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Congenital Torticollis


Congenital torticollis is also known as a 'wry neck'. 

Babies affected with congenital torticollis hold the neck twisted  to one side.  It is a result of  scarring and resultant shortening of the sternomastoid muscle . Sternomastoid muscle runs along the sides of the neck. As a result of the shortening of the muscle of one side, the chin is pointed towards the opposite direction. The head tilt causes the ear on the affected side to be at a lower level. 

What causes congenital torticollis? 
The exact cause is not known. It is postulated that the scarring results from an injury sustained to the sternomastoid muscle in utero or during birth. 

How does it present? 
The condition becomes apparent in 6 to 8 weeks of life. 
Before 6 months of age, a lump may be palpable at the site of the muscle. 
Other than the abnormal positioning it also affects the range of movements of the neck. 

What is the treatment for congenital torticollis? 
Initial treatment consists of conservative measures such as stretching and appliances to restore the length of the muscle. 
About 10% of patients require a surgical release. This is carried out in preschool years. The release is carried out under general anesthesia as a short stay procedure. Patients can return home the next day. Surgical release restores the normal positioning and range motion of the neck.  
​
Congenital torticollis showing deviation of the chin to the opposite side
Congenital torticollis showing deviation of the chin to the opposite side
The normal position and range of motion are restored after surgical correction
The normal position and range of motion are restored after surgical correction

Intra-operative picture showing bipolar release of torticollis
Intra-operative picture showing bipolar release of torticollis

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  • Home
    • About us
    • FAQ
    • Sitemap
  • Cosmetic
    • Fat grafting
    • Swellings and moles
    • Scar revision
    • Leukoderma (Melanocyte transfer)
    • Hair transplant
    • Facial rejuvenation procedures
      • Eyelid Correction ( Blepharoplasty)
      • Facelift
    • Nose job (Rhinoplasty)
    • Cleft lip nose correction
    • Ear (Otoplasty)
    • Lip reduction
    • Breast augmentation
    • Breast reduction
    • Axillary breasts
    • Gynecomastia
    • Liposuction
    • Brachioplasty (Arm contouring)
    • Abdominoplasty (Tummy tuck)
    • Female genital rejuvenation
  • Reconstructive
    • Burn contracture release
    • Cleft lip
    • Congenital torticollis
    • Dupuytren's disease
    • Diabetic Foot
    • Hand tumors
    • Ingrowing toenail
    • Nerve surgery
      • Carpal tunnel release
    • Non-healing wounds
    • Pressure Sore
    • Tendon surgery
    • Trauma deformity correction
    • Syndactyly
  • Contact
  • Blog
    • List (Blog posts)