Infection of the spheno-occipital synchondrosis: A morbid complication following adenoidectomy

Int J Pediatr Otorhinolaryngol. 2018 Aug;111:59-62. doi: 10.1016/j.ijporl.2018.05.012. Epub 2018 May 28.


Two 2-year-old males presented post-operatively following adenoidectomy with persistent fever and neck stiffness. After multiple office visits, both patients were admitted and found to have a widened spheno-occipital synchondrosis and other imaging findings indicative of skull base osteomyelitis. Treatment with antibiotics allowed for recovery with good long-term outcomes. Infection involving the spheno-occiptal synchondrosis is rare and its circuitous presentation of these two children no doubt led to delayed diagnosis.

Keywords: Adenoidectomy; Complication; Osteomyelitis; Pediatric otolaryngology; Skull base infection; Spheno-occipital synchondrosis.

Publication types

  • Case Reports

MeSH terms

  • Adenoidectomy*
  • Child, Preschool
  • Humans
  • Male
  • Occipital Bone*
  • Osteomyelitis / diagnosis*
  • Osteomyelitis / etiology
  • Postoperative Complications / diagnosis*
  • Skull Base*
  • Sphenoid Bone*