Recurrent Laryngeal Nerve Paralysis Associated with Cricoarytenoid Subluxation Following General Anesthesia: A case report.
10.4097/kjae.1998.35.5.1018
- Author:
Pil Oh SONG
;
Hun Suck LEE
;
Seong Ho LEE
;
In Kyu KIM
;
Myoung Keun SHIN
- Publication Type:Case Report
- Keywords:
Anatomy: larynx;
Complication: cricoarytenoid subluxation;
recurrent nerve paralysis
- MeSH:
Anesthesia, General*;
Cartilage;
Cholecystectomy;
Denervation;
Early Diagnosis;
Follow-Up Studies;
Hoarseness;
Intubation, Intratracheal;
Laryngeal Muscles;
Laryngoscopes;
Laryngoscopy;
Larynx;
Paralysis*;
Phonation;
Prognosis;
Recurrent Laryngeal Nerve*;
Surgical Instruments;
Vocal Cord Paralysis;
Vocal Cords;
Voice;
Voice Quality
- From:Korean Journal of Anesthesiology
1998;35(5):1018-1022
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Arytenoid subluxation or recurrent laryngeal nerve paralysis may result from injury to the larynx following endotracheal intubation or blunt laryngeal trauma. Early diagnosis is important for appropriate treatment and better prognosis. A 62-years-old man was admitted for cholecystectomy. He was intubated without any difficulty and nasogastric tube was inserted with the help of laryngoscope and Magill forcep before surgery. He had a weak voice and hoarseness after atraumatic extubation and those symptoms did not improve even 2 days after. Indirect laryngoscopy, videolaryngotelescopy, electromyography(EMG) and computed tomographic findings revealed anterior, inferior subluxation of left cricoarytenoid cartilage associated with left thyroarytenoid muscle denervation and resultant unilateral vocal cord palsy. Conservative treatment for 40 days after the operation and follow-up examination was done. The voice quality was improved and indirect laryngoscopy examination showed that right vocal cord crossed midline in a attempt to meet its paralyzed counterpart on phonation.
