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Grisel-Syndrom nach Anthelixplastik

Grisel’s syndrome after otoplasty

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Zusammenfassung

Das Grisel-Syndrom beschreibt eine selten vorkommende, nichttraumatische atlantoaxiale Rotationssubluxation, welche häufig nach Tonsillektomien oder Adenotomien bei Kindern beobachtet werden kann. Die Therapie erfolgt stadiengerecht nach der Klassifikation von Fielding. Wir demonstrieren im Folgenden einen Fall nach einer Anthelixplastik bei einem 9-jährigen Mädchen. Nach Diagnosestellung durch eine Computertomographie der Halswirbelsäule erfolgte die Therapie durch geschlossene Reposition in Narkose und temporäre Ruhigstellung in einer Minerva-Orthese.

Abstract

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

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Authors and Affiliations

  1. Hals-Nasen-Ohren-Klinik, Klinikum rechts der Isar der TU München, Ismaninger Str. 22, 81675, München, Deutschland

    F. Durst, R. Staudenmaier & A. Pickhard

  2. Orthopädische Klinik, Klinikum rechts der Isar der TU München, München, Deutschland

    H. Pilge, J. Lauen & P. Prodinger

  3. Institut für Radiologie, Klinikum rechts der Isar der TU München, München, Deutschland

    K. Holzapfel

Authors
  1. F. Durst
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  2. R. Staudenmaier
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  3. H. Pilge
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  4. J. Lauen
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  5. P. Prodinger
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  6. K. Holzapfel
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  7. A. Pickhard
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Corresponding author

Correspondence to F. Durst.

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Durst, F., Staudenmaier, R., Pilge, H. et al. Grisel-Syndrom nach Anthelixplastik. HNO 60, 135–140 (2012). https://doi.org/10.1007/s00106-011-2315-y

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  • DOI: https://doi.org/10.1007/s00106-011-2315-y

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