What is congenital myotonic neck in children? Pediatric myotonic plagiocephaly is also known as “congenital plagiocephaly”, commonly known as “crooked neck”. Modern medicine believes that this disease is mostly related to birth injury, hematoma mechanization and fetal malposition or the position of the fetal head in the uterus in a skewed state, etc. The exact cause of this disease has not yet been determined. The main manifestation is that there is a lump in the neck, which feels like a taut rope. In terms of treatment, there are three main treatments: local massage, infrared physical therapy and surgery. How to give a massage to a child? For children within two months, as long as they insist on local massage every day, and at the same time, pay attention to correcting the child’s head position in daily life, the symptoms will usually disappear after three months. If massage does not work, you must also wait until the child is seven or eight months old before performing surgery. Generally, the symptoms disappear after three months of massage and do not require surgery. The specific massage method, no need to use hot water compresses, use your fingers to hold the affected child’s neck lumps gently massage on it. Twice a day, press 200 strokes at a time. When is the best time to operate for pediatric congenital squint? Early detection can be corrected by manipulation. Turn the chin to the side with the lump and the head to the side without the lump, gradually increasing the amplitude of rotation and the number of times of correction per day. Manual correction should be maintained for at least six months. The lump can also be gently massaged at the same time to reduce the degree of muscle contracture. Surgery is only considered when manual correction is not effective, and the best age for surgery is 1 to 1.5 years. How to detect congenital myelomeningocele in children? Most cases of congenital myotonic neck are discovered by chance when bathing the baby. It presents as a painless mass the size of a soybean to an olive nucleus at the junction of the middle and lower 1/3 of the sternocleidomastoid muscle on the left or right side of the neck. The newborn’s head is tilted toward the side with the mass, while the chin is turned toward the side without the mass. When the head is turned in the opposite direction, the movement of the head is restricted, creating a specific posture of sloping neck and crooked head. Congenital myotonic squint should be treated in time, otherwise the facial muscles on both sides will develop asymmetrically later, the cervical vertebrae will be bent and deformed, and strabismus will occur. How should pediatric squint be treated? Pediatric myelomeningocele is a relatively common congenital disease of the head and neck of children, which can be completely cured in most children with correct and effective non-surgical treatment at an early stage. 1. The earlier the better. Young mothers and fathers must keep an eye on their little one after birth and must see if he has a mass in his neck if his head is always tilted to one side. Once it is a squint, don’t panic and go to the doctor as soon as possible. One day earlier treatment will increase one point of hope for successful treatment. 2. Local medication closure is performed. This is very obvious to promote the absorption of the local mass, often choose prednisolone or hyaluronidase, plus an appropriate amount of lidocaine for local closure. Because it is in the neck, the injection should be very careful. The drug should be injected in the center of the lump, not too deep injection, so as not to cause accidents by injecting into the blood vessels. If the injection is too shallow under the skin, in addition to being useless, it is also likely to cause infection at the injection site. At the beginning, because of the hard texture of the mass, the resistance to injection is high and should be pushed slowly. Generally, once a week, most children can gradually disappear the lump with 6 times. However, the effect may not be obvious for some people who are not sensitive to drugs or those who are treated late. 3.Local massage. Apply talcum powder and massage the lump repeatedly with the thumb or index finger in the lump. 4.Continue to turn the head repeatedly to keep the head and neck in a corrected position, which is very important for treatment. The specific method is: about 30 to 50 times a day, can be done in parts. When doing so, put the child flat on the bed, the parents hold his head with both hands, turn his jaw to the affected shoulder (i.e., at the neck mass), pause for about 1 minute after turning, so that the muscles are in the elongated and extended state, and then turn again and again. But in the process of turning, the technique should be gentle and prevent violence to prevent damage to the neck muscles and even cervical vertebrae. You can make 2 small sandbags (with green or yellow sand, cleaned with water, placed in the sun or heated with an iron pot to sterilize. Choose a double layer of cloth sewn, the diameter of about 20 × 10 cm size can be), the sandbags placed on both sides of the head when the child sleeps, can be fixed in a corrected position. This treatment should last for more than 6 months. 5, the mother should choose her position in relation to breastfeeding and sleeping according to the position of the different lesions. For example, if the child has a right-sided sloping neck, you should put the child on your left side during feeding and sleeping, and vice versa. This will facilitate the correction of the child. Is the treatment for different causes of squint the same? Pediatric squint should be treated differently depending on the cause: (1) Congenital myelomeningocele. In infants with neck lumps found early, it is difficult to predict whether the lumps will dissipate on their own. Parents can be instructed to use techniques to stretch the clavicomastoid muscle to tilt the neck to the opposite side (i.e. pushing). Physical therapy can also be done in the rehabilitation department of the hospital. Some scholars also advocate the injection of hormones into the local mass. Children aged 1 to 4 years are suitable for surgical release, while surgical release over 5 years is poor and the facial asymmetry is not easily corrected. (2) Cervical spine causes oblique neck. In addition to loosening the sternocleidomastoid muscle, cervical spine deformity orthopedic surgery should be performed. (3) Subluxation between the first and second cervical vertebrae or fracture of the dentate process. Generally, only extension head traction is done to stabilize the vertebrae for 2 to 4 weeks, and the majority of children can recover well. If there is a combination of inflammatory disease, antibacterial agents should be added. A small number of children for whom conservative treatment is ineffective should consider surgical methods. (4) Ophthalmic diseases and timely correction of strabismus. (5) Habitual strabismus. After ruling out all the above causes, the unorthodox posture should be corrected, which can be corrected automatically after a long time.