Arytenoid dislocation after uneventful endotracheal intubation: a case report.
10.4097/kjae.2016.69.1.93
- Author:
Tak Kyu OH
1
;
Jung Yeon YUN
;
Chang Hwan RYU
;
Yu Na PARK
;
Nam Woo KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, National Cancer Center, Goyang, Korea. yaeppun@korea.com
- Publication Type:Case Report
- Keywords:
Arytenoid cartilage;
General anesthesia;
Intubation
- MeSH:
Anesthesia, General;
Arytenoid Cartilage;
Dislocations*;
Early Diagnosis;
Female;
Gynecologic Surgical Procedures;
Hoarseness;
Humans;
Intubation;
Intubation, Intratracheal*;
Middle Aged;
Prognosis;
Vocal Cords
- From:Korean Journal of Anesthesiology
2016;69(1):93-96
- CountryRepublic of Korea
- Language:English
-
Abstract:
Arytenoid dislocation is an unusual complication of endotracheal intubation. We reported a case of a 48-year-old female with arytenoid dislocation after uneventful endotracheal intubation, which was successfully treated with arytenoid reduction. The patient complained of persistent hoarseness until the fourth day after an uneventful gynecologic surgery under general anesthesia. On laryngoscopic examination, paralyzed left vocal cord with minimal arytenoid movement was observed. An anteromedial dislocation of the left arytenoid cartilage was suspected and surgical reduction was performed by the laryngologist. The hoarseness was immediately resolved after surgical intervention. Anesthesiologists should be careful not to cause laryngeal trauma in anesthetized patients. In addition, early diagnosis and prompt surgical reduction are essential for a better prognosis for arytenoid dislocation.
