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STUDENTS CORNER
Year : 2017  |  Volume : 7  |  Issue : 2  |  Page : 43-45

Arytenoid dislocation subsequent to difficult intubation


Department of ENT, D. Y. Patil Hospital and Research Centre, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Anjali Venugopal
701-A Wing, Apsara Building, Plot No. 51, Sector-17, Vashi, Navi Mumbai - 400 703, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jlv.JLV_8_18

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Dislocation of arytenoid cartilage from the crico-arytenoid joint is an uncommon complication due to intubation of larynx. In many cases, it is frequently mistaken as vocal cord paresis, laryngospasm, or laryngeal edema. Early diagnosis of the arytenoid dislocation and prompt treatment with reduction is crucial to avoid the need for more invasive methods and for a better prognosis of the condition. We report the case of a 50-year-old male with arytenoid dislocation following an uneventful coronary artery bypass graft surgery. He complained of persistent hoarseness following 15 days of the surgery. On fiber-optic laryngoscopic examination, the right vocal cord was immobile with minimal movement of arytenoid. A surgical reduction was performed by the otolaryngologist. The patient was relieved of the symptom postreduction.


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