Adult Patients with Congenital Muscular Torticollis Treated with Bipolar Release: Report of 31 Cases
Journal of Korean Neurosurgical Society
;
: 82-88, 2017.
Article
in English
| WPRIM
| ID: wpr-10431
ABSTRACT
OBJECTIVE:
We assessed the surgical results of bipolar release in 31 adult patients with uncorrected congenital muscular torticollis (CMT) and more than 12 months of follow-up.METHODS:
Thirty-one patients underwent a bipolar release of the sternocleidomastoid muscle (SCM) and were retrospectively analyzed. The mean follow-up period was 14.9 months (range, 12–30). The mean age at time of surgery was 30.3 years (range, 20–54). Patients were evaluated with a modified Lee’s scoring system, cervicomandibular angle (CMA) measurement, and a global satisfaction rating scale using patient self-reporting.RESULTS:
The modified Lee’s scoring system indicated excellent results in 4 (12.9%) patients, good in 18 (58.1%), and fair in 9 (29.0%) at the last follow-up after surgery. The improvements in neck movement and head tilt were statistically significant (p<0.05). The preoperative mean CMA was 15.4° (range, 5.4–29.0), which was reduced to a mean of CMA of 6.3° (range, 0–25) after surgery (p<0.05). The global satisfaction rating scale was 93.7% (range, 90–100). A transient sensory deficit on the ipsilateral lower ear lobe was noted in three cases. No significant permanent complications occurred.CONCLUSION:
Bipolar release of the SCM is a safe and reliable technique for the treatment of CMT in adults.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Torticollis
/
Retrospective Studies
/
Follow-Up Studies
/
Ear
/
Tenotomy
/
Head
/
Neck
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2017
Type:
Article
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