Frontal cephalometric analysis in the evaluation of facial asymmetry in torticollis, and outcomes of bipolar release in patients over 6 years of age

dc.contributor.authorArslan, H
dc.contributor.authorGündüz, S
dc.contributor.authorSubasy, M
dc.contributor.authorKesemenli, C
dc.contributor.authorNecmioglu, S
dc.date.accessioned2024-04-24T16:00:15Z
dc.date.available2024-04-24T16:00:15Z
dc.date.issued2002
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: The aim of this study was to investigate the mid-term results of bipolar release in congenital muscular torticollis patients over 6 years of age, and the efficacy of frontal cephalometric analysis in the determination and follow-up of facial asymmetry. Methods: Twelve patients (9 boys, 3 girls) from 7 to 12 years of age were included in the study. Bipolar release was performed, followed by 5-7 days of traction and 3 months of physiotherapy. Posteroanterior cephalometric radiography was performed at the beginning of and after therapy. The postural symmetry angle (PSA) was used to determine the presence and severity of facial asymmetry. A modified version of Lee et al.'s system was used in evaluating the results. Results: The average follow-up period was 3 years and 5 months. According to the congenital muscular torticollis evaluation system, the outcome was excellent in 2 of the patients, good in 6, fair in 2 and poor in 2. Asymmetry was not severe in all patients at the beginning of therapy according to PSA values, being insignificant in 2, mild in 6, and severe in 4. The PSA results of the last examination indicated that severe facial asymmetry persisted in 3 patients. In 2 of them, PSA values remained within the limits of severe asymmetry despite a slight angular correction. Discussion: Congenital muscular torticollis patients can benefit from surgical treatment over the age of 6 years. Bipolar release is an adequate and complication-free method. Moreover, PSA may be used as an objective method in the determination and follow-up of facial asymmetry in torticollis patients.en_US
dc.identifier.doi10.1007/s00402-002-0442-3
dc.identifier.endpage493en_US
dc.identifier.issn0936-8051
dc.identifier.issn1434-3916
dc.identifier.issue9-10en_US
dc.identifier.pmid12483328
dc.identifier.scopus2-s2.0-12244306920
dc.identifier.scopusqualityQ1
dc.identifier.startpage489en_US
dc.identifier.urihttps://doi.org/10.1007/s00402-002-0442-3
dc.identifier.urihttps://hdl.handle.net/11468/14419
dc.identifier.volume122en_US
dc.identifier.wosWOS:000180045200001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofArchives of Orthopaedic and Trauma Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCongenital Muscular Torticollisen_US
dc.subjectFrontal Cephalometric Analysisen_US
dc.subjectBipolar Releaseen_US
dc.titleFrontal cephalometric analysis in the evaluation of facial asymmetry in torticollis, and outcomes of bipolar release in patients over 6 years of ageen_US
dc.titleFrontal cephalometric analysis in the evaluation of facial asymmetry in torticollis, and outcomes of bipolar release in patients over 6 years of age
dc.typeArticleen_US

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