The Ewha Medical Journal
Ewha Womans University School of Medicine
Original Article

Biterminal Sternocleidomastoid Tenotomy for the Treatment of Congenital Muscular Torticollis in Children

Yeo-Hon Yun

Copyright ⓒ 1995. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Jul 24, 2015

Abstract

Twenty-four children with congenital muscular torticollis, who were treated by the Ferkel'sbitermlinal tenotomy, were evaluated after an average follow-up of 1.4 years. The operativeprocedure was consisted of the biterminal strrnocleidomastoid release and the z-pasty lengthsning of the sternal tendon. Twenty-three patients(96 per cent) reported satisfactory correctionof their head tilt. Z-plasty of the sternal head appears to help in maintenance of the normalcontour of the neck We recommend that biterminal release be performed for those childrenwith severe deformity as well as the secondary facial changes.

Keywords: Congenital muscular torticollis; Ferkel's biterminal tenotomy