TY - JOUR
T1 - Significance of prevention and early treatment of a postoperative twisted neck
T2 - Atlantoaxial rotatory subluxation after head and neck surgery
AU - Kim, Byeoknyeon
AU - Iwata, Keiko
AU - Sugimoto, Kenji
AU - Suzuki, Shogo
AU - Ema, Yoshiaki
AU - Tsunobuchi, Hironaka
AU - Nishiwaki, Kimitoshi
PY - 2010/8
Y1 - 2010/8
N2 - 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.
AB - 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.
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U2 - 10.1007/s00540-010-0932-3
DO - 10.1007/s00540-010-0932-3
M3 - Article
C2 - 20339878
AN - SCOPUS:78149361859
SN - 0913-8668
VL - 24
SP - 598
EP - 602
JO - Journal of Anesthesia
JF - Journal of Anesthesia
IS - 4
ER -