Durst F, Staudenmaier R, Pilge H, Lauen J, Prodinger P, Holzapfel K, Pickhard A
Hals-Nasen-Ohren-Klinik, Klinikum rechts der Isar der TU München, Ismaninger Str 22, 81675 München.
HNO. 2012 Feb;60(2):135-40. doi: 10.1007/s00106-011-2315-y.
Grisel's syndrome is known as a very rare complication of ENT surgery. It is described as non-traumatic atlantoaxial rotatory subluxation, often seen after tonsillectomy or adenoidectomy in children. Therapy is staged according to the Fielding classification. We report the case of a 9-year-old female patient with Grisel's syndrome after otoplasty. The diagnosis was confirmed by CT scan. Manual reposition was performed under general anaesthesia, followed by temporary immobilization with a Minerva orthesis.
格里塞尔综合征是耳鼻喉科手术中一种非常罕见的并发症。它被描述为非创伤性寰枢椎旋转半脱位,常见于儿童扁桃体切除术或腺样体切除术后。治疗根据菲尔丁分类法分阶段进行。我们报告了一例9岁女性患者在耳整形术后发生格里塞尔综合征的病例。通过CT扫描确诊。在全身麻醉下进行手法复位,随后用密涅瓦支具进行临时固定。