NEONATAL TORTICOLLIS

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Abstract
Chandler1has for a number of years espoused the idea that there is a close relationship between the fibrous tumors of the sternocleidomastoid seen in the neonatal infant and the classical muscular torticollis of older children. These fibromas are seen in infants between 2 weeks and 2 months of age as firm, discrete masses lying within the sternocleidomastoid muscle. They are seldom present at birth but develop rapidly in the neonatal period. They usually disappear spontaneously in four to eight months if not removed, but their disappearance is generally not the end of the problem. While the tumor is present, or after its disappearance, certain changes take place similar to those seen in older children with torticollis. The head is turned away from the affected side due to the shortening of the sternocleidomastoid muscle. A facial asymmetry occurs, with the unaffected side being prominent and full. The cranium also

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