastalarımız yaş, cinsiyet, klinik bulgular, yüzde ikincil biçim değişiklikleri, şişliğin yerleşimi, tanı yöntemleri, ek anomaliler, cerrahi girişimde karşılaşılan bulgular, sağaltım amacıyla uygulanan cerrahi girişimler açısından değerlendirildi. Bulgular: Hastalarımızın (5 erkek, 7 kız) yaş ortalaması 6,7 (1,5-12 yaş) yıl idi. Lezyonların çoğunluğu solda (%58) görüldü. Olgularımızın ikisi küçük yaş grubundaydı. İki olguda (%17) boyunda kitle palpe edilebildi. Olguların çoğunluğunda boyun hareketlerinde kısıtlılık (%83) en sık bulgu idi. Serimizdeki hastaların tümü cerrahi girişimle tedavi edildi ve ayrıca fizik-tedavi egzersizleri de uygulandı. Sonuç: Bu çalışmada, geç başvuran KMT’li çocuklarımızın çoğunluğunda cerrahi tedavi ve konservatif tedavi ile boyun hareketleri ve boyun eğriliğinde belirgin bir düzelme oldu

Keywords

Tortikollis Çocuk Torticollis Child

🔖

Cite This Article

ÖZTÜRK, H., OKUR, H., ÖZTÜRK, H., ÇİĞDEM, M. K., DURAN, H., ÖNEN, A., DOKUCU, A. İ. (2008). Congenital Muscular Torticollis in Children: Analysis of 12 Delayed Cases. Düzce Tıp Fakültesi Dergisi, Cilt: 10 - Sayı: 2, 4–7. https://ajindex.com/articles/420731

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (15)

Waldhausen JHT and Trapper D. Head and neck sinuses and masses. In: Ashcraft KW, eds. Pediatric Surgery. 3rd ed. Philadelphia: WB Saunders, 987-999. 2000 Beasley SW. Torticollis. In: Welch KJ, eds. Pediatric surgery. 5th end. St. Louis: Mosby Year Book, Mosby Publication, 773-778, 1998
Cheng JC, Au AW. Infantile torticollis: a review of 624 cases. J Pediatr Orthop, 14: 802-808, 1994 Jones PG. Torticollis. In: Welch KJ eds. Pediatric surgery. 4th end. Chicago: Year Book, Medical, 552-556, 1986
Tang SF, Hsu KH, Wong AM, et al. Longitudinal followup study of ultrasonography in congenital muscular torticollis. Clin Orthop Relat Res, 403: 179-185, 2002
Cheng JC, Tang SP, Chen TM, et al. The clinical presentation and outcome of treatment of congenital muscular torticollis in infants – a study of 1,086 cases. J Pediatr Surg, 35: 1091–1096, 2000
Wolfort FG, Kanter MA, Miller LB. Torticollis. Plast Reconstr Surg, 84: 682- 692, 1989
Cheng JC, Wong MW, Tang SP, et al. Clinical determinants of the outcome of manual stretching in the treatment of congenital muscular torticollis in infants. A prospective study of eight hundred and twenty-one cases. J Bone Joint Surg Am, 83: 679–687, 2001
Sonmez K, Turkyilmaz Z, Demirogullari B, et al. Congenital muscular torticollis in children. ORL J Otorhinolaryngol Relat Spec, 7: 344-347, 2005
Demirbilek S, Atayurt HF. Congenital muscular torticollis and sternomastoid tumor: results of nonoperative treatment. J Pediatr Surg, 34: 549–551, 1999
Wei JL, Schwartz KM, Weaver AL, Orvidas LJ. Pseudotumor of infancy and congenital muscular torticollis: 170 cases. Laryngoscope, 111: 688–695, 2001
Lin JN, Chou ML. Ultrasonographic study of the sternocleidomastoid muscle in the management of congenital muscular torticollis. J Pediatr Surg, 32: 1648–1651, 1997
Hollier L, Kim J, Grayson BH, et al. Congenital muscular torticollis and the associated craniofacial changes. Plast Reconstr Surg, 105: 827-835, 2000
Davids JR, Wenger DR, Mubarak SJ. Congenital muscular torticollis: sequela of intrauterine or perinatal compartment syndrome. J Pediatr Orthop, 13: 141-147, 1993
Nicholson P, Higgins T, Forgarty E, et al. Three-dimensional spiral CT scanning in children with acute torticollis. Int Orthop, 23: 47-50, 1999
Özer T, Uzun L, Numanoğlu V ve ark. Konjenital müsküler tortikolliste kranyofasiyal ve servikal vertebra anomalilerinin 3B-BT ile incelenmesi Tanısal ve Girişimsel Radyoloji, 10: 272-279, 2004
Chen CE, Ko JY. Surgical treatment of muscular to