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La maladie de Grisel: spontaneous atlantoaxial subluxation
M F Meek1, R A Hermens, P H Robinson
1Department of Plastic Surgery, University Hospital Groningen, The Netherlands. marcelfmeek@hotmail.com
Summary
Grisel's syndrome, a rare atlantoaxial subluxation with torticollis, can occur after pharyngoplasty surgery. This case highlights the need for vigilance regarding this unusual complication following oral cavity or pharynx operations.
Area of Science:
- Otorhinolaryngology
- Neurosurgery
- Pediatric Orthopedics
Background:
- Grisel's syndrome is defined as spontaneous atlantoaxial subluxation with associated torticollis.
- It is a rare complication following operations in the oral cavity or pharynx.
Observation:
- This report details a case of Grisel's syndrome developing after pharyngoplasty surgery.
- The patient presented with symptoms of neck pain and stiffness, common post-operatively, necessitating further investigation.
Findings:
- The study emphasizes the rarity of spontaneous atlantoaxial subluxation post-pharyngoplasty.
- Early recognition of torticollis post-oral/pharyngeal surgery is crucial for diagnosing this complication.
Implications:
- Increased awareness among clinicians is vital for prompt diagnosis and management of Grisel's syndrome.
- Further research into the etiology and optimal treatment strategies for post-operative Grisel's syndrome is warranted.
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