Document Detail

Should early strabismus surgery be performed for ocular torticollis to prevent facial asymmetry?
MedLine Citation:
PMID:  7636696     Owner:  NLM     Status:  MEDLINE    
To help determine whether ocular torticollis causes facial asymmetry, we analyzed photographs of patients with long-standing head tilts for amounts of tilt and facial asymmetry. Significant facial asymmetry that correlated with the side of the head tilt was found in patients with congenital superior oblique muscle paresis, but not in patients with traumatic superior oblique muscle paresis nor in patients with dissociated vertical deviation. The mechanism explaining the development of facial asymmetry in these patients may be deformational molding of the face and skull from the infant's sleeping with its head turned predominantly to one side during the first 6 to 12 months of life. Early strabismus surgery to correct the head tilt may help prevent facial asymmetry, but ensuring that the infant sleeps with alternating head positions may be more important.
C R Goodman; E Chabner; D L Guyton
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric ophthalmology and strabismus     Volume:  32     ISSN:  0191-3913     ISO Abbreviation:  J Pediatr Ophthalmol Strabismus     Publication Date:    1995 May-Jun
Date Detail:
Created Date:  1995-09-14     Completed Date:  1995-09-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7901143     Medline TA:  J Pediatr Ophthalmol Strabismus     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  162-6     Citation Subset:  IM    
Wilmer Ophthalmological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
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MeSH Terms
Aged, 80 and over
Child, Preschool
Facial Asymmetry / etiology,  prevention & control*
Infant, Newborn
Middle Aged
Oculomotor Muscles / injuries
Ophthalmoplegia / complications*,  congenital*
Retrospective Studies
Strabismus / physiopathology,  surgery*
Torticollis / physiopathology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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