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Case Report

Shashank R Ramdurg* , Sharan B Kamareddy **, .Jayaprakash L Reddy*** , Sidbassayya Gubbi ****

*Associate Professor, Department of Neurosurgery, **Associate Professor, ***Resident, **** Professor, Department of Orthopaedics, Basaveshwara Teaching and General Hospital and MR Medical College, Kalaburagi

 Corresponding author:

Dr. L. Jayaprakash Reddy,

Postgraduate, Department of Orthopedics, Basaweshwara Hospital, M.R. Medical College, Kalaburagi 585 105 jayaprakash6488@gmail.com

Year: 2016, Volume: 6, Issue: 1, Page no. 38-39,
Views: 820, Downloads: 11
Licensing Information:
CC BY NC 4.0 ICON
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0.
Abstract

Neglected congenital muscular torticollis (CMT) is a common presentation in developing countries like India. The primary concern of the patients is cosmetic. There is only a few case reports that indicating efficacy of surgery for neglected case of CMT. We report a case of neglected CMT in an 18-year-old female patient which was successfully managed at the institute. We performed a bipolar resection with z plasty lengthening of the sternocleidomastoid muscle (SCM). After surgery, the range of neck movement and head tilt improved. We emphasize that surgical management of adult patients with neglected congenital muscular torticollis is a treatment option yielding good cosmetic and functional outcome. 

<p>Neglected congenital muscular torticollis (CMT) is a common presentation in developing countries like India. The primary concern of the patients is cosmetic. There is only a few case reports that indicating efficacy of surgery for neglected case of CMT. We report a case of neglected CMT in an 18-year-old female patient which was successfully managed at the institute. We performed a bipolar resection with z plasty lengthening of the sternocleidomastoid muscle (SCM). After surgery, the range of neck movement and head tilt improved. We emphasize that surgical management of adult patients with neglected congenital muscular torticollis is a treatment option yielding good cosmetic and functional outcome.&nbsp;</p>
Keywords
Torticollis, Bipolar release, z plasty, sternocleidomastoid
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