Ling C M
Clin Orthop Relat Res. 1976 May(116):142-8.
The ideal age for surgery for muscular torticollis, the complications and results of open sternomastoid tenotomy were investigated in 60 patients operated on at different age-groups. Under the age of 1, tethering of the scar to the deeper structures was common and was mainly responsible for the lower percentage of good results (42.1 per cent). In the age-group 1 to 4 years, satisfactory correction of facial asymmetry, head and tilt and limitation of neck movements, was achieved with overall 66.7 per cent good results. However, in patients above the age of 5, not only was the correction of the secondary deformities uncertain but the late complications like loss of sternomastoid column, disfiguring scar and presence of lateral bands were more common. Only 33.3 per cent had good results in the 5 to 8 year age-group and none in the above 9 years age-group. The best time for surgery in muscular torticollis is in the patient between 1 and 4 years of age.
对60例不同年龄组接受手术的肌性斜颈患者，研究了肌性斜颈手术的理想年龄、开放性胸锁乳突肌切断术的并发症及结果。1岁以下，瘢痕与深层结构的粘连很常见，这是良好结果比例较低（42.1%）的主要原因。在1至4岁年龄组，面部不对称、头部倾斜和颈部活动受限得到了满意的矫正，总体良好结果比例为66.7%。然而，5岁以上的患者，不仅继发畸形的矫正不确定，而且像胸锁乳突肌柱缺失、毁容性瘢痕和侧束的出现等晚期并发症更常见。5至8岁年龄组只有33.3%的患者有良好结果，9岁以上年龄组则无良好结果。肌性斜颈手术的最佳时间是1至4岁的患者。
