Cutting of Origin and Insertion of Sternocleidomastoid Muscle for Treatment of Torticollis

Abstract

Abstract Background: Congenital Muscular Torticollis (CMT), caused by fibromatosis within the Sternocleidomastoid Muscle (SCM), cause cosmetic and functional problems which in turn can have an adverse impact on these patients in their adoles-cence and adulthood. Several operation have been used to release the SCM and the best technique is still controversial. Aim of Study: We assessed the surgical results of bipolar release in 10 adult patients with uncorrected congenital muscular torticollis and more than 12 months of follow-up. Patients and Methods: These patients underwent a bipolar release of the 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 21 years (range, 18-24). Results: The modified Lee's scoring system indicated excellent results in 3 (30%) patients, good in 5 (50%), and fair in 2 (20%) at the last follow-up after surgery. The im-provements in neck movement and head tilt were statistically significant (p<0.05). The global satisfaction rating scale was 93.7% (range, 90-100). No significant permanent complications occurred. Conclusion: Bipolar release of the SCM is a safe and reliable technique for the treatment of CMT in adults.