HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Change of craniofacial deformity after sternocleidomastoid muscle release in pediatric patients with congenital muscular torticollis.

AbstractBACKGROUND:
Craniofacial deformity is one of the main features of congenital muscular torticollis. The purposes of this study were to quantify craniofacial deformity and its postsurgical change in patients with congenital muscular torticollis and to analyze this change with reference to the age at surgery.
METHODS:
Eighty patients with congenital muscular torticollis who had successful surgical release of the sternocleidomastoid muscle and had preoperative and follow-up cephalometric evaluation were studied. The craniofacial deformity was evaluated in two aspects: curvature and asymmetry. Postsurgical changes of craniofacial deformity were analyzed in all patients. Two groups of patients were identified: Group 1, which consisted of patients who had surgery before five years of age; and Group 2, which consisted of patients who had surgery at or after five years of age. Preoperative deformity parameters and the postsurgical changes were compared between Groups 1 and 2. Finally, postsurgical changes in the first and second year postoperatively were compared in forty-two patients for whom cephalometric radiographs were made at both the first and second-year follow-up visits.
RESULTS:
All of the cephalometric parameters improved significantly after surgical release of the sternocleidomastoid muscle (p <0.001). The preoperative craniofacial asymmetry parameters, such as transverse calvarial asymmetry and transverse skull-base asymmetry, were significantly more severe in Group 1 than in Group 2 (p = 0.018 in both), and these parameters improved significantly more in Group 1 than in Group 2 postoperatively (p = 0.029 and 0.003, respectively). No significant difference between Groups 1 and 2 was found in postsurgical changes of craniofacial curvature and mastoid-process length ratio. The improvements were significantly larger in the first year than they were in the second year in all parameters except mastoid-process length ratio.
CONCLUSION:
Cephalometry quantitatively showed improvement in the craniofacial deformity after surgical release of the sternocleidomastoid muscle. The results of this series were better when surgery was performed before the patient reached five years of age. More postsurgical change can be expected during the first year postoperatively than during the second year.
AuthorsJoon Kyu Lee, Hyuk Ju Moon, Moon Seok Park, Won Joon Yoo, In Ho Choi, Tae-Joon Cho
JournalThe Journal of bone and joint surgery. American volume (J Bone Joint Surg Am) Vol. 94 Issue 13 Pg. e93 (Jul 03 2012) ISSN: 1535-1386 [Electronic] United States
PMID22760394 (Publication Type: Comparative Study, Journal Article)
Topics
  • Adolescent
  • Age Factors
  • Cephalometry (methods)
  • Child
  • Child, Preschool
  • Cohort Studies
  • Craniofacial Abnormalities (complications, diagnostic imaging, surgery)
  • Esthetics
  • Facial Asymmetry (congenital, diagnosis)
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Neck Muscles (surgery)
  • Orthopedic Procedures (methods)
  • Postoperative Care (methods)
  • Preoperative Care (methods)
  • Radiography
  • Retrospective Studies
  • Risk Assessment
  • Severity of Illness Index
  • Torticollis (complications, congenital, diagnosis, surgery)
  • Treatment Outcome

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: