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KMID : 0361020160590080604
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Korean Journal of Otolaryngology - Head and Neck Surgery
2016 Volume.59 No. 8 p.604 ~ p.608
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A Case of Atlanto-Axial Joint Subluxation Following Tonsillectomy in Patient of Tonsillar Cancer with Preoperative Radiotherapy: Grisel's Syndrome
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Choi Yoon-Seok
Bae Chang-Hoon
Kim Yong-Dae
Song Si-Youn
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Abstract
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Grisel's syndrome, defined as the atlanto-axial joint subluxation not associated with a trauma or bone disease, is a rare complication following operative procedure and/or infections of the upper aerodigestive tract. Pathogenetically, it may occur in association with any condition that results in hyperemia and pathological relaxation of the transverse ligament of the atlanto-axial joint. When an inflammation heals, Grisel's syndrome can probably result in a fixation in the rotated position. It is diagnosed by physical and radiological findings. Early management, consisting of cervical immobilization and medical treatment, is considered a key factor for satisfactory outcome. Inappropriate treatment can result in a catastrophic consequence. Recently, we experienced a case of Grisel's syndrome following tonsillectomy in a patient with left palatine tonsillar cancer with preoperative radiotherapy. We report this case with a literature review.
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KEYWORD
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Atlanto-axial joint subluxation, Radiotherapy, Tonsillar cancer, Tonsillectomy
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