title: Congenital muscular torticollis in older children: treatment with Z-plasty technique.
abstract: Congenital muscular torticollis (CMT) is a common congenital disorder of the musculoskeletal system in neonates and infants. The aim of this study was to evaluate the results of inferior Z-plasty in older children with CMT. They had mean age of 10 years (range, 5-14 years) and were followed up for 1 to 6 years. Postoperative protocol included a neck exercise program composed of active and passive movements in all cases and immobilization with a cervical collar in only 4 patients. This study concluded that surgical management of older children with CMT using Z-lengthening gives excellent clinical and functional results. The procedure is much more effective than other techniques and relatively complication-free and safe. Postoperative cervical collar and a well-planed physiotherapy protocol go a long way toward ensuring good to excellent results. Early diagnosis and treatment are necessary for good results.
authors: From the *Department of Otorhinolaryngology, Kozan State Hospital, Adana; †Department of Otorhinolaryngology, Inonu University Faculty of Medicine, Malatya; and §Department of Otorhinolaryngology, Memorial Hospital, Istanbul, Turkey.
authors: Nur Yucel
authors: NY
authors: Ekici
authors: Ahmet
authors: A
authors: Kizilay
authors: Mustafa
authors: M
authors: Akarcay
authors: Yezdan
authors: Y
authors: Firat
mesh_terms: D000293:Adolescent; D001915:Braces; D002648:Child; D002675:Child, Preschool; D005260:Female; D005355:Fibrosis; D005500:Follow-Up Studies; D006801:Humans; D007103:Immobilization; D008297:Male; D052580:Muscle Stretching Exercises / Q000379:methods; D009334:Neck Muscles / Q000601:surgery*; D026741:Physical Therapy Modalities; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000379:methods*; D014103:Torticollis / Q000151:congenital / Q000601:surgery / Q000628:therapy; D016896:Treatment Outcome