Congenital Muscular Torticollis in Older Children: Treatment With Z-Plasty Technique


EKICI N. Y. , KIZILAY A. , AKARCAY M., FIRAT Y.

JOURNAL OF CRANIOFACIAL SURGERY, cilt.25, ss.1867-1869, 2014 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 25 Konu: 5
  • Basım Tarihi: 2014
  • Doi Numarası: 10.1097/scs.0b013e31827c80cb
  • Dergi Adı: JOURNAL OF CRANIOFACIAL SURGERY
  • Sayfa Sayıları: ss.1867-1869

Özet

Congenital muscular torticollis (CMT) is a common congenital disorder of the musculoskeletal system in neonates and infants. The aim of this study was to evaluate the results of inferior Z-plasty in older children with CMT. They had mean age of 10 years (range, 5-14 years) and were followed up for 1 to 6 years. Postoperative protocol included a neck exercise program composed of active and passive movements in all cases and immobilization with a cervical collar in only 4 patients. This study concluded that surgical management of older children with CMT using Z-lengthening gives excellent clinical and functional results. The procedure is much more effective than other techniques and relatively complication-free and safe. Postoperative cervical collar and a well-planed physiotherapy protocol go a long way toward ensuring good to excellent results. Early diagnosis and treatment are necessary for good results.