Arytenoid dislocation after uneventful endotracheal intubation: a case report

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...

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Bibliographic Details
Published in:Korean journal of anesthesiology 2016, 69(1), , pp.93-96
Main Authors: Oh, Tak Kyu, Yun, Jung-Yeon, Ryu, Chang Hwan, Park, Yu Na, Kim, Nam Woo
Format: Article
Language:English
Subjects:
arytenoid cartilage
Case Report
general anesthesia
intubation
마취과학
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Summary: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.
ISSN:2005-6419
2005-7563
DOI:10.4097/kjae.2016.69.1.93