ABSTRACT
<p><b>OBJECTIVE</b>To investigate a new endoscopic transaxillary technique for release of the sternocleidomastoid (SCM) in congenital muscular torticollis (CMT).</p><p><b>METHODS</b>From May 2008 to March 2014, a total of 25 cases (male 7 and female 18), ranging in age from 14 to 31 years (mean age, 17.6 years), were operated for torticollis by endoscopic-assisted surgery. The sternal and clavicular attachments of the sternocleidomastoid were released by skin lift approach.</p><p><b>RESULTS</b>The primary healing was achieved in all the 25 cases with no injury of major vessels or nerves. The patients were followed up for 6 months with satisfactory result and invisible scar.</p><p><b>CONCLUSIONS</b>The subcutaneous endoscopic transaxillary and skin lift approach for the CMT provides good functional and cosmetic outcomes.</p>