Novel method of quantitative assessment and stair-step surgical correction of a patient with congenital muscular torticollis
Background: Congenital muscular torticollis is a condition typically managed by a combination of nonsurgical and surgical means. Methods of preoperative evaluation and surgical treatment options remain areas of continued study. Methods: Novel MRI-based 3D visualization software is utilized to evalua...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-03-01
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| Series: | Otolaryngology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468548822000029 |
| _version_ | 1818943695990292480 |
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| author | Rahul Varman Ziyang Li Joshua Demke |
| author_facet | Rahul Varman Ziyang Li Joshua Demke |
| author_sort | Rahul Varman |
| collection | DOAJ |
| description | Background: Congenital muscular torticollis is a condition typically managed by a combination of nonsurgical and surgical means. Methods of preoperative evaluation and surgical treatment options remain areas of continued study. Methods: Novel MRI-based 3D visualization software is utilized to evaluate the sternocleidomastoid bilaterally for preoperative planning and stair-step surgical treatment of an eight-year-old male with congenital muscular torticollis. Results: Presurgical measurements demonstrated head tilt of 8°, with spine radiographs revealing leftward listhesis of cervical spine, with Cobb angle 23°. Utilizing a 3DSlicer 4.10, total SCM discordance was measured to be 2cm. A 3cm stair-step plasty was performed. At 9 month follow up, head tilt was noted to be normalized on postoperative frontal imaging. Conclusion: 3D visualization techniques can improve preoperative evaluation and patient education. Continued reports and studies regarding evaluation and treatment of muscular torticollis surgical candidates can help delineate factors and techniques for improved patient outcomes. |
| first_indexed | 2024-12-20T07:31:25Z |
| format | Article |
| id | doaj.art-a93294d64bf94b8d91c2d740cbacadf6 |
| institution | Directory Open Access Journal |
| issn | 2468-5488 |
| language | English |
| last_indexed | 2024-12-20T07:31:25Z |
| publishDate | 2022-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Otolaryngology Case Reports |
| spelling | doaj.art-a93294d64bf94b8d91c2d740cbacadf62022-12-21T19:48:25ZengElsevierOtolaryngology Case Reports2468-54882022-03-0122100393Novel method of quantitative assessment and stair-step surgical correction of a patient with congenital muscular torticollisRahul Varman0Ziyang Li1Joshua Demke2Department of Otolaryngology, Head and Neck Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, USA; Corresponding author. Texas Tech University Health Sciences Center, 4901 Jarvis Street, Lubbock, TX, 79416, USA.School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USADepartment of Otolaryngology, Head and Neck Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, USABackground: Congenital muscular torticollis is a condition typically managed by a combination of nonsurgical and surgical means. Methods of preoperative evaluation and surgical treatment options remain areas of continued study. Methods: Novel MRI-based 3D visualization software is utilized to evaluate the sternocleidomastoid bilaterally for preoperative planning and stair-step surgical treatment of an eight-year-old male with congenital muscular torticollis. Results: Presurgical measurements demonstrated head tilt of 8°, with spine radiographs revealing leftward listhesis of cervical spine, with Cobb angle 23°. Utilizing a 3DSlicer 4.10, total SCM discordance was measured to be 2cm. A 3cm stair-step plasty was performed. At 9 month follow up, head tilt was noted to be normalized on postoperative frontal imaging. Conclusion: 3D visualization techniques can improve preoperative evaluation and patient education. Continued reports and studies regarding evaluation and treatment of muscular torticollis surgical candidates can help delineate factors and techniques for improved patient outcomes.http://www.sciencedirect.com/science/article/pii/S2468548822000029 |
| spellingShingle | Rahul Varman Ziyang Li Joshua Demke Novel method of quantitative assessment and stair-step surgical correction of a patient with congenital muscular torticollis Otolaryngology Case Reports |
| title | Novel method of quantitative assessment and stair-step surgical correction of a patient with congenital muscular torticollis |
| title_full | Novel method of quantitative assessment and stair-step surgical correction of a patient with congenital muscular torticollis |
| title_fullStr | Novel method of quantitative assessment and stair-step surgical correction of a patient with congenital muscular torticollis |
| title_full_unstemmed | Novel method of quantitative assessment and stair-step surgical correction of a patient with congenital muscular torticollis |
| title_short | Novel method of quantitative assessment and stair-step surgical correction of a patient with congenital muscular torticollis |
| title_sort | novel method of quantitative assessment and stair step surgical correction of a patient with congenital muscular torticollis |
| url | http://www.sciencedirect.com/science/article/pii/S2468548822000029 |
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