To see views enlarged, click on the individual pictures...

This four-year-old boy had surgery to treat the abnormal head posture shown here.  According to the parents it was not successful.  The boy’s left head tilt remained the same.  They reported that the surgery was done on his neck.

1.	What type of surgery do you think the boy had?
	a. weakening of the right sternocliedomastoid b. weakening of the left sternocliedomastoid c. weakening of the left massitor muscle d.  right facial muscle transfer e. none of the above
2.	What would you expect to happen when his head is tilted to the right?
	a. the right eye moves down b. the left eye moves up c. the right eye moves up d.  nothing happens to change the alignment of the eyes
3.	Of the following, what would be the most likely anomaly to be present in this boy?
	a. a missing right inferior oblique b. a missing left superior rectus c. a lax right superior oblique tendon d.  a lax left superior oblique tendon e. none of the above

For answers to the above, click here on or after October 2, 2007.