Correct sleeping position for babies with torticollis

If your baby already has torticollis, you should pay attention to his or her sleeping position. If the sleeping position is not good, the torticollis will become more serious. Even when holding your baby, you cannot always hold the baby in the same position. You have to switch left and right. Only by frequently changing your baby's sleeping direction can you avoid the torticollis from becoming more serious. After treatment, you should also prevent your baby from eating too greasy food.

Dietary precautions

Disease taboos

Do not eat too much greasy food after surgery

Diet

Encourage children to eat more after surgery to ensure nutritional intake, which is beneficial to wound healing.

Care methods

Within 6 hours after surgery, the head should be tilted to one side to prevent aspiration. Within 2 days after surgery, reduce moving, distract attention, reduce pain, change dressings frequently, and avoid wound contamination. Starting from the second day after surgery, give cervical traction during the day and maintain it for one week. After one week, fix the neck with a cervical brace for 3 to 6 months. Rehabilitation training began on the second day after the operation, pulling the neck toward the healthy side and fully stretching the sternocleidomastoid muscle to avoid recurrence of adhesions. This training was maintained for half a year.

Precautions

After the operation, pay close attention to wound bleeding, breathing, and the presence of pneumothorax.

B-ultrasound examination compares the thickness and texture of the sternocleidomastoid muscles on both sides, which helps to distinguish whether it is muscular torticollis.

1. Bony torticollis: Cervical abnormalities such as atlantoaxial subluxation, hemivertebra, etc. can be confirmed by further X-ray examination, and the sternocleidomastoid muscle is not contracted.

2. Neck inflammation: There is lymphadenopathy, tenderness and systemic symptoms, but no contracture of the sternocleidomastoid muscle.

3. Eye muscle abnormalities: There is an imbalance in the strength of the extraocular muscles, and strabismus requires a tilt of the neck to coordinate vision. It is recommended to see an ophthalmologist to rule it out.

The pathogenesis is still unclear, the main one is the intrauterine compression theory: it is caused by pressure changes caused by malposition of the fetus in the uterus. Blood supply obstruction theory: Occlusion of the arteries and veins supplying the sternocleidomastoid muscle causes muscle fibrosis. Genetic theory: About 1/5 of the children have a family history and are accompanied by other deformities. Birth injury theory: Torticollis often occurs in cases of difficult labor and delivery, especially breech presentation, which accounts for about 3/4.