Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Adult Patients with Congenital Muscular Torticollis Treated with Bipolar Release : Report of 31 Cases

  • Lee, Gun Sang (Department of Neurosurgery, Maryknoll General Hospital) ;
  • Lee, Myung Ki (Department of Neurosurgery, Maryknoll General Hospital) ;
  • Kim, Woo Jae (Department of Neurosurgery, Maryknoll General Hospital) ;
  • Kim, Ho Sang (Department of Neurosurgery, Maryknoll General Hospital) ;
  • Kim, Jeong Ho (Department of Neurosurgery, Maryknoll General Hospital) ;
  • Kim, Yun-Suk (Department of Neurosurgery, Maryknoll General Hospital)
  • Received : 2016.03.31
  • Accepted : 2016.10.05
  • Published : 2017.01.01
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Abstract

Objective : We assessed the surgical results of bipolar release in 31 adult patients with uncorrected congenital muscular torticollis (CMT) and more than 12 months of follow-up. Methods : Thirty-one patients underwent a bipolar release of the sternocleidomastoid muscle (SCM) and were retrospectively analyzed. The mean follow-up period was 14.9 months (range, 12-30). The mean age at time of surgery was 30.3 years (range, 20-54). Patients were evaluated with a modified Lee's scoring system, cervicomandibular angle (CMA) measurement, and a global satisfaction rating scale using patient self-reporting. Results : The modified Lee's scoring system indicated excellent results in 4 (12.9%) patients, good in 18 (58.1%), and fair in 9 (29.0%) at the last follow-up after surgery. The improvements in neck movement and head tilt were statistically significant (p<0.05). The preoperative mean CMA was $15.4^{\circ}$ (range, 5.4-29.0), which was reduced to a mean of CMA of $6.3^{\circ}$ (range, 0-25) after surgery (p<0.05). The global satisfaction rating scale was 93.7% (range, 90-100). A transient sensory deficit on the ipsilateral lower ear lobe was noted in three cases. No significant permanent complications occurred. Conclusion : Bipolar release of the SCM is a safe and reliable technique for the treatment of CMT in adults.

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References

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