title: Evaluation of persistent torticollis following adenoidectomy.
abstract: Post-operative neck complaints are not an uncommon finding following adenotonsillectomy. However, non-traumatic subluxation of the atlantoaxial joint (Grisel's syndrome) should be considered in cases of persistent neck pain and stiffness. An early diagnosis and adequate treatment of this rare condition is mandatory to prevent potentially serious complications. We describe three cases with persistent torticollis in the post-operative period, discuss the pathogenesis and evaluate the clinical management of these patients.
authors.affiliation: Department of Otorhinolaryngology, Kantonsspital Liestal, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Kraft
authors.forename: K
authors.initials: K
authors.lastname: Tschopp
mesh_terms: D000233:Adenoidectomy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001268:Atlanto-Axial Joint; D002648:Child; D002908:Chronic Disease; D004564:Electrocoagulation / Q000009:adverse effects; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000188:drug therapy / Q000473:pathology; D008297:Male; D011184:Postoperative Period; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D014103:Torticollis / Q000188:drug therapy / Q000473:pathology*
chemical_list: D000900:Anti-Bacterial Agents