Abstract

BACKGROUND: We present the case of a 36-year-old male patient with congenital muscular torticollis in whom surgery performed twice to treat the condition in early childhood had failed. METHODS: Scar tissue, fibrous cord, the deep neck fascia together with the rest of the SCM muscle were resected. Postoperatively, the patient wore a collar and underwent intensive physical therapy. RESULTS: The patient showed marked improvement in range of neck motion and head tilt, experienced pain relief, achieved satisfactory functional and cosmetic results and had a better quality of life. CONCLUSIONS: We suggest that even in an adult with irreversible facial and cranial deformities, surgery would be beneficial for improving quality of life by restoring range of rotation of neck and amelioration of pain.

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