APR 16, 2010
This prospective study included 32 children (mean age, 82.6 months) diagnosed with congenital superior oblique palsy with abnormal head posture (AHP) who underwent extraocular muscle surgery between January 2000 and January 2007.
The success rate for eliminating significant AHP was 68.8 percent, with 65.6 percent having a postoperative vertical deviation of less than 3prism diopters. Residual torticollis was found to be related to sternocleidomastoid muscle tightness (P?=?0.013), and the mean age at operation for the patients with residual torticollis (95.9 months) was older than those without torticollis (79.9 months; P ?=? 0.018). Of the patients with significant residual torticollis, 33.3 percent had ocular causes. Early surgery was associated with a better outcome.
The authors suggest a multidisciplinary approach to the management of torticollis, as ophthalmic and orthopedic comorbidities can coexist.