Sternocleidomastoid Muscle Flap in an Older Patient With Congenital Muscular Torticollis

Congenital muscular torticollis (CMT) is caused by muscle damage during childbirth, tumors, or masses within the muscles and generally resolves with physical therapy during infancy. In this study, we performed reconstruction after resection of a parotid gland tumor using a sternocleidomastoid muscle...

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Published inCurēus (Palo Alto, CA) Vol. 16; no. 4; p. e58517
Main Authors Matsuura, Naoki, Asato, Reiko, Ishihara, Shohei, Matsuura, Rikako, Shimizu, Yusuke
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 18.04.2024
Cureus
Subjects
Atrophy
Exocrine glands
Older people
Orthopedics
Otolaryngology
Patients
Pediatric Surgery
Physical therapy
Plastic Surgery
Range of motion
Reconstructive surgery
Thoracic surgery
Tumors
Wound healing
flap reconstruction
older patients
muscle flap
congenital muscular torticollis
sternocleidomastoid muscle
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Summary:Congenital muscular torticollis (CMT) is caused by muscle damage during childbirth, tumors, or masses within the muscles and generally resolves with physical therapy during infancy. In this study, we performed reconstruction after resection of a parotid gland tumor using a sternocleidomastoid muscle (SCMM) flap in an older patient with neglected CMT. The patient was a 64-year-old woman who had had a left-sided oblique neck since infancy but had never received any treatment, including physical therapy. She underwent parotid tumor resection and SCMM flap transfer. The SCMM flap can be safely elevated using indocyanine green fluorescence angiography, with the middle pedicle serving as the feeding vessel to fill the parotid defect. Three months after surgery, the torticollis had improved and the cheek depression was not noticeable, indicating the effectiveness of surgical treatment for CMT in older patients and the possibility of using SCMM as a muscle flap.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.58517