Congenital muscular torticollis: Use of gaze angle and translational deformity in assessment of facial asymmetry

Congenital muscular torticollis (CMT) refers to unilateral contracture of the sternocleidomastoid (SCM) muscle that restricts the infant's range of motion at the neck, with the head tilted toward the shortened SCM and the chin rotated to point away from the affected side. Although a mass often is palpable in the inferior part of the affected SCM, in many cases this is not appreciated in the immediate newborn period; the condition may be recognized only as the infant develops better head control over the first few weeks of life, making the head tilt more obvious. Potential complications of CMT include facial asymmetry and plagiocephaly from the uneven tension produced by the contracted SCM as well as cervical scoliosis, with a compensatory thoracic scoliosis.

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The Impact of Surgical Correction in Changing Morphometric Dimensions of Craniofacial Deformities and Facial Asymmetry in Congenital Muscular Torticollis: An Otolaryngologists Perspective

Indian Journal of Otolaryngology and Head & Neck Surgery ◽

10.1007/s12070-021-02921-1 ◽

2021 ◽

Author(s):

Tripti Maithani ◽

Arvind Mamgain ◽

Apporva Kumar Pandey ◽

Sharad Hernot ◽

Kanika Arora

Keyword(s):

Facial Asymmetry ◽

Surgical Correction ◽

Congenital Muscular Torticollis ◽

Muscular Torticollis ◽

The Impact

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Evaluation of the Clinical Role of Strain Elastography in Patients Diagnosed With Congenital Torticollis

Journal of Diagnostic Medical Sonography ◽

10.1177/8756479320983242 ◽

2021 ◽

pp. 875647932098324

Author(s):

Elif Özyazici Özkan ◽

Mehmet Burak Ozkan ◽

İshak Abdurrahman İsik

Keyword(s):

Area Under The Curve ◽

Muscle Group ◽

Receiver Operating Curve ◽

Control Group ◽

Clinical Role ◽

Congenital Muscular Torticollis ◽

Cutoff Value ◽

Strain Elastography ◽

Specificity And Sensitivity ◽

Muscular Torticollis

Objective: The objective of this study was to determine the elasticity of sternocleidomastoid muscle (SCM) in patients with congenital muscular torticollis (CMT). Methods: In all, 41 patients and 22 controls were included in the study, and the elasticity of the patients’ SCM was measured. Echogenicity, thickness, and strain values of the SCM were also obtained. Results: The thickness and strain values of the SCM were higher in the patient group than in the control group ( P = .02 and P = .15). For median values, there was no difference in echogenicity and strain. In the strain elastography evaluation of the receiver operating curve (ROC) for muscle echogenicity in the isoechoic muscle group, the specificity and sensitivity were determined to be 100% and 22%, respectively, for the area under the curve (AOC) value of 0.558 (95% confidence interval [CI], 0.424–0.6686), and the cutoff value was <1.4. In the hyperechoic muscle group, the ROC for AUC values was found to be 0.542 (95% CI, 0.411–0.6686), and the cutoff value was >1.4 with 100% sensitivity and 20.75 specificity. Conclusions: The strain elastography technique can be used in the diagnosis of CMT.

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