title: Atlantoaxial rotatory fixation in a child after bilateral otoplastic surgery.
abstract: Atlantoaxial rotatory fixation (AARF), which is a dislocation or subluxation of the atlantoaxial joint, is a well-recognized condition in children. We present a case of AARF after otoplastic surgery for bilateral cryptotia performed by plastic surgeons. The pediatric patient presented with neck pain and torticollis after the surgery, and an orthopedic surgeon diagnosed AARF. The patient was treated successfully with conservative treatment incorporating mild manual manipulation, neck traction, and a collar for 1.5 months. Physicians should consider the possibility of AARF when a patient presents with neck pain and torticollis after otoplastic surgery; diagnosis and treatment should be started immediately.
authors.affiliation: Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 4668550, Japan.
authors.forename: Ryoji
authors.initials: R
authors.lastname: Tauchi
authors.forename: Shiro
authors.initials: S
authors.lastname: Imagama
authors.forename: Zenya
authors.initials: Z
authors.lastname: Ito
authors.forename: Kei
authors.initials: K
authors.lastname: Ando
authors.forename: Akio
authors.initials: A
authors.lastname: Muramoto
authors.forename: Hiroki
authors.initials: H
authors.lastname: Matsui
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Junichi
authors.initials: J
authors.lastname: Ukai
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Shinjo
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Nakashima
authors.forename: Naoki
authors.initials: N
authors.lastname: Ishiguro
mesh_terms: D001268:Atlanto-Axial Joint / Q000293:injuries*; D002648:Child; D000013:Congenital Abnormalities / Q000601:surgery; D004425:Ear Cartilage / Q000002:abnormalities / Q000601:surgery; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000628:therapy*; D008349:Manipulation, Orthopedic / Q000379:methods*; D019547:Neck Pain / Q000209:etiology; D011183:Postoperative Complications / Q000628:therapy*; D019651:Plastic Surgery Procedures / Q000379:methods; D014103:Torticollis / Q000628:therapy*; D014143:Traction / Q000379:methods*