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Plastic and Reconstructive Surgery - Global Open:
doi: 10.1097/GOX.0000000000000117
Case Reports

Microtia Reconstruction and Postsurgical Grisel’s Syndrome: A Rare Cause of Torticollis in a Child

Wang, Jay Ching Chieh MD*; Malic, Claudia MD, FRCS (Plast); Reilly, Christopher MD, FRCSC‡§; Verchere, Cynthia MD, FRCSC†¶

Open Access
Canada
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Abstract

Summary: Grisel’s syndrome is an unusual but important cause of torticollis which may be encountered in a pediatric plastic surgery practice, where craniofacial and oropharyngeal surgeries are commonly performed. Grisel’s syndrome is characterized by painful torticollis and limited cervical rotation, and the diagnosis is confirmed via radiologic imaging. Initial management of Grisel’s syndrome is with anti-inflammatories and in some cases antibiotics. In unresolving or recurrent cases, more invasive treatments, such as cervical collar, halo, or surgical arthrodesis, may be considered.

© 2014 American Society of Plastic Surgeons