Korean J Anesthesiol.  1998 Apr;34(4):857-862. 10.4097/kjae.1998.34.4.857.

Dislocation of Cricoarytenoid Cartilage after Inadvertent Extubation with Cuff Inflation: A Case Report

• Kim BI
• Lee JS
• Shon JH
• Chung H

• KMID: 2039882
• DOI: http://doi.org/10.4097/kjae.1998.34.4.857

Abstract

Dislocation of cricoarytenoid cartilage (CAC) is one of rare but serious complications of endotracheal intubation. A 46-year-old woman was admitted for removal of hypoglossal neurinoma. To maintain the airway a few more days, the authors changed orotracheal intubation into nasotracheal intubation after operation. But accidently the patient removed the nasotracheal tube with ballooning state by herself twice in the intensive care unit. One day later she was ambulatory and complained of swallowing difficulties, hoarseness, frequent coughing and respiratory difficulty due to repeated aspiration. So, videostrobolaryngoscopy and electromyelography were performed and the authors diagnosed bilateral posterior displacement of CAC due to forceful removal of the nasotracheal tube in ballooned state. Emergency operation for reduction of CAC was performed. Left side was reduced successfully but right side reduction was failed. Tracheostomy was done to maintain respiratory hygine. Fifty-five days after operation the patient was discharged in improved state. In case of dislocation of CAC, early diagnosis and reduction is mandatory.

Keyword

Airway: extubation; Anatomy: cricoarytenoid; Complication: cricoarytenoid dislocation

MeSH Terms

Cartilage*
Cough
Deglutition
Dislocations*
Early Diagnosis
Emergencies
Female
Hoarseness
Humans
Inflation, Economic*
Intensive Care Units
Intubation
Intubation, Intratracheal
Middle Aged
Neurilemmoma
Tracheostomy