In this study, unipolar myomectomy was used to address limited neck movement and tight muscles in pediatric, adolescent, and adult patients.

A retrospective chart review was performed for patients from January 2006 to February 2023, who were diagnosed with congenital muscular torticollis and underwent a unipolar myomectomy. Outcome evaluation, adapted from the Cheng and Tang system — cervicomandibular angle (CMA), facial asymmetry, cranial asymmetry, tilting limitation (TL), rotation limitation (RL), subjective assessment, and residual contracture — included various parameters scored from 0 to 3 points and categorized as poor, fair, good, or excellent.

In total, the data for 36 patients (21 males and 15 females) were analyzed. Participants were aged 0.8–38 years. Surgery improved CMA, RL, and TL, with no complications (12.2°–1.2°, 18.6°–5.2°, and 17.6°–6.5° for CMA, RL, and TL, respectively; p < 0.001). The mean overall score was comparable among different age groups (2.8 ± 0.5, 2.2 ± 0.62, and 2.1 ± 0.37 for the pediatric, adolescent, and adult groups, respectively).

Overall, unipolar myomectomy is a promising, effective surgical option for individuals of multiple age groups.