Image Based Question – 66263

A 6-year-old boy presented to ENT OPD with recurrent URTI, mouth breathing and impaired hearing. The boy was diagnosed as having a condition as shown in the x-ray picture below for which surgery was done and grommet inserted; 1 week after surgery,the boy was again brought to the OPD with torticollis. Which of the following are true about above clinical scenario ?

A. Antlantoaxial subluxation is the cause for his torticollis.

B. The condition is M/C in children with Down’s syndrome.

C. Torticollis is not a complication after adenoid surgery and it is a sheer coincidence.

D. a and b.

Show Answer

Correct Answer » D Explanation

Torticollis can occur as a complication of adenoidectomy due to ligamentous laxity secondary to inflammatory process following adenoidectomy. It is called as Grisel syndrome.

This is M/C in patients of Down syndrome as children with Down’s already have asymptomatic atlantoaxial instability which mani­fests after surgery.