43
TORTICOLIS MUSCULAR CONGÉNITA Y SUS SECUELAS EN EL TINTERO
Authors: Antón Santos, B
Number of views: 18
INTRODUCTION
Congenital muscular torticollis (CMT) is an idiopathic postural deformity of the head and neck, related to the unilateral contraction or retraction of the sternocleidomastoid muscle after an exaggerated elongation of the latter. When it is not treated or is treated late, we find the possibility of developing numerous sequelae with greater or lesser impact on the life and growth of children and adults.
OBJETIVE
The general objective of this work is to carry out an updated bibliographic review of everything we know about Congenital Muscular Torticollis with the latest studies and to group the different sequelae that can develop when muscular torticollis is not treated or resolved in time.
MATERIAL AND METHODS
This literature review performed a systematized search of articles in six online databases (Medline, SciELO, WOS, PEDRro and LILALCS). The following terms were used to carry out the search: Initially, “tortícolis”, “torticollis”, “tortícolis congénita” y “torticollis congenital”, and then further refine the search by adding other keywords to the search, “reflujo”, “reflux” “escoliosis”, “scoliosis”, “displasia cadera”, “hyp dysplasia”, “pelvis”, “pelvis”, “asimetría craneofacial”, “craniofacial asymmetry”, “plagiocefalia”, “plagiocephaly”, “mala oclusión”, “malocclusion”, “desarrollo psicomotor”, “psychomotor development”, “retraso neurodesarrollo”, “development delay”.
I included all types of studies published since 2017 conducted in humans that discussed CCT and its long-term sequelae or comorbidities.
RESULTS
After searching different databases and other sources, 18 articles were selected for this review. These studies were chosen because, in addition to meeting the different selection criteria, they provided some information on the correlation that can be found between CCT and different anatomical or functional alterations over the years.
CONCLUSIONS
In general, there are few studies carried out since 2017 on the long-term impact of CCT. There are many previous articles on the relationship between CCT and certain alterations and dysfunctions that we observe during the growth of children and even in adults, and although they promote the need for verification and further research on the subject, I have not found a large number of articles in the last 5 years to be able to carry out this review with more objective data.
Even so, I believe that with the data found and those already known, it is clearly evident that if CMD is not diagnosed and treated in time, it can trigger compensations that create other pathologies or syndromes that end up having considerable repercussions in pediatric and adult patients.