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Journal of Stomatology Oral and Maxillofacial Surgery
Volume 120, n° 2
pages 157-159 (avril 2019)
Doi : 10.1016/j.jormas.2018.10.016
Received : 10 August 2018 ;  accepted : 28 October 2018
Case Reports

Traumatic atlanto-axial rotatory subluxation after surgical correction of prominent ears: Case report and review of the literature

Y. Macheboeuf a, V. Moris a, S. Cristofari b, P. Rizzi a, L.-A See a, J. Beaurain c, N. Zwetyenga a, d, D. Guillier a,
a Dijon university hospital, department of plastic reconstructive and hand surgery, department of oral and maxillofacial surgery, boulevard de Lattre de Tassigny 21000, Dijon, France 
b Plastic and reconstructive department, AP–HP, hôpital Saint-Louis, 75010, Paris, France 
c Dijon university hospital, department of neurological surgery, boulevard de Lattre de Tassigny 21000, Dijon, France 
d University of Burgundy and Franche-Comté, Lipid nutrition cancer team NuTox, UMR866, boulevard Jeanne-d’Arc, 21000, Dijon, France 

Corresponding author.

Corrective surgery of prominent ears may be justified for social or aesthetic reasons during childhood or adulthood. Post-operative complications occur in approximately 0 to 8.4% of cases. This case describes a rare atlanto-axoid rotatory subluxation after bilateral surgical correction of prominent ears under general anesthesia. Orthopedic treatment was done after two months of medical roaming outside of our center. The one-year post-operative clinic consultation and radiological exam were normal. Only the psychological impact of the episode remained. Traumatic atlanto-axial rotatory subluxation is a rare complication but should be considered after post-operative torticollis in order to aid with diagnosis and allow doctors to implement the appropriate course of treatment.

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Keywords : Atlanto-axial subluxation, Otoplasty, Prominent ears

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