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Atlantoaxial Rotatory Fixation after Microtia Reconstruction Surgery
Goro Takada1, Hirotaka Asato1, Kouhei Umekawa1
1Department of Plastic and Reconstructive Surgery, Dokkyo Medical University Hospital, Tochigi, Japan.
Plastic and Reconstructive Surgery. Global Open
|September 3, 2021
Summary
Nontraumatic atlantoaxial rotatory fixation is a rare complication following microtia reconstruction surgery. Early identification of Klippel-Feil syndrome is crucial for preventing this condition.
Area of Science:
- Orthopedics
- Neurosurgery
- Plastic Surgery
Background:
- Nontraumatic atlantoaxial rotatory fixation (AARF) is a rare complication after microtia reconstruction surgery.
- Potential causes include intraoperative cervical hyperextension, excessive rotation, and postoperative inflammation.
Purpose of the Study:
- To describe cases of AARF following microtia reconstruction surgery.
- To highlight the association between AARF and Klippel-Feil syndrome in this patient population.
Main Methods:
- Retrospective study of 80 patients (165 surgeries) undergoing microtia reconstruction.
- Analysis of patient and operation-related variables from medical charts.
- Evaluation of cervical spine abnormalities using neck radiography and CT scans in affected patients.
Main Results:
- Five cases of AARF were identified post-microtia reconstruction.
- Three of the five cases were diagnosed with Klippel-Feil syndrome.
- No significant differences in operative duration or other variables were found between patients with and without AARF. All patients recovered with conservative treatment.
Conclusions:
- Surgeons should consider AARF in patients with neck issues after microtia reconstruction.
- Undiagnosed Klippel-Feil syndrome may be present in microtia patients, increasing AARF risk.
- Preoperative identification of Klippel-Feil syndrome and early detection of AARF are critical.
