Keywords : Bipolar lengthening
Bipolar release with Z-plasty in correction of neglected congenital torticollis in adolescent patients
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 9527-9532
Purpose: Neglected congenital muscular torticollis (CMT) is a common presentation in India and other developing countries, coming with cosmesis as the main concern. Very few publications are available regarding management of delayed presentation in adolescent population. The primary aim of this study is to evaluate the results of bipolar release with z-plasty in adolescent population.
Methods: Five Adolescent patients aged from 10-18 years with neglected CMT were treated using bipolar release of sternocleidomastoid muscle with z-plasty lengthening of the sternal end along with skin lengthening using z-plasty proximally. Postoperatively soft cervical collar for six weeks followed by physiotherapy was done. Study was done in NRI Medical College, Chinnakakani and Dr. Pratap Hospital, Vijayawada.
Results: Average follow-up of one year was done, excellent cosmetic results were noted in three patients and good in two patients. Postoperative betterment in cosmesis, range of motion, chin deviation and head tilt were present in all patients. Neither complications nor recurrences requiring redo surgery occurred in these five patients.
Conclusions: Study concludes that patients with neglected CMT presenting in adolescence benefit from surgery. Bipolar release of muscle with skin lengthening using z-plasties is an appropriate method for neglected adolescent patients