The patient came with the parents to the clinic 22-August-2012 mentioning that he is unable to to hold the head straight since the birth and physiotherapy did not help. The patient underwent coil embolization for PDA ( patent ductus arteriosus) at 4 months age.

On examination, the patient is neurologically free, but the left SCMM is tight and the patient is unable to turn the face to the right with the chin shifted to the right. The spasm is causing disfigurement of the face and cranium with the left frontal bose almost absent and asymmetrical face. Upon inspection the left SCMM is woody hard.

A 2 cm incision in the left suprasternal region was done to expose the medial border of the left sternocliedomastoid muscle (SCMM). The muscle was bisected from medial to lateral until all the muscle was cut parallel to the sternum. All the tight fibrous bands were also bisected until the surrounding normal anatomical structures were seen. The muscle was hypertrophied and woody thick. Inspection of the medial and lateral attachment of the muscle was negative for any residuals of muscle fibers.

Routine closure of the wound. Smooth postoperative recovery.

The patient have congenital torticollis with deformity of the face and skull. The earlier the intervention, the best results will be.