About 90% of pediatric myotonic squint can be recovered by conservative treatment, and only 10% of children with persistent restriction of movement over 30% need to be considered for surgery, so children with squint are usually considered for conservative treatment first. Massage therapy for pediatric myotonic squamous neck does not involve localized kneading, but rather emphasizes stretching, as shown in the figure below. Figure A: Typical myotonic squib deformity, due to contracture of sternocleidomastoid muscle, can be rehabilitated by passive tension; Figure B: one hand holds the affected shoulder, the other hand pulls the head and neck to the opposite side, simply put, the ear to the shoulder; Figure C: the same gesture, one hand holds the affected shoulder, the other hand makes a rotation movement, so that the tip of the chin points to the affected side; Figure D: pediatric myotonic squib surgery before 6 years old, regardless of the early or late surgery, the treatment The difference in outcome is small, and the likelihood of postoperative appearance or recurrence of problems decreases with age. Most experts believe that pediatric myelomeningocele surgery should be postponed until after 6 years of age. This is partly because there is a greater chance of recurrence if the surgery is performed too early, and partly because the small size of the muscles makes the surgery more difficult, and because muscle removal or lengthening is more likely to have a significant impact on appearance in younger patients. Children younger than one year of age with significant functional limitations of the neck may also be operated earlier. Some specialists may even choose to perform surgery after the age of 12 years. Of course, the specifics need to be evaluated based on the child’s history of conservative treatment and current condition.