1, non-surgical conservative treatment
Early mild children or patients who can't tolerate surgery can adopt conservative therapy, massage and manual correction several times a day, turn the head of the child in the opposite direction with both hands, and put pillows on the shoulders to make the head of the child droop to the healthy side during sleep, so as to draw the sternocleidomastoid muscle contracture.
2. Surgical therapy
It is suitable for patients with severe deformity and ineffective conservative treatment.
Surgical methods:
1, sternotomy of sternocleidomastoid muscle and clavicle. Suitable for mild patients.
2. Partial resection of sternocleidomastoid muscle is suitable for patients with moderate deformity.
3. Cut off the sternum head and clavicle of sternocleidomastoid muscle, partially cut off or even cut off platysma, anterior scalene muscle and partially thickened carotid sheath membrane, so as to completely relieve neck contracture. For patients with recurrent or severe torticollis after surgical treatment, especially adult torticollis, this is the most thorough surgical method.
Postoperative treatment:
1, postoperative pressure dressing, antibiotics to prevent infection for 3-5 days.
2. After operation, the head was tilted and fixed on the healthy side with a neck brace for 4 weeks to prevent recurrence.