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Functional and cosmetic status after surgery in congenital muscular torticollis

The aim of this study was to assess status after surgery for congenital muscular torticollis. Twenty-eight children were evaluated once and the scoring system used included functional and cosmetic results. Neck movement, muscle strength and endurance were compared with the uninvolved side. Head tilt, elevation of the shoulder, craniofacial asymmetry, and lateral band and operative scar were evaluated by clinical observations and photographs. Limited range of motion was significant in both rotation (p=0.027) and side flexion (p=0.005) on the operated side. Most children achieved an overall excellent or good result after surgery but a tendency for head tilt and some degree of facial asymmetry were common.