Facial torticollis in newborns

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Read more. Read clinical updates and the latest insights from Boston Children's specialists. Learn more.

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A woman brought her three-month-old infant to the physician for an examination because she was concerned about the position of the infant's head. The pregnancy and delivery were unremarkable. Physical examination revealed that the head and body were in an asymmetrical position see accompanying figure ; otherwise, the infant appeared normal.

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The fate of facial asymmetry after surgery for "muscular torticollis" in early childhood Dinesh Kittur Asst. Materials and Methods: This is a long-term study of the fate of facial asymmetry in four children who have undergone operation for muscular torticollis in early childhood. All the patients presented late, i. All the patients had an x-ray of cervical spine and eye and dental checkup before making a diagnosis of muscular torticollis.

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Torticollis can arise from nonocular usually musculoskeletal and ocular conditions. Some facial asymmetries are correlated with a history of early onset ocular torticollis supported by the presence of torticollis on reviewing childhood photographs. When present in an adult, this type of facial asymmetry with an origin of ocular torticollis should help to confirm the chronicity of the defect and prevent unnecessary neurologic evaluation in patients with an uncertain history.

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A bad night's sleep can mean waking up with a stiff neck, which makes it hard or painful to turn your head. This is called torticollis Latin for "twisted neck". In newborns, torticollis can happen due to positioning in the womb or after a difficult childbirth.

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Congenital torticollis means that a baby is born with an odd position of the neck. The odd position is because of a tight, short neck muscle. It affects the right side more often than the left side.

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Torticollis is a sign of underlying disorder that is characterized by asymmetric posturing of the head and neck. The majority of infants who present with torticollis during the first year of life have congenital muscular torticollis CMT. CMT can be identified as early as birth or during the first few months of life.

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Babies born with congenital torticollis have limited mobility in their necks, causing their heads to tilt to one side. But with treatment — stretching and strengthening exercises, for instance — most infants with congenital torticollis regain full head and neck mobility within months. A baby with torticollis has a misaligned neck, which in turn causes her head to tip to one side and her chin to point in the opposite direction.

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Torticollis, or wryneck, literally means "twisted neck" in Latin. You may have woken up with torticollis after an uncomfortable night of sleep. In newborns, torticollis can happen due to positioning in the womb or after a difficult childbirth. This is called infant torticollis or congenital muscular torticollis.


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