Clinical factors in patients with congenital muscular torticollis treated with surgical resection
Background Congenital muscular torticollis (CMT) is characterized by persistent head tilt toward the affected side. No consensus exists regarding the cause of this disorder. In this study, we analyzed various clinical factors in patients with CMT who were treated with surgical release. This analysis...
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Korean Society of Plastic and Reconstructive Surgeons
2019-09-01
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doaj-b87a2d74be3c40c383ba9f25adefab8b2020-11-24T21:59:51ZengKorean Society of Plastic and Reconstructive SurgeonsArchives of Plastic Surgery2234-61632234-61712019-09-0146541442010.5999/aps.2019.002063666Clinical factors in patients with congenital muscular torticollis treated with surgical resectionSue Min Kim0Bohwan Cha1Kwang Sik Jeong2Non Hyeon Ha3Myong Chul Park4 Department of Plastic and Reconstructive Surgery, National Medical Center, Seoul, Korea Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Suwon, Korea Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Suwon, Korea Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Suwon, Korea Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Suwon, KoreaBackground Congenital muscular torticollis (CMT) is characterized by persistent head tilt toward the affected side. No consensus exists regarding the cause of this disorder. In this study, we analyzed various clinical factors in patients with CMT who were treated with surgical release. This analysis enabled us to identify potential causative factors of CMT and to establish a basis for surgical interventions. Methods In total, 584 patients who underwent surgical intervention for CMT from October 2007 to December 2016 were included in this study. Their demographic characteristics, birth-related factors, and clinical features were analyzed. Results Data from 525 patients were analyzed in this study after exclusion of those with insufficient information. Before birth, 31 patients (5.9%) were diagnosed with oligohydramnios, and 87 (16.6%) had a breech presentation. Seven (1.3%) cases of clavicle fracture and two (0.4%) cases of cephalohematoma were noted at birth. Before surgery, 397 patients (75.6%) underwent physiotherapy and 128 patients (24.4%) did not. The duration of physiotherapy ranged from 1 to 50 months (average, 6 months). Conclusions Our study shows that 16.6% of the CMT patients presented in the breech position, which is a much higher rate than that observed in the general population (3%–4%). We hypothesize that being in the breech position as a fetus appears to exert a significant influence on shortening and fibrosis of the sternocleidomastoid muscle.http://www.e-aps.org/upload/pdf/aps-2019-00206.pdfTorticollisSurgical releaseRetrospective studies |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sue Min Kim Bohwan Cha Kwang Sik Jeong Non Hyeon Ha Myong Chul Park |
spellingShingle |
Sue Min Kim Bohwan Cha Kwang Sik Jeong Non Hyeon Ha Myong Chul Park Clinical factors in patients with congenital muscular torticollis treated with surgical resection Archives of Plastic Surgery Torticollis Surgical release Retrospective studies |
author_facet |
Sue Min Kim Bohwan Cha Kwang Sik Jeong Non Hyeon Ha Myong Chul Park |
author_sort |
Sue Min Kim |
title |
Clinical factors in patients with congenital muscular torticollis treated with surgical resection |
title_short |
Clinical factors in patients with congenital muscular torticollis treated with surgical resection |
title_full |
Clinical factors in patients with congenital muscular torticollis treated with surgical resection |
title_fullStr |
Clinical factors in patients with congenital muscular torticollis treated with surgical resection |
title_full_unstemmed |
Clinical factors in patients with congenital muscular torticollis treated with surgical resection |
title_sort |
clinical factors in patients with congenital muscular torticollis treated with surgical resection |
publisher |
Korean Society of Plastic and Reconstructive Surgeons |
series |
Archives of Plastic Surgery |
issn |
2234-6163 2234-6171 |
publishDate |
2019-09-01 |
description |
Background Congenital muscular torticollis (CMT) is characterized by persistent head tilt toward the affected side. No consensus exists regarding the cause of this disorder. In this study, we analyzed various clinical factors in patients with CMT who were treated with surgical release. This analysis enabled us to identify potential causative factors of CMT and to establish a basis for surgical interventions. Methods In total, 584 patients who underwent surgical intervention for CMT from October 2007 to December 2016 were included in this study. Their demographic characteristics, birth-related factors, and clinical features were analyzed. Results Data from 525 patients were analyzed in this study after exclusion of those with insufficient information. Before birth, 31 patients (5.9%) were diagnosed with oligohydramnios, and 87 (16.6%) had a breech presentation. Seven (1.3%) cases of clavicle fracture and two (0.4%) cases of cephalohematoma were noted at birth. Before surgery, 397 patients (75.6%) underwent physiotherapy and 128 patients (24.4%) did not. The duration of physiotherapy ranged from 1 to 50 months (average, 6 months). Conclusions Our study shows that 16.6% of the CMT patients presented in the breech position, which is a much higher rate than that observed in the general population (3%–4%). We hypothesize that being in the breech position as a fetus appears to exert a significant influence on shortening and fibrosis of the sternocleidomastoid muscle. |
topic |
Torticollis Surgical release Retrospective studies |
url |
http://www.e-aps.org/upload/pdf/aps-2019-00206.pdf |
work_keys_str_mv |
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