Congenital muscular torticollis in young adultpatient: A neglected case.The efficiency of bipolar release

Mamoune El Mostarchid *, Mohamed Mouhssani, Hosni Abderahmane, Salami Mohcine, Jaouad Laaguili, Asri Abad Chri and MiloudiGazzaz

Neurosurgery department of Mohamed V Military Teaching Hospital. Rabat. Morocco. Mohamed V Souissi University. Rabat.
 
Case Study
World Journal of Advanced Research and Reviews, 13(02), 027–030
Article DOI: 10.30574/wjarr.2022.13.2.0112
 
Publication history: 
Received on 28 December 2021; revised on 31 January 2022; accepted on 02 February 2022
 
Abstract: 
Congenital muscular torticollis (CMT) is a common postural deformity evident shortly after birth characterized by ipsilateral cervical lateral flexion and contralateral cervical rotation due to unilateral shortening of the sternocleidomastoid muscle. Untreated, the sequelae include facial asymmetry, tight bands, ophthalmic abnormalities, and altered neck posture.
To report a neglected CMT in 17-year-old female treated surgically by bipolar muscle release technic. The surgery was made via a double incision above the clavicular and mastoid with the liberation of the fibrous bands followed by intensive physiotherapy program.  The patient was very satisfied after management.
Neglected CMT adult’s patients can benefit from surgical treatment. Bipolar release is an adequate and complication-free method with postoperative physiotherapy program.
 
Keywords: 
Neglected congenital muscular torticollis; Cervical scoliosis; Surgery; Bipolar release technic; Physiotherapy
 
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