Seyhan Nevra, Jasharllari Lorenc, Keskin Mustafa, Savacı Nedim
Department of Plastic and Reconstructive Surgery, Meram Medical School, Selcuk University, S Blok, No: 211, Konya, 42080, Turkey.
Musculoskelet Surg. 2012 Jun;96(1):55-7. doi: 10.1007/s12306-011-0170-3. Epub 2011 Nov 2.
Surgical correction of the congenital muscular torticollis (CMT) is recommended for patients with unsuccessful conservative treatment. The aim of this study is to evaluate the efficacy of surgical release of congenital muscular torticollis in neglected cases. We retrospectively evaluated the data of our patients in terms of age, sex, clinical presentation, localization of the lesion, diagnostic tests, and additional abnormalities. The age at operation ranged from 6 to 23 years. Complete muscular release as determined by pre-operative and postoperative range of motion measurements was achieved in all of the patients by bipolar release. In this study, neck motion and head tilt showed marked improvement with surgical treatment in cases with CMT who were admitted to the hospital lately. Congenital muscular torticollis patients can benefit from surgical intervention above the age of 5. Bipolar release is an adequate and complication-free method.
对于保守治疗失败的先天性肌性斜颈（CMT）患者，建议进行手术矫正。本研究的目的是评估在被忽视的病例中先天性肌性斜颈手术松解的疗效。我们回顾性评估了患者的年龄、性别、临床表现、病变部位、诊断检查及其他异常情况等数据。手术年龄范围为6至23岁。通过双极松解，所有患者均实现了术前和术后活动度测量所确定的完全肌肉松解。在本研究中，近期入院的CMT患者经手术治疗后颈部活动和头部倾斜有明显改善。5岁以上的先天性肌性斜颈患者可从手术干预中获益。双极松解是一种充分且无并发症的方法。
