Traumatic atlanto-axial rotatory subluxation after surgical correction of prominent ears: Case report and review of the literature

Macheboeuf, Yvan; Moris, Vivien; Cristofari, S.; Rizzi, P.; See, Leslie-Ann; Beaurain, Jacques; Zwetyenga, N.; Garcı́a-Dorado, David

doi:10.1016/j.jormas.2018.10.016

Cited by 2 publications

(4 citation statements)

References 13 publications

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“…[ 9 10 ] Marked lateral rotation of the head and extension of the neck during the course of positioning for the surgical procedures are the common features of NTARS in patients without previous history of infection. [ 2 ] All reported cases of NTARS were associated with hyperextension of the cervical spine under general anesthesia. [ 2 ] However, our patient underwent bilateral otoplasty under local anesthesia although the head and neck was kept in marked lateral rotation and extension during the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…[ 2 ] All reported cases of NTARS were associated with hyperextension of the cervical spine under general anesthesia. [ 2 ] However, our patient underwent bilateral otoplasty under local anesthesia although the head and neck was kept in marked lateral rotation and extension during the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, we just found four cases of NTRS after otoplasty. [ 2 5 ] The cases reported in the literature showed a good evolution with conservative treatment. Reduction was stable without recurrence of dislocation, and surgical treatment was not necessary as occurred in our patient who needed surgical treatment to solve the problem.…”

Section: Discussionmentioning

confidence: 99%

“…Head-and-neck surgery is the second cause, and adenotonsillectomy is responsible for 31% of NTARS. [ 1 ] Although rare, NTARS was reported in the literature after otoplasty[ 2 ] and only four reports of patients were found in the researched literature: Dubrana et al , Kelly et al , Durst et al (2012), and Macheboeuf et al (2019). [ 2 3 4 5 ] Each author reported one patient with NTARS after otoplasty.…”

Section: Introductionmentioning

confidence: 99%

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Rotational dislocation C1–C2 after otoplasty under local anesthesia

Matos

Pinheiro

Costa

et al. 2020

J Craniovert Jun Spine

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Non-traumatic rotational atlantoaxial subluxation (NTARS) is rare and mostly reported after infection of the upper respiratory tract and named Grisel's syndrome. NTARS has also been reported after head-and-neck surgery, but it is extremely rare after otoplasty. A case of NTARS after bilateral otoplasty is reported under local anesthesia, a 15-year-old female being presented with painful torticollis. The diagnosis of atlantoaxial rotatory subluxation was performed using radiographs and computed tomography 2 weeks after the surgery. Closed reduction was performed by traction of the head and transoral direct pressure over an anterior dislocated C1 mass. The reposition of the joint was achieved, but it was very unstable, and it was not possible to keep the reduction. Open posterior reduction and posterior C1–C2 arthrodesis were performed followed by the use of a soft collar during 3 months.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Rotational dislocation C1–C2 after otoplasty under local anesthesia

Matos

Pinheiro

Costa

et al. 2020

J Craniovert Jun Spine

View full text Add to dashboard Cite

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Atlantoaxial Rotatory Subluxation: A Rare Complication of Craniofacial Surgery

Patel

Yang

Shakir

et al. 2020

Journal of Craniofacial Surgery

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Introduction: Neck pain is common in the post-operative period after craniofacial procedures. If patients present with neck pain and torticollis, it could be a manifestation of atlantoaxial rotatory subluxlation (AARS), which describes a rare condition in which there is lateral displacement of C1 relative to C2. When this occurs in the post-operative patient, it is termed Grisel syndrome. In this case series, we report on 3 patients diagnosed with Grisel syndrome after a craniofacial procedure. Methods: A retrospective chart review of a single craniofacial surgeon at a pediatric hospital was conducted over the last 3 decades. Demographics, procedures performed, and management strategies of AARS were included for review. Results: Three patients were identified who were diagnosed with Grisel syndrome after a craniofacial procedure and required inpatient cervical traction. All patients presented with torticollis within 1 week of their operation. Conservative management was ineffective, and all 3 patients were admitted for inpatient cervical traction, for an average of 13 days followed by an average of 47 days of outpatient therapy. No patients showed any signs of recurrence after removal of outpatient traction device. Conclusion: Grisel syndrome is a rare, but serious complication of craniofacial procedures. Physicians caring for these patients must have a high degree of suspicion if a patient with a recent craniofacial procedure presents with torticollis. Delaying the initiation of therapy has been shown to lead to higher rates of recurrence and increases the likelihood that patients will require surgical intervention.

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Traumatic atlanto-axial rotatory subluxation after surgical correction of prominent ears: Case report and review of the literature

Cited by 2 publications

References 13 publications

Rotational dislocation C1–C2 after otoplasty under local anesthesia

Rotational dislocation C1–C2 after otoplasty under local anesthesia

Atlantoaxial Rotatory Subluxation: A Rare Complication of Craniofacial Surgery

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