Transaxillary subcutaneous endoscopic release of the sternocleidomastoid muscle for treatment of persistent torticollis
Autor: | Sanjeev Dutta, Craig T. Albanese |
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Rok vydání: | 2008 |
Předmět: |
Male
medicine.medical_specialty Severity of Illness Index Neck Muscles medicine Humans Minimally Invasive Surgical Procedures Child Torticollis Retrospective Studies medicine.diagnostic_test business.industry Infant Cosmesis Endoscopy Retrospective cohort study Recovery of Function General Medicine medicine.disease Surgery Axilla Treatment Outcome medicine.anatomical_structure Child Preschool Scalp Pediatrics Perinatology and Child Health Forehead Female Sternocleidomastoid muscle business Follow-Up Studies |
Zdroj: | Journal of Pediatric Surgery. 43:447-450 |
ISSN: | 0022-3468 |
DOI: | 10.1016/j.jpedsurg.2007.10.008 |
Popis: | Purpose Surgical correction of torticollis is occasionally necessary to curtail the facial deformity that can result from this condition. The resultant neck scar can be of suboptimal cosmesis, with consequent psychological distress for the child. We have previously described an endoscopic approach to forehead and brow lesions through scalp incisions. We now describe a transaxillary subcutaneous endoscopic approach to division of the fibrotic sternocleidomastoid muscle. Methods This study involved a retrospective chart review of 3 consecutive outpatient procedures (male-to-female ratio, 1:2; age range, 8 months to 7 years) from March to October of 2005. The 2 older patients had established sternocleidomastoid fibrosis, and 1 had complicated torticollis refractory to medical management. All procedures were performed using standard 3-mm-laparoscopic instrumentation through hidden incisions in the ipsilateral axilla. Outcome measures included need for conversion, operative time, cosmetic outcome, and complications. Results All patients were successfully treated endoscopically. Mean operative time was 50 minutes (range, 45-55 minutes). There were no intraoperative or postoperative complications. All families were pleased with the cosmetic outcome. Conclusion This case series demonstrates the simplicity and effectiveness of a transaxillary endoscopic subcutaneous approach to torticollis. |
Databáze: | OpenAIRE |
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