[Grisel's syndrome after otoplasty]

HNO. 2012 Feb;60(2):135-40. doi: 10.1007/s00106-011-2315-y.
[Article in German]


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.

Publication types

  • Case Reports

MeSH terms

  • Atlanto-Axial Joint / diagnostic imaging
  • Atlanto-Axial Joint / injuries*
  • Child
  • Diagnosis, Differential
  • Ear, External / surgery*
  • Female
  • Humans
  • Image Interpretation, Computer-Assisted
  • Joint Dislocations / diagnosis*
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / therapy
  • Multidetector Computed Tomography
  • Plastic Surgery Procedures / adverse effects*
  • Postoperative Complications / diagnostic imaging*
  • Postoperative Complications / therapy
  • Reoperation
  • Syndrome
  • Torticollis / diagnostic imaging*
  • Torticollis / etiology
  • Torticollis / therapy