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Related Experiment Videos

Grisel syndrome after velopharyngoplasty.

Anne Elisabeth Isern1, Acke Ohlin, Lars Göran Strömblad

  • 1Department of Plastic and Reconstructive Surgery, Malmö University Hospital, Malmö, Sweden. anne.isern@stolav.no

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
|April 13, 2004
PubMed
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Grisel syndrome, a rare complication of velopharyngoplasty, involves atlantoaxial dislocation. Prompt diagnosis and treatment, including surgical fixation or traction, lead to favorable outcomes in affected patients.

Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Pediatric Orthopedics

Background:

  • Velopharyngoplasty is a surgical procedure to correct speech disorders.
  • Grisel syndrome is a rare, non-traumatic atlantoaxial dislocation.
  • This condition can occur secondary to upper airway inflammation or surgery.

Observation:

  • Two pediatric patients developed Grisel syndrome following velopharyngoplasty.
  • One patient required open surgical fixation for atlantoaxial instability.
  • The second patient was successfully managed with closed reduction and skull traction.

Findings:

  • Both patients achieved successful recovery with long-term follow-up.
  • Early identification of Grisel syndrome is crucial for effective management.

Related Experiment Videos

  • Treatment strategies should be tailored to individual patient needs.

    • Implications:

    • This case series highlights the importance of recognizing Grisel syndrome post-velopharyngoplasty.
    • Prompt diagnosis and appropriate intervention are key to improving patient prognosis.
    • Further research into preventative measures and optimal treatment protocols is warranted.