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Atlanto-Axial Subluxation After Adenoidectomy
Isabel Theresia Gross1, Laleh Bahar-Posey
1From the *University of South Florida; and †All Children's Hospital, St Petersburg, FL.
Pediatric Emergency Care
|June 2, 2017
Summary
Atlanto-axial subluxation is a rare complication following otolaryngological procedures. Early diagnosis and conservative management are key for children presenting with neck pain post-surgery.
Area of Science:
- Otolaryngology
- Pediatric Neurosurgery
- Orthopedic Surgery
Background:
- Atlanto-axial subluxation is a rare but serious complication.
- It can occur after otolaryngological procedures, particularly in children.
Observation:
- A 4-year-old child developed neck pain and a tilted head 18 days post-adenoidectomy.
- Clinical presentation mimicked a 'cock-robin' position.
Findings:
- Computed tomography confirmed Fielding type 3 atlanto-axial subluxation.
- Conservative management included a cervical collar, anti-inflammatory medication, and manual reduction under anesthesia.
Implications:
- Highlights the importance of considering atlanto-axial subluxation in children with post-ENT surgery neck pain.
- Emphasizes early diagnosis and intervention to potentially avoid surgical treatment.
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