Anesth Pain Med.  2007 Apr;2(2):78-81.

Airway Management of a Pediatric Patient with Interarytenoid Adhesion : A case report

Affiliations
  • 1Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Busan, Korea. jykwon@pusan.ac.kr

Abstract

Interarytenoid adhesion is a rare complication associated with endotracheal intubation. The vocal cord is fixed to arytenoid cartilage and the movement of vocal cord is limited. Its clinical symptoms are dyspnea and hoarseness, so sometimes it is mistaken for bilateral vocal cord palsy because of its clinical features. We have experienced unanticipated failed intubation followed by hypoxia in interarytenoid adhesion who was scheduled for emergency tracheotomy due to bilateral vocal cord palsy. After failure of cricothyroidotomy, patient was successfully ventilated with jet injector and tracheotomy was done without complication.

Keyword

interarytenoid; adhesion; jet; injector; vocal; cord; palsy

MeSH Terms

Airway Management*
Anoxia
Arytenoid Cartilage
Dyspnea
Emergencies
Hoarseness
Humans
Intubation
Intubation, Intratracheal
Paralysis
Tracheotomy
Vocal Cord Paralysis
Vocal Cords
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