Pyogenic Atlanto-Axial Instability after Tonsillectomy and Adenoidectomy

Kook, Joong Ho; Yu, Young Chae; Cho, Jae Shik

doi:10.35420/jcohns.1996.7.1.164

J Clin Otolaryngol Head Neck Surg 1996; 7(1):164-169

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1996.7.1.164

원저

편도와 아데노이드 절제술에 합병된 화농성 환축추간 불안정성

국중호¹, 유영채¹, 조재식¹

Pyogenic Atlanto-Axial Instability after Tonsillectomy and Adenoidectomy

Joong Ho Kook¹, Young Chae Yu¹, Jae Shik Cho¹

Author Information & Copyright ▼

¹전남대학교 의과대학 이비인후과학교실

¹Department of Otolaryngology, College of Medicine, Chonnam National University, Kwangju, Korea

© Copyright 1996 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Atlanto-axial instability occurred after tonsillectomy and adenoidectomy due to the inflammatory laxity of the anterior transverse ligament between the 1st and the 2nd cervical vertebrae, which brings about severe neck pain with stiffness and limitation of the range of motion of the head is very rare.

Recently we experienced two cases of atlantoaxial instability. One happened to a 29-year old male after tonsillectomy under local infiltrative anesthesia, was treated with posterior spinal fusion. The other, happened to a 4-year-old patient after tonsillectomy and adenoidectomy under general anesthesia, was treated by the conservative treatment.

We report these cases with a literative review.

Keywords: Atlanto-axial instability; Tonsillectomy; Adenoidectomy

편도와 아데노이드 절제술에 합병된 화농성 환축추간 불안정성

ABSTRACT

(최종) 35권 4호 Quiz 및 정답, 해설