1. Non-surgical therapy is suitable for infants under one year old, including local hot compress, massage, manual straightening and head fixation. Its purpose is to make the mass dissipate as soon as possible and prevent muscle fiber contracture. The sick child sleeps on his back, with his chin facing the affected side and his pillow facing the healthy side. His head is fixed in the above position with cotton pads and clean sandbags. Two weeks after birth, it will be fine. The operation is not started until two weeks after birth, and it must be done slowly and gently. When pulling manually, you must turn your chin to the affected side, raise it gradually, and tilt your head to the healthy side. Massage the affected sternocleidomastoid muscle before and after each manipulation, 3 ~ 4 times a day, or use hot compress. The above non-surgical treatment should last for 3 ~ 6 months before torticollis can be corrected. In addition, it can also be combined with posture training, that is, when the child is in bed, use various methods to arouse his interest, try to tilt his head to the healthy side and turn his chin to the affected side to promote the stretching of the sternocleidomastoid muscle on the affected side. Most children can be cured if the above methods are used alternately. Torticollis lasts for a long time. When the affected sternocleidomastoid muscle contracts, shortens and hardens, if it is not treated in time, it will cause irreparable problems for the baby when he grows up. Therefore, if you find that your baby's head always leans to one side, remember to ask the rehabilitation department or pediatrician for further evaluation and surgery if necessary.
2. Surgical treatment is suitable for children over 1 year. For people over 12 years old, although facial and neck deformities are difficult to correct, surgical treatment can still improve them.
(1) general surgical treatment: most surgical methods are sternocleidomastoid muscle amputation, that is, cutting the clavicle and sternal head or mastoid of sternocleidomastoid muscle, leaving centipede-like scars after operation.
(2) Minimally invasive plastic surgery: This is a successful treatment method for congenital muscular torticollis with little trauma, no scar and "three beauties (local beauty, physical beauty and physical beauty)", and the effect is better than other surgical treatments.
(3) Postoperative treatment: Fix the head on the healthy side of the head and turn the chin to the affected side for at least 3 weeks. Older children should be fixed for about 4-6 weeks. After the fixation is released, you must do the above techniques every day and move independently in the direction of overcorrection.