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Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 8 Issue 11

Dentofacial Complications of Congenital Muscular Torticollis in Children Up to 5 Years of Age

Pablo Antonio Hernández Dinza1* and Yaimet Pérez Infante2

1University of Medical Sciences of Santiago de Cuba, Antonio María Béguez César South Teaching Pediatric Hospital, and Master's Degree in Infectious Diseases, Second Degree Specialist in Pediatrics, Second Degree Specialist in Intensive Care and Emergency Medicine, Assistant Professor, Assistant Researcher, Santiago de Cuba
2University of Medical Sciences of Santiago de Cuba. Faculty of Stomatology, Santiago de Cuba, Cuba and Master's Degree in Computer Science, Bachelor's Degree in Mathematics, International Diploma in Educational Intervention in Health, Assistant Professor, Faculty of Stomatology, Santiago de Cuba

*Corresponding Author: Pablo Antonio Hernández Dinza, University of Medical Sciences of Santiago de Cuba, Antonio María Béguez César South Teaching Pediatric Hospital, and Master's Degree in Infectious Diseases, Second Degree Specialist in Pediatrics, Second Degree Specialist in Intensive Care and Emergency Medicine, Assistant Professor, Assistant Researcher, Santiago de Cuba.

Received: September 10, 2025; Published: October 26, 2025

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Abstract

Introduction: Dentofacial complications of congenital muscular torticollis can affect daily and fundamental activities such as chewing and phonation.

Objective: To characterize the dentofacial complications of congenital muscular torticollis and determine the ages at which they transit.

Methods: A descriptive, cross-sectional, and retrospective study was conducted from January 2017 to December 2020. The universe consisted of 220 patients under 5 years of age, with a diagnosis of congenital muscular torticollis, followed in the provincial consultation of Neurodevelopment of the South Children's Hospital "Antonio María Béguez César" in Santiago de Cuba, Cuba; and the sample was made up of 162 patients followed for a minimum of one year, selected probabilistically by simple random sampling.

Results: Dentofacial complications occurred in 20.98 % of patients. Men predominated in both complicated and uncomplicated patients (58.8 and 60.2 %) respectively. Plagiocephaly (12.3%) and facial asymmetry (11.7%) were the most frequent sequelae. There was a statistically significant association of complications with the increase in the mean age (p < 0.01) and the median age of the patients (p < 0.03). Plagiocephaly was the earliest onset sequelae with a mean age of 6.6 months (SD = 0.5), while atrial dystopia was the latest with a mean of 11.1 months (SD = 1.8).

Conclusions: The increase in the average age at diagnosis and treatment of congenital muscular torticollis increases the risk of dentofacial complications.

Keywords:Torticollis; Complications; Dentofacial

References

  1. Carmona Espejo A and González Villén R. “Congenital muscular torticollis. Update on therapies”. Revista Mexicana de Medicina Física y Rehabilitación 3 (2020): 52-61.
  2. Minghelli B and Guerreiro Duarte Vitorino N. “Incidence of Congenital Muscular Torticollis in Babies from Southern Portugal: Types, Age of Diagnosis and Risk Factors”. International Journal of Environmental Research 15 (2022): 1-7.
  3. Hernández Dinza PA., et al. “Preconditioning factors of sequelae in children under 5 years of age with congenital muscular torticollis”. MEDISAN5 (2022): 17.
  4. Antón Santos B. “Congenital muscular torticollis and its sequelae in the inkwell”. NPunto65 (2023): 66-108.
  5. Cueto Blanco S., et al. “Facial asymmetries and malocclusions in patients with congenital muscular torticollis: a systematic review”. Advances in Periodontics1 (2015): 11-18.
  6. Álvarez Cervantes JE., et al. “ Oral Health Problem. Narrative Review”. Education and Health Journal 12.23 (2023): 79-86.
  7. Gundrathi J., et al. “Congenital Torticollis”. NCBI Bookshelf4 (2023): 1-6.
  8. Mallor López E., et al. “Multidisciplinary approach to congenital muscular torticollis”. Revista Sanitaria de Investigación 9 (2021): 1-8.
  9. Kyeong Soo L., et al. “A comparison of outcomes of asymmetry in infants with congenital muscular torticollis according to age upon starting treatment”. Journal of Physical Therapy Science3 (2017): 543-547.
  10. Chotigavanichaya C., et al. “Prognostic Factors in Recurrent Congenital Muscular Torticollis”. Malaysian Orthopaedic Journal 1 (2021): 43-47.
  11. Huerta Mezones MF., et al. “New standards in the treatment of an ancient pathology: myogenic torticollis”. Revista de la Facultad de Medicina Humana2 (2018): 15-20.
  12. Hurtado Padilla A., et al. “Surgical treatment of congenital torticollis, at the Shriners Hospital, Mexico City”. Revista Coluna/Columna 2 (2017): 106-108.
  13. Nguyen Ngoc H and Le Tuan A. “A Comparison of Outcome of Age at Time Surgery between Younger and Older than 8 Years Old in Children with Congenital Muscular Torticollis”. Open Access Library Journal3 (2017): 1-12.
  14. Jisun H., et al. “Correlations between the Clinical and Ultrasonographic Parameters of Congenital Muscular Torticollis without a Sternocleidomastoid Mas”. Korean Journal of Radiology 12 (2022): 1374-1382.
  15. González Gil JM., et al. “Infantile torticollis. New perspectives on your treatment”. Cuban Journal of Orthopedics and Traumatology12 (2001): 65-70.
  16. Og Hyang K., et al. “Neurodevelopmental outcomes and comorbidities of children with congenital muscular torticollis: evaluation using the National Health Screening Program for Infants and Children database”. Clinical and Experimental Pediatrics 6 (2022): 312-319.
  17. Bashir A., et al. “Effect of physical therapy treatment in infants treated for congenital muscular torticollis-a narrative review”. Journal of the Pakistan Medical Association 1 (2023): 111-116.
  18. Trujillo Castro MJ., et al. “Physical therapy in congenital muscular torticollis, a systematic review”. Naturopathic Medicine Journal1 (2022): 57-63.
  19. El Bouhmadi K., et al. “The outcomes of congenital torticollis delayed surgery in older children: A case series”. International Journal of Surgery Case Reports 108144 (2023): 1-15.
  20. Tang W., et al. “Effect of massage therapy on infants with congenital muscular torticollis: A retrospective comparative study”. Frontiers in Pediatrics 984675 (2023): 1-6.
  21. Parau D., et al. “Factors Influencing the Duration of Rehabilitation in Infants with Torticollis-A Pilot Study”. Medicina 1 (2024): 1-20.
  22. Min-Wook K., et al. “Concurrence of Congenital Muscular Torticollis and Congenital Torticollis Due to Other Anomalies: Two Case Reports”. Frontiers in Pediatrics9 (2021): 1-6.
  23. Ploeger M., et al. “Operative Behandlung des Torticollis muscularis congenitus”. Operative Orthopädie und Traumatologie3 (2023): 188-194.
  24. Osegueda Mayen JR., et al. “Congenital muscular torticollis”. Acta Pediatrica de Mexico 2 (2022): 141-145.
  25. Tonkaboni A and Mirzashahi B. “Neglected adult torticollis and maxillofacial deformity”. Orthopaedic Surgery and Traumatology 3 (2018): 1-7.

Citation

Citation: Pablo Antonio Hernández Dinza and Yaimet Pérez Infante. “Dentofacial Complications of Congenital Muscular Torticollis in Children Up to 5 Years of Age".Acta Scientific Orthopaedics 8.11 (2025): 40-46.

Copyright

Copyright: © 2025 Pablo Antonio Hernández Dinza and Yaimet Pérez Infante. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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