Surgical therapeutics and operative technique . -Congenital Torticollis: Subcutaneous Tenotomy of Sternal HeadOF Left Sterno-Mastoid. torticollis may be complicated by contraction of the platysma. When thedeviation of the head resists the application of adjusting apparatus andcourses of appropriate exercise, we must have recourse to operation. 170 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE Operation.—The patient is anaesthetized, and the head is firmly heldinclined in the opposite direction, so as to bring the contracted tendon of thesternal head into Fig. 286.—Congeni
Surgical therapeutics and operative technique . -Congenital Torticollis: Subcutaneous Tenotomy of Sternal HeadOF Left Sterno-Mastoid. torticollis may be complicated by contraction of the platysma. When thedeviation of the head resists the application of adjusting apparatus andcourses of appropriate exercise, we must have recourse to operation. 170 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE Operation.—The patient is anaesthetized, and the head is firmly heldinclined in the opposite direction, so as to bring the contracted tendon of thesternal head into Fig. 286.—Congenital Torticollis: Subcutaneous Tenotomy of Sternal Head OF Left Sterno-Mastoid. Diagrammatic sketch showing the tendon raised by the finger, so as to permit itsdivision, either from behind forwards, or from before backwards, without dangerto the subjacent vessels. Subcutaneous Tenotomy of the Sternal Head—Operation—First Stage.—Puncture of the skin on the outer side of the contracted tendon. Second Stage.—^Introduction of a blunt-pointed concave tenotomebeneath the tendon, which is then divided from behind forwards.
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