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KMID : 0361020220650110713
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Korean Journal of Otolaryngology - Head and Neck Surgery
2022 Volume.65 No. 11 p.713 ~ p.717
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A Case of Grisel’s Syndrome Following Tonsillectomy and Adenoidectomy
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Jung Ye-Sol
Heo Yoon
Won Jun-Yeon
Lee Woo-Hyun
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Abstract
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Grisel’s syndrome is a non-traumatic atlantoaxial rotatory subluxation for which the underlyingmechanism has not yet been identified. It is known to occur following upper respiratoryinfections, tonsillitis, ear, nose, and throat (ENT) surgeries such as tonsillectomy and adenoidectomy.
The diagnosis of Grisel’s syndrome can be made by plain x-ray, CT scanning, and/orMRI scanning. The first choice of treatment is conservative therapy such as bed rest, musclerelaxation, analgesic therapy, antibiotics, and simple traction. While Grisel’s syndrome occursrarely, delayed treatment may lead to neurological complications or requires surgical treatment.
Early diagnosis and treatment are important in preventing fatal outcome. We report the caseof a 9-year-old male who developed Grisel’s syndrom after tonsillectomy and adenoidectomy.
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KEYWORD
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Adenoidectomy, Atlanto-axial joint, Neck pain, Postoperative complications, Tonsillectomy
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