Torticollis muscularis congenita

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Torticollis

Congenital muscular torticollis is caused by the shortening of the m. sternocleidomastoideus with the head tilted towards the affected side.

  • In general, torticollis can be congenital or acquired (ocular, neurogenic, psychogenic, secondary to infection or trauma);
  • etiology of congenital torticollis: is not precisely known (muscle rupture, intrauterine malposition, pressure, ischemia, genetic factors); the incidence is around 0.4%; it manifests 2 weeks after birth, the swelling increases within 4 months;
  • The treatment is surgical: total extirpation of the fibrotic sternocleidomastoid muscle, upper / lower tenotomy of the muscle insertion, Ferkel's surgery (Z-plasty of the muscle with its lengthening).


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  • MĚŠŤÁK, Jan, et al. Úvod do plastické chirurgie. 1. edition. Praha : Univerzita Karlova v Praze - Nakladatelství Karolinum, 2005. 125 pp. ISBN 80-246-1150-3.