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Thursday, February 10, 2011

CONGENITAL TORTICOLLIS

Congenital torticollis is an asymmetric deformity of the neck resulting from unilateral contracture of sternocleidomastoid muscle.

The chin is tilted to the opposite side and the occiput rotated towards the ipsilateral shoulder. The face becomes asymmetrical, smaller and eyes become slanting. The sternocleidomastoid is short and prominently seen.
Management
Conservative
  • Passive stretching of sternocleidomastoid.
  • Ultrasound
  • Massage
Surgical
It is indicated when torticollis does not respond to conservative measures up to one year. It is performed by division or partial excision of sternocleidomastoid muscle. Then, the head is immobilised in the corrected position in a plaster cast for a period of 6-8 weeks. Active and passive exercises are carried out to prevent any recurrence of the deformity.

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