腋下切口提吊建腔内镜辅助治疗肌性斜颈

Endoscopic transaxillary surgery for congenital muscular torticollis

目的 探讨经腋窝皮肤入路提吊建腔,于内镜下切断胸锁乳突肌治疗肌性斜颈的手术方法.方法 对2008年5月至2014年3月收治的25例肌性斜颈,通过患侧腋窝入路,应用头颈部内镜手术建腔器建立非气腔提吊手术通道,充分切断短缩纤维化的胸锁乳突肌的胸骨头、锁骨头及其周围挛缩的纤维条索.结果 25例患者切口均一期愈合,无重要神经血管损伤,术后随访6个月,斜颈改善良好,瘢痕隐蔽,患者满意.结论 腋部入路提吊建腔内镜下斜颈整复术是治疗肌性斜颈的一种有效且兼顾外形的方法.

Objective To investigate a new endoscopic transaxillary technique for release of the sternocleidomastoid（SCM） in congenital muscular torticollis（CMT）.Methods From May 2008 to March 2014,a total of 25 cases （male 7 and female 18）,ranging in age from 14 to 31 years （mean age,17.6 years）,were operated for torticollis by endoscopic-assisted surgery.The sternal and clavicular attachments of the sternocleidomastoid were released by skin lift approach.Results The primary healing was achieved in all the 25 cases with no injury of major vessels or nerves.The patients were followed up for 6 months with satisfactory result and invisible scar.Conclusions The subcutaneous endoscopic transaxillary and skin lift approach for the CMT provides good functional and cosmetic outcomes.