双切口胸锁乳突肌松解术治疗成人先天性肌性斜颈的护理配合及康复训练OA

Objective To explore the nursing coordination and clinical outcomes of dual-incision release of the sternocleidomastoid muscle in the treatment of adult congenital muscular torticollis.Methods A total of 91 patients with adult congenital muscular torticollis who were unresponsive to conservative treatment were enrolled from August 2023 to August 2024.A combined sternoclavicular and mastoid incision release surgery was performed.Professional nursing cooperation was given during the perioperative period,assisted by step rehabilitation training after operation.Postoperative evaluations were conducted on parameters including effective height,bilateral shoulder tilt angle,passive cervical range of motion,and surgical satisfaction.Results A significant increase in effective height was observed postoperatively compared to preoperative values[preoperative(162.93±7.32)cm,postoperative(165.22±7.53)cm].The bilateral shoulder tilt angle was significantly reduced after surgery[preoperative(23.26±3.61)°,postoperative(3.40±2.13)°].Additionally,the passive cervical rotation range of motion improved markedly[preoperative(66.68±2.60)°,postoperative(87.21±2.31)°].These differences were statistically significant(P<0.05).All patients reported 100％satisfaction with the surgical outcomes.Conclusion Double-incision sternocleidomastoid muscle release combined with perioperative professional nursing and postoperative step rehabilitation training can effectively improve the neck function and appearance of adult patients with congenital muscular torticollis,with high patient satisfaction.