International Journal of Clinical Pediatric Dentistry

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VOLUME 13 , ISSUE 1 ( January-February, 2020 ) > List of Articles


Neglected Torticollis: A Rare Pediatric Case Report

Arshad Eranhikkal

Keywords : Craniofacial, Sternocleidomastoid, Torticollis, Wry neck

Citation Information : Eranhikkal A. Neglected Torticollis: A Rare Pediatric Case Report. Int J Clin Pediatr Dent 2020; 13 (1):94-97.

DOI: 10.5005/jp-journals-10005-1730

License: CC BY-NC 4.0

Published Online: 21-07-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Torticollis is commonly termed as “wry neck”. In torticollis, there is abnormal posturing of the head and neck due to the shortening of sternocleidomastoid muscle. Torticollis causes tipping of the head towards the shortened sternocleidomastoid which results in rotation of chin to the opposite side. It is a common disorder which can occur at all ages, from newborns to adults. It can develop prenatally (congenital) or postnatally (acquired). This case report highlights the various craniofacial features in a 5-year-old male patient presented with torticollis. During examination, patient had asymmetry of face, short and tight sternocleidomastoid which was band shape in affected site, spastic contralateral sternocleidomastoid and decreased range of motion of neck. Intraorally, patient had multiple carious tooth and macroglossic tongue. The craniofacial features play a significant role in the identification of torticollis and hence, can be helpful in early detection. It requires a multidisciplinary approach for its treatment.

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  1. Lee JII, Lim SY, Song HS, et al. Complete tight fibrous band release and resection in congenital muscular torticollis. J Plast Reconstr Aesthet Surg 2010;63(6):947–953. DOI: 10.1016/j.bjps.2009.05.017.
  2. Armstrong D, Pickrell K, Fetter B, et al. Torticollis: an analysis of 271 cases. Plast Reconstr Surg 1965;35:14–25. DOI: 10.1097/00006534-196501000-00003.
  3. Sa DS, Mailis-Gagnon A, Nicholson K, et al. Posttraumatic painful torticollis. Mov Disord 2003;18(12):1482–1491. DOI: 10.1002/mds.10594.
  4. Tufano RP, Tom LW, Austin MB. Bilateral sternocleidomastoid tumors of infancy. Int J Pediatr Otorhinolaryngol 1999;51:41–45. DOI: 10.1016/S0165-5876(99)00225-6.
  5. Wolfort FG, Kanter MA, Miller LB. Torticollis. Plast Reconstr Surg 1989;84:682–692. DOI: 10.1097/00006534-198984040-00022.
  6. Stassen LFA, Kerawala CJ. New surgical technique for the correction of congenital muscular torticollis (wry neck). Br J Oral Maxillofac Surg 2000;38(2):142–147. DOI: 10.1054/bjom.1999.0180.
  7. Arghavan T, Babak M. Neglected adult torticollis and maxillofacial deformity. Orthopaedic Surg and Traumat 2018. 347–350.
  8. Mohan M, Bhat S, Prasad R. Congenital muscular torticollis-case report and an effective treatment plan. J Maxillofac Oral Surg 2012;11(3):364–367. DOI: 10.1007/s12663-011-0313-y.
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