1. Can pediatric myotonic neck be treated surgically? How is the surgery done? If the congenital myotonic levator is not improved after 1 year of conservative treatment, surgery is possible. Myotonic levator neck is mainly caused by sternocleidomastoid muscle lesion and its surrounding muscles and fascia contracture. The surgical solution is mainly to release the sternocleidomastoid muscle and its surrounding tissues, including unipolar release, bipolar release, lesion tissue excision and extensive release, etc. 2.When is the best time for the child to have surgery? Can a child under one year of age have surgery? The best time to operate on a child is from 1-4 years old. There is no reason to surgically remove the lesion in infancy, and surgery should be performed after the evolution of fibrosis is completed. Some children can be treated conservatively and their condition can be improved. At the same time, the respiratory system of the child is not fully developed before the age of 1 year, the risk of anesthesia is high, the skeletal muscle system is not fully developed, the separation of muscles, nerves and blood vessels is difficult, and the risk of surgery is high. 3.What is the latest age when a child can be operated? Is it still possible to cure if the child is over the age of surgery? However, if the lump does not disappear, the muscle will become permanently fibrotic and contracted, which will eventually lead to strabismus, facial asymmetry and other complications of permanent squint. 4.Will the surgery have a negative impact on the normal growth and development of the child? The younger the child is, the greater the potential for growth and development, and the stronger the ability of self-shaping. According to current research, no adverse effects of surgery on the child’s growth and development have been found. 5.Does the conservative treatment before surgery have any effect on the outcome of surgery? Conservative treatment can soften the lump by massaging it, which helps to remove it surgically, and some children can be cured by conservative treatment. At the same time, conservative treatment before surgery can improve the child’s compliance with post-operative rehabilitation training. 6.What is the effect of surgery? Can all children with myotonic neck be cured by surgery? The success rate of surgical treatment for myotonic levator is mainly related to the experience of the surgeon and the compliance of the child’s post-operative rehabilitation training, which varies from region to region, but in general, the success rate is over 80%. In some children, a second surgical release is possible after surgery, but the risk is high. 7.Can symptoms such as strabismus caused by myotrabismus heal on their own after surgery? Before diagnosing myelomeningocele, we need to exclude hearing and vision abnormalities, as well as bony abnormalities, such as congenital cervical fusion. Mild strabismus caused by pediatric myelomeningocele can heal itself with the correction of the strabismus and the change of visual posture, while permanent strabismus caused by long-term strabismus cannot heal itself after strabismus surgery. 8.Do I need to wear an orthopedic device after surgery? How long should I wear it? Physical therapy begins one week after surgery and includes early manipulation of the neck to keep the neck in an overcorrected position. It is recommended that manual stretching should be done three times a day for 15-30 minutes for 3-6 months, and orthopedic devices (generally for children over 3 years old) can be worn between traction sessions. The whole treatment cycle requires regular follow-up and standardized treatment according to the opinion of the attending physician. 9.What should parents pay attention to in daily life after surgery? In the post-operative daily life, parents should pay attention to the correct sleeping posture and visual habits of their children. At the same time, family members should pay attention to close follow-up.