Anesthetic management of immediate curative effect observation during arytenoid cartilage reduction under general anesthesia
10.16066/j.1672-7002.2025.03.008
- VernacularTitle:全麻下杓状软骨复位术中即时疗效观察的麻醉管理
- Author:
Jun SHI
1
;
Lijing MA
;
Yang XIAO
;
Chunhua XI
;
Yihui GUO
;
Jun WANG
Author Information
1. 首都医科大学附属北京同仁医院麻醉科,北京 100730
- Keywords:
Arytenoid Cartilages;
joint dislocation;
voice disorder;
general anesthesia;
reduction
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2025;32(3):175-178
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To investigate the improved anesthesia method of arytenoid cartilage reduction under general anesthesia in the treatment of arytenoid dislocation.METHODS The clinical data of 12 patients who underwent modified arytenoid cartilage reduction under general anesthesia in Beijing Tongren Hospital from July 2020 to March 2024 were retrospectively analyzed.To evaluate and analyze the modified anesthesia method of maintaining low degree of neuromuscular block during operation,the recovery of arytenoid cartilage movement and sound after operation.RESULTS All the 12 patients successfully completed arytenoid cartilage reduction.The articulation,arytenoid movement and glottis closure were improved significantly.Compared with the total voice handicap index(VHI),physical scores,functional scores and emotional scores before reduction,the scores at 1 month after surgery were significantly lower[83.5(75-91)vs.13(7-19),30.5(26.5-33)vs.5.5(3-7),25.5(22.5-29)vs.4(2-6),26(23.5-30)vs.4(1.5-6),P<0.001].No complications such as laryngeal spasm and laryngeal edema occurred during perioperative period.CONCLUSION Arytenoid cartilage reduction under modified general anesthesia has high safety,good patient cooperation and high reduction success rate.It provides a new option for the treatment of arytenoid dislocation.
