Atlantoaxial rotatory fixation in a child after bilateral otoplastic surgery

  • Ryoji Tauchi
  • Shiro Imagama
  • Zenya Ito
  • Kei Ando
  • Akio Muramoto
  • Hiroki Matsui
  • Tomohiro Matsumoto
  • Junichi Ukai
  • Kazuyoshi Kobayashi
  • Ryuichi Shinjo
  • Hiroaki Nakashima
  • Naoki Ishiguro
Up-to date Review and Case Report

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.

Keywords

Atlantoaxial rotatory fixation Child Otoplasty Conservative treatment 

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Copyright information

© Springer-Verlag France 2013

Authors and Affiliations

  • Ryoji Tauchi
    • 1
  • Shiro Imagama
    • 1
  • Zenya Ito
    • 1
  • Kei Ando
    • 1
  • Akio Muramoto
    • 1
  • Hiroki Matsui
    • 1
  • Tomohiro Matsumoto
    • 1
  • Junichi Ukai
    • 1
  • Kazuyoshi Kobayashi
    • 1
  • Ryuichi Shinjo
    • 1
  • Hiroaki Nakashima
    • 1
  • Naoki Ishiguro
    • 1
  1. 1.Department of Orthopaedic SurgeryNagoya University Graduate School of MedicineNagoyaJapan

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