Question
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
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Correct Answer » D Explanation |
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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.