Tom L W, Handler S D, Wetmore R F, Potsic W P
University of Pennsylvania School of Medicine, Division of Otolaryngology and Human Communication, Children's Hospital of Philadelphia, PA 19104.
Int J Pediatr Otorhinolaryngol. 1987 Oct;13(3):245-55. doi: 10.1016/0165-5876(87)90105-4.
The sternocleidomastoid tumor of infancy is an uncommon clinical entity which has received little attention in the otolaryngological literature. The diagnosis must be considered in any infant presenting with a lateral neck mass. Although its natural history favors spontaneous regression, the mass may initially grow in size. The purpose of treatment is the prevention of torticollis and craniofacial asymmetry. The initial treatment is non-surgical, passive and active exercises. Only when this treatment fails should surgery be performed. The disappearance of the lesion is not always a predictable sign. A small number of children will develop delayed torticollis or craniofacial asymmetry. It is important that parents be informed of this possibility and of the necessity for long term follow-up.
婴儿胸锁乳突肌肿瘤是一种罕见的临床病症，在耳鼻喉科文献中很少受到关注。对于任何出现侧颈部肿块的婴儿都必须考虑到这种诊断。尽管其自然病程倾向于自发消退，但肿块最初可能会增大。治疗的目的是预防斜颈和颅面不对称。初始治疗是非手术的，包括被动和主动锻炼。只有当这种治疗失败时才应进行手术。病变的消失并不总是一个可预测的迹象。少数儿童会出现迟发性斜颈或颅面不对称。告知家长这种可能性以及长期随访的必要性很重要。
