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[Grisel's syndrome after otoplasty].
F Durst1, R Staudenmaier, H Pilge
1Hals-Nasen-Ohren-Klinik, Klinikum rechts der Isar der TU München, Ismaninger Str 22, 81675 München. f.durst@lrz.tum.de
HNO
|April 23, 2011
Summary
Grisel's syndrome, a rare ENT surgery complication, can occur after otoplasty. This case details manual repositioning and immobilization for a pediatric patient, highlighting a novel treatment approach.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Orthopedic Surgery
Background:
- Grisel's syndrome is a rare, non-traumatic atlantoaxial rotatory subluxation, typically following tonsillectomy or adenoidectomy in children.
- Treatment protocols are guided by the Fielding classification system.
Observation:
- A 9-year-old female patient developed Grisel's syndrome subsequent to otoplasty.
- Computed Tomography (CT) scans confirmed the diagnosis of atlantoaxial rotatory subluxation.
Findings:
- The patient underwent manual repositioning under general anesthesia.
- Temporary immobilization was achieved using a Minerva orthosis.
Implications:
- This case expands the known spectrum of ENT surgical procedures associated with Grisel's syndrome.
- Highlights the importance of considering Grisel's syndrome in pediatric patients presenting with neck pain or stiffness post-otoplasty.
- Suggests manual repositioning and external immobilization as viable therapeutic options for Grisel's syndrome post-otoplasty.
