--- title: "Rose Position" description: "Comprehensive ENT notes on Rose Position - ideal for MBBS and ENT students." source: "The ENT Resident" canonical_url: "https://www.theentresident.com/ent-notes-lectures/rose-position" categories: ["Short Questions in ENT", "Surgery"] video: "https://www.youtube.com/watch?v=CRdfwEEgsIE" image: "https://media.theentresident.com/og-images/rose-position.png" --- # Rose Position Comprehensive ENT notes on Rose Position - ideal for MBBS and ENT students. Watch the full video lecture on YouTube: https://www.youtube.com/watch?v=CRdfwEEgsIE ## 🌹 Rose’s Position – ENT Surgical Position Explained Rose’s position is a **commonly used surgical position in ENT**, especially during **oropharyngeal surgeries**. It is a **high yield viva and MCQ topic**, frequently asked in relation to tonsillectomy and adenoidectomy. --- ### What is Rose’s Position? Rose’s position is a **supine surgical position** in which the **head is extended at the atlanto occipital joint** to provide optimal exposure of the oropharynx. --- ### How is Rose’s Position attained? - The patient is placed **supine** - A **sandbag or head ring** is placed under the **shoulders**. This causes: - Extension of the neck - Slight backward tilt of the head - The **head is extended at the atlanto-occipital joint** ➡️ This configuration is known as **Rose’s position**. > What is the purpose of Rose's Position? --- ### Surgeries Where Rose’s Position is Used - Tonsillectomy (most common) - Adenoidectomy - Uvulopalatopharyngoplasty (UPPP) for obstructive sleep apnea - Palatal surgeries - Cleft palate repair - Pharyngoplasty - Oropharyngeal tumor excision - Base of tongue surgeries - Oral cavity tumor resection - Foreign body removal from oropharynx - Microlaryngeal surgeries > What are the Precautions you should take while Using Rose’s Position? --- ### Contraindications of Rose’s Position **1️⃣ Cervical Spine Instability or Trauma** - Atlantoaxial dislocation - Cervical spine injury - Rheumatoid arthritis ➡️ Risk of **spinal cord injury** **2️⃣ Congenital Cervical Spine Anomalies** - **Down syndrome** (atlantoaxial instability) - ⚠️ **Very important MCQ point** **3️⃣ Severe Kyphosis or Spinal Deformities** - Neck extension may not be possible or safe **4️⃣ Severe Obstructive Sleep Apnea** - Excessive neck extension can **worsen airway obstruction** under anesthesia **5️⃣ Raised Intracranial Pressure** - Neck extension → venous congestion - Can worsen **cerebral edema** --- ### 📌 Key Exam Points - Extension occurs at **atlanto-occipital joint** - Used mainly for **oropharyngeal surgeries** - **Down syndrome** is a classic contraindication (Important MCQ) --- ## About This Note This note on Rose Position is one of the free ENT study notes published by The ENT Resident. It is free to read on the website, and it is paired with a full video lecture on YouTube. This note is categorized under [Short Questions in ENT](https://www.theentresident.com/ent-notes-lectures/category/short-questions-in-ent.md) and [Surgery](https://www.theentresident.com/ent-notes-lectures/category/surgery.md). Each category page lists all the free ENT notes on that topic. Canonical page of this note: https://www.theentresident.com/ent-notes-lectures/rose-position When citing or referencing this content, please credit The ENT Resident and link to the canonical page above. ## About The ENT Resident The ENT Resident is a free library of ENT notes and video lectures created by Dr. Mausumi Das (MS ENT), the ENT doctor and educator behind The ENT Resident YouTube channel (https://www.youtube.com/c/TheENTResident). These notes are written for ENT residents, ENT postgraduates preparing for exams, and MBBS students, to help them learn ENT clearly and score well. 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Other contact options are on the contact page: https://www.theentresident.com/contact.md ## Related ENT Notes & Lectures #### Short Questions in ENT - [Acute Mastoiditis VS Furunculosis](https://www.theentresident.com/ent-notes-lectures/acute-mastoiditis-furunculosis.md) - [Adenoid Facies](https://www.theentresident.com/ent-notes-lectures/adenoid-facies.md) - [Adult vs Pediatric Larynx](https://www.theentresident.com/ent-notes-lectures/adult-vs-pediatric-larynx.md) - [Antrochoanal Polyp vs Ethmoidal Polyp](https://www.theentresident.com/ent-notes-lectures/antrochoanal-vs-ethmoidal-polyp.md) - [Cottle’s Areas](https://www.theentresident.com/ent-notes-lectures/cottle-area.md) - [Cottle's Classification of Deviated Nasal Septum](https://www.theentresident.com/ent-notes-lectures/cottle-classification-dns.md) - [Cottle’s Line](https://www.theentresident.com/ent-notes-lectures/cottle-line.md) - [False Negative Rinne Test Explained](https://www.theentresident.com/ent-notes-lectures/false-negative-rinne-test.md) - 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