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Related Experiment Videos

[Torticollis--an unusual origin].

J H Jensen, E Noring

    Ugeskrift for Laeger
    |April 10, 1989
    PubMed
    Summary
    This summary is machine-generated.

    A prolonged otological operation caused persistent torticollis in an 8-year-old girl due to atlanto-axial subluxation. This complication highlights the risk of head rotation during surgery.

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    Area of Science:

    • Otolaryngology
    • Neurosurgery
    • Pediatric Orthopedics

    Background:

    • A healthy 8-year-old girl underwent a 5-hour otological surgery for left-sided chronic otitis with cholesteatoma.
    • The surgical procedure was technically uncomplicated.

    Observation:

    • Postoperatively, the patient developed persistent torticollis, characterized by the head turning to the right.
    • Diagnostic imaging, including X-ray and CT scans, confirmed atlanto-axial subluxation.

    Findings:

    • The persistent torticollis and atlanto-axial subluxation were attributed to prolonged head rotation during the otological operation.
    • No other causative factors for the subluxation were identified.

    Implications:

    • This case suggests that atlanto-axial subluxation should be considered in the differential diagnosis of torticollis following surgical procedures involving head rotation.

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  • Awareness of this potential complication is crucial for pediatric patients undergoing lengthy otological surgeries.