Routine care of children with congenital torticollis.docVIP

 PAGE \* MERGEFORMAT 4 Routine care of children with congenital torticollis 1 cause Cause of congenital torticollis, there are still many different opinions, the majority of that fetal malposition or abnormal uterine wall by the pressure of the head and neck posture abnormal hindered side of the sternocleidomastoid muscle blood circulation, muscle ischemia caused by the , atrophy, dysplasia, contractures caused by torticollis. but also that, due to delivery side of the sternocleidomastoid squeezed by forceps or traction injury bleeding, hematoma machine contracture walls. well that the sternocleidomastoid nutrient artery embolism, or venous obstruction, resulting in muscle fibers and degenerative nature of change, thus giving rise to torticollis. 2 Clinical manifestations 14 days after birth, newborns are often found in the lower part of the sternocleidomastoid muscle involvement, there is a hard oval mass, can be gradually increased .2 months after the tumor began to shrink and finally disappeared completely, the muscle that is form for the inelastic fiber. the first tendency is gradually pulling the affected side, the neck to reverse, the face tilt, chin to the healthy side. if not corrected, ipsilateral facial growth is slow, gradual formation of facial and cranial deformation. 3 principles of treatment (A non-surgical therapy, including local heat, massage, lateral pull is so fixed and techniques suitable for babies six months of age after the birth of discontent. Aimed at promoting local mass early dissipation, to prevent muscle fiber contracture. The way pull is two weeks before birth to start, slow and gentle force required to cut. (2 surgical therapy for 6 months - 12-year-old non-surgical therapy in children with significant failure or torticollis. 1) preoperative care a) children in bed, close to the wall will be unaffected, or affected in children with colored balloons suspended above, in order to attract its i