<p>Grisel’s syndrome is a rare type of non-traumatic subluxation of an atlantoaxial joint characterized by torticollis, neck pain, and reduced neck movement. The common causes of Grisel’s syndrome are head and neck infection or post-otorhinolaryngology (ORL) procedures. We are reporting a case of a 3-year-old boy with a gradual worsening of neck stiffness, neck pain, and restricted neck movement for more than one month. The patient had no history of trauma. The computerized tomographic (CT) showed a retropharyngeal abscess with a bony erosion causing atlantoaxial subluxation. The management and progress of this patient are discussed. The objective of this case report is to emphasize that Grisel’s syndrome should be considered a differential in a painful torticollis to prompt an early diagnosis and treatment to prevent serious neurological complications.</p>
<p class="abstract">Foreign body aspiration is a life-threatening condition that requires immediate attention and intervention. Foreign body aspiration in adults usually occurs during dental procedure or motor vehicle trauma. Classical symptoms include choking, cough, haemoptysis, hoarseness or stridor. This case report presents an incident of a foreign body lodged at the subglottic region in an adult wearing dental prosthesis; the main complaint was hoarseness post motor vehicle accident. High index of suspicion coupled with correct investigation will facilitate the diagnosis of a foreign body in the airway thus immediate intervention can be taken to prevent morbidity and mortality.</p>
Highlights
Hypopharyngeal carcinoma is uncommon and is known to involve thyroid gland.
Thyroid abscess as the initial presentation of hypopharyngeal carcinoma is rare.
Clinicians should have raised index of suspicion of this possible diagnosis to avoid delays in management.
Frontorhiny is a type of frontonasal malformation that also known as median facial cleft syndrome characterised by hypertelorism, wide nasal bridge, short nasal ridge,splayed nasal bone, bifid nasal tip, widened columellar, long philtrum and midline notch in the upper lip. This sporadic congenital disorder is a rare autosomal recessive caused by homozygous mutations of ALX 3 gene, which is important in facial embryogenesis. There were 42 cases reported worldwide from 1980 to 2009, mainly from Brazil (10 cases), followed by London (5 cases), Bahamas (4 cases) and Venezuel a (3 cases). We present the first extremely rare case of frontorhiny in Malaysia, highlighting the clinical features and the surgical outcome. Frontorhiny, ALX-3 related FNM is an extremely rare frontonasal malformation with typical clinical features that presents a surgical reconstructive challenge and some cases may need multi stage surgery.
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