Congenital torticollis Perioperative Nursing.docVIP

 PAGE \* MERGEFORMAT 8 Congenital torticollis Perioperative Nursing Of: Puli Ping, ZHU Yan, Zhou Yan, Zouji Rui, Li Man Ya, Liwen Yan [Keywords:] children; congenital muscular torticollis; perioperative period; Care Congenital muscular torticollis (congential torticollis) is most common in infants and neonates congenital diseases of the musculoskeletal system, the incidence rate of about 0.3% to 1.9% [1]. Mostly due to neck hematoma caused by birth trauma , machine technology, resulting in hardening of the sternocleidomastoid muscle, contracture, skewed to the side of head and neck, severe cases, facial deformity, and may squint and so on, affect children’s growth and development. sternocleidomastoid muscle and soft tissue release partial surgery is a common surgical method treatment of the disease, but this is only part of the success of postoperative care and the strict functional exercise is difficult completely correct, prevent and reduce the complications a key part. Postoperative care of patients with a very important role. our department in January 2005 ~ October 2009 were treated in children with congenital muscular torticollis in 22 cases, achieve better results, now nursing reported as follows. 1 Materials and Methods 1.1 The clinical data in January 2005 ~ October 2009 were treated in children with congenital muscular torticollis in 22 cases, 15 males and 7 females; the left side in 14 cases, the right side of 8; age from 14 to 15 months years, mean age 5.5 years; a production history of 10 cases of breech presentation, dystocia in 6 cases, 6 cases of natural delivery, were found 2 weeks after birth, round or oval mass in the neck, 2 to 6 months after disappearing Head like bias affected side appears, have different levels of secondary deformities, shortened muscle on one side, shorter length of ipsilateral facial, facial widened eyes and ears are not in the same plane and other symptoms. preoperative cervical spine were excluded defor