Document Detail

Significance of prevention and early treatment of a postoperative twisted neck: atlantoaxial rotatory subluxation after head and neck surgery.
MedLine Citation:
PMID:  20339878     Owner:  NLM     Status:  MEDLINE    
Atlantoaxial rotatory subluxation (AARS) is an infrequent condition that occurs most commonly in children for unknown reasons. Pediatric surgery, otopharyngeal inflammation, general anesthesia, and extreme rotation of the head are risk factors for development of postsurgical AARS, but AARS can often occur unnoticed, and the syndrome is not well known. We encountered three cases of postoperative AARS that occurred within 7 months; therefore, we have developed guidelines for prevention and early treatment of postoperative AARS. Postoperative AARS cannot be eliminated completely, but informed consent, a preoperative check, an appropriate surgical position, and a postoperative check may reduce the risk and damage related to this condition.
Byeoknyeon Kim; Keiko Iwata; Kenji Sugimoto; Shogo Suzuki; Yoshiaki Ema; Hironaka Tsunobuchi; Kimitoshi Nishiwaki
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-03-26
Journal Detail:
Title:  Journal of anesthesia     Volume:  24     ISSN:  1438-8359     ISO Abbreviation:  J Anesth     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-05     Completed Date:  2010-12-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8905667     Medline TA:  J Anesth     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  598-602     Citation Subset:  IM    
Department of Anesthesiology, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, 466-8550, Japan.
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MeSH Terms
Atlanto-Axial Joint*
Dislocations / etiology,  prevention & control*,  therapy
Postoperative Complications / etiology,  prevention & control*,  therapy

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