| Congenital muscular torticollis: experience of 14 cases. | |
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MedLine Citation:
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PMID: 20956899 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Congenital Muscular Torticollis (CMT) is a postural deformity of head and neck detected at birth or shortly after birth, primarily resulting from unilateral shortening of Sternocleidomastoid Muscle (SCM). In neonates and infants, patient may cure conservatively by physiotherapy but surgery is the treatment of choice for children and adolescents. There are various techniques of surgery. Here we show our experience regarding management of congenital muscular torticollis. In the present retrospective case series, fourteen patients of congenital muscular torticollis were treated. The cases were enrolled between Nov' 2005 to Oct' 2007 in Bangabandhu Sheikh Mujib Medical University, Gonosasthaya Somaj Vittik Medical College Hospital, Dhaka and different private clinics of Dhaka city of Bangladesh. Neonates and infants were treated conservatively with physiotherapy and others treated surgically by transection of both sternal and clavicular head of SCM under general anesthesia. Operated patients were released on following post operative day with advised to do physiotherapy. Patients age range from 7 days to 15 years of which ten were female and four male. SCM was shortened in all cases (8 on right side and 6 on left side). Eleven were female and three male. Of 14 patients, 2 neonates, 7 infants and 5 were more than 1 year age. There was no associated anomaly. Out of 9 neonates and infants 8 cured conservatively with physiotherapy and another one significantly improved. Six were treated surgically including one failed physiotherapy. Post operative period was uneventful and there was no complication. Results were evaluated clinically and comments of peers. Most of the patient of congenital muscular torticollis can be treated conservatively during infancy. Division of both sternal and clavicular head of SCM is easy and safe surgical technique for the treatment of CMT of older children and adolescents. |
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Authors:
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B K Das; A Matin; G Z Hassan; M Z Hossain; M A Zaman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Mymensingh medical journal : MMJ Volume: 19 ISSN: 1022-4742 ISO Abbreviation: Mymensingh Med J Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-19 Completed Date: 2011-03-10 Revised Date: 2011-12-06 |
Medline Journal Info:
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Nlm Unique ID: 9601799 Medline TA: Mymensingh Med J Country: Bangladesh |
Other Details:
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Languages: eng Pagination: 555-60 Citation Subset: IM |
Affiliation:
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Department of Pediatric Surgery, ZH Sikder Women's Medical College, Dhaka, Bangladesh. bijoy_lucky@yahoo.com |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Child, Preschool Female Humans Infant Infant, Newborn Male Physical Therapy Modalities Torticollis* / congenital, therapy |
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