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Anatomy of Pharynx

Question
21 out of 24
 

A 6-year-old boy presented to ENT OPD with recurrent URTI, mouth breathing and impaired hearing. The boy was diagnosed as having adenoid hypertrophy for which adenoidectomy 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.? [NEET Pattern]



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 Adenoidectomy should not have been done in the patient as adenoids would have spontaneously regressed

Ans. A and B. Antlantoaxial subluxation is the cause for his torticollis and the condition is M/C in children with Down's syndrome. Ref. Curent otolaryngology 3rdled p 363 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 mani¬fests after surgery.

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