Congenital Muscular Torticollis
Conditions
Brief summary
Congenital Muscular Torticollis (CMT) is a postural deformity of head and neck detected at birth or shortly after birth, primarily resulting from unilateral shortening of Sternocleidomastoid Muscle (SCM). Surgery could be chosen for the treatment for some children, which is accompanied by moderate pain and discomfort. The investigators focused the effectiveness of intermediates cervical plexus block because the dermatome of sensory of cervical plexus block is correlated to that of torticollis. So the effect of analgesia could decrease the use of analgesics.
Interventions
ultrasound guided intermediate cervical plexus block with 0.25% ropivacaine 0.2 ml/kg
fentanyl 0.5 µg/kg in postanesthetic care unit when more or equal to FLACC scale 4.
ibuprofen in ward when more or equal to FLACC scale 4.
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA I-II * Undergoing general anesthesia for unipolar sternocleidomastoid release in patient with congenital muscular torticollis
Exclusion criteria
* coagulation disorder * kidney or liver disease * allergy to local anesthetics
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain on the FLACC scale | at 5 min after postanesthesia care unit admission |
Countries
South Korea