A Case of Anterior Arytenoid Cartilage Dislocation During Nasal Tracheal Intubation Using an Indirect Video Laryngoscope

Arytenoid cartilage dislocation can occur as a complication of tracheal intubation and laryngeal trauma, but its occurrence with indirect video laryngoscopy has not been reported. This paper reports anterior arytenoid dislocation occurring after nasotracheal intubation performed under indirect laryn...

Full description

Saved in:
Bibliographic Details
Published inAnesthesia progress Vol. 70; no. 4; pp. 191 - 193
Main Authors Fujii-Abe, Keiko, Ikeda, Maho, Yajima, Manami, Kawahara, Hiroshi
Format Journal Article
LanguageEnglish
Published United States Allen Press Inc 01.12.2023
Subjects
Anesthesiology
Cartilage
Dislocation
Extubation
General anesthesia
Intubation
Laryngoscopy
Larynx
Otolaryngology
Speech therapy
Surgery
Tomography
Trauma
Arytenoid cartilage dislocation
General anesthesia
Video laryngoscope
Hoarseness
Indirect laryngoscopy
Tracheal intubation
Online AccessGet full text

Cover

More Information
Summary:Arytenoid cartilage dislocation can occur as a complication of tracheal intubation and laryngeal trauma, but its occurrence with indirect video laryngoscopy has not been reported. This paper reports anterior arytenoid dislocation occurring after nasotracheal intubation performed under indirect laryngoscopy using a video laryngoscope (McGRATH MAC; Medtronic). The dislocation is presumed to have resulted from the laryngoscope blade being initially inserted too deeply and applying pressure to the posterior aspect of the left cricoarytenoid joint. This patient's anterior arytenoid dislocation was treated conservatively using speech therapy with resolution occurring approximately 40 days postoperatively. On the 74th day after surgery, fibroscopic examination confirmed recovery and healing of the dislocation. However, other types of arytenoid dislocations and laryngeal injuries may require alternative treatment. Early consultation with an otolaryngologist is recommended if arytenoid dislocation is suspected.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0003-3006
1878-7177
DOI:10.2344/837325