Korean J Anesthesiol.  2016 Feb;69(1):93-96. 10.4097/kjae.2016.69.1.93.

Arytenoid dislocation after uneventful endotracheal intubation: a case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, National Cancer Center, Goyang, Korea. yaeppun@korea.com
  • 2Head and Neck Oncology Clinic, Center for Specific Organ Cancer and Center for Thyroid Cancer, National Cancer Center, Goyang, Korea.

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.

Keyword

Arytenoid cartilage; General anesthesia; Intubation

MeSH Terms

Anesthesia, General
Arytenoid Cartilage
Dislocations*
Early Diagnosis
Female
Gynecologic Surgical Procedures
Hoarseness
Humans
Intubation
Intubation, Intratracheal*
Middle Aged
Prognosis
Vocal Cords
Full Text Links
  • KJAE
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr