Triple intervention in congenital wry neck: case report

Authors

  • Manish Munjal Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Shubham Munjal Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Vineeta Arora Department of Obstetrics and Gynaecology, GTB Hospital, Ludhiana, Punjab, India
  • Karambir Gill Department of Paediatrics, Dayanand Medical College, Ludhiana, Punjab, India
  • Salony Sharma Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Deeksha Chawla Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Hardeep Kaur Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Loveleen Sandhu Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Kanwarpreet Sidhu Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Anjana Pillai Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Tanisha Joshi Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20223054

Keywords:

Wry neck, Torticollis, Congenital, Z plasty, Bipolar, Tenotomy

Abstract

Wry neck or congenital muscular torticollis is consequent to shortened or contracted sternocleidomastoid muscle (SCM). A painless, retracted sternocleidomastoid muscle is the characteristic feature which results in tugging the neck towards affected side, and draws the shoulder upward and forces the chin in the opposite direction. The incidence is between 0.4 to 1.9%. A 17 years old lady with torticollis since childhood is being discussed in detail with the steps of surgical intervention; at three sites to attain a sternocleidomastoid release and resistance free neck and thus a free head movement. This was followed by application of cervical collar, active physiotherapy and postural exercises. The ignorance and improper advice during childhood had led to this marked deformity at adolescence.

 

Author Biography

Manish Munjal, Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India

Prof hod ORLHNS

References

Hulbert KF. Torticollis. Postgrad Med J. 1965;41:699.

Gopalakrishnakone P. Idiopathic torticohis-torticollis in White Pekin Ducks. Animal model of human disease. Am J Pathol. 1985;118(3):500-1.

Lee J, Lim SY, Song HS, Park MC. Complete tight fibrous band release and resection in congenital muscular torticollis. J Plast Reconstr Aesthet Surg. 2010;63:947-53.

Stassen LFA, Kerawala CJ. New surgical technique for the correction of congenital muscular torticollis (wry neck) Br J Oral Maxillofac Surg. 2000;38:142-7.

Wirth CJ, Hagena FW, Wuelker N, Siebert WE. Biterminal tenotomy for the treatment of congenital muscular torticollis-long-term results. J Bone Jt Surg. 1992;74(3):427-34.

Froster-Iskenius UG, Waterson JR, Hall JG. A recessive form of congenital contractures and torticollis associated with malignant hyperthermia. J Med Genet. 1988;25(2):104-12.

Hansen DA. Toricollis. South Afr Med J. 1972;46(16):480-2.

Roddi R, Jansen MA, Vaandrager JM, Meulen JC. Plagiocephaly-new classification and clinical study of a series of 100 patients. J Cranio Maxillofac Surg. 1995;23(6):347-54.

Morrison DL, MacEwen GD. Congenital muscular torticollis: observations regarding clinical findings, associated conditions, and results of treatment. J Pediatr Orthop. 1982;2(5):500-5.

Monia O, Moatemri R, Tayeb T, Bellalah Z, Mziou Z, Ayachi S, et al. Congenital muscular torticollis: a study of 7 cases. J Cranio Maxillo Fac Surg. 2008;36:176.

Chate RA. Facial scoliosis due to sternocleidomastoid torticollis: a cephalometric analysis. Int J Oral Maxillofac Surg. 2004;33(4):338-43.

Downloads

Published

2022-11-24

Issue

Section

Case Reports