Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-22T17:43:16.758Z Has data issue: false hasContentIssue false
  • English
  • Français

A promising new technique for closed reduction of arytenoid dislocation

Published online by Cambridge University Press:  15 December 2011

V Leelamanit  and
W Sinkijcharoenchai
V Leelamanit*
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Prince of Songkla University, Songkla, Thailand
W Sinkijcharoenchai
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Prince of Songkla University, Songkla, Thailand
*
Address for correspondence: Dr Vitoon Leelamanit, Department of Otolaryngology, Faculty of Medicine, Prince of Songkla University, Hat-Yai, Songkla 90110, Thailand Fax: +66 74 429620 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

To study the effect of a new technique for closed reduction of dislocated arytenoids.

Methods:

The study included 21 females (72.4 per cent) and eight males (27.6 per cent) with a diagnosis of arytenoid dislocation. There were 18 cases of left arytenoid dislocation and 11 of right arytenoid dislocation.Twenty-eight cases had anteromedial dislocation and one had posterolateral dislocation. All patients were treated with closed reduction using custom-made metal rods and an operating microscope, under general anaesthesia.

Results:

Post-operatively, 21 patients’ voices returned completely to normal (including full vocal fold mobility), five had an improved voice and three failed to show any improvement. There were no post-operative complications.

Conclusion:

This new closed reduction technique is a safe procedure for patients with dislocated arytenoids. It is repeatable and the outcome is reliable and effective. Closed reduction can be a useful treatment for arytenoid dislocation.

Keywords

Arytenoid CartilageDislocationsTraumaIntubation, EndotrachealSurgical Procedures, Operative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 2 , February 2012 , pp. 168 - 174
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Niwa, Y, Nakae, A, Ogawa, M, Takashina, M, Hagihira, S, Ueyama, H et al. Arytenoid dislocation after cardiac surgery. Acta Anaesthesiol Scand 2007;51:1397–400CrossRefGoogle ScholarPubMed
2Mikuni, I, Suzuki, A, Takahata, O, Fujita, S, Otomo, S, Iwasaki, H. Arytenoid cartilage dislocation caused by a double-lumen endobronchial tube. Br J Anaesth 2006;96:136–8CrossRefGoogle ScholarPubMed
3Rubin, AD, Hawkshaw, MJ, Moyer, CA, Dean, CM, Sataloff, RT. Arytenoid cartilage dislocation: a 20-year experience. J Voice 2005;19:687–701CrossRefGoogle Scholar
4Sataloff, RT, Bough, ID Jr, Spiegel, JR. Arytenoid dislocation: diagnosis and treatment. Laryngoscope 1994;104:1353–61CrossRefGoogle ScholarPubMed
5Sataloff, RT, Hawkshaw, MJ, Spiegel, JR. Complex bilateral arytenoid dislocation. Ear Nose Throat J 1999;78:230–2CrossRefGoogle ScholarPubMed
6Sataloff, RT, Spiegel, JR, Heuer, RJ, Hawkshaw, MJ. Pediatric anterior arytenoid dislocation. Ear Nose Throat J 1995;74:454–6CrossRefGoogle ScholarPubMed
7Roberts, D, McQuinn, T, Beckerman, RC. Neonatal arytenoid dislocation. Pediatrics 1988;81:580–2CrossRefGoogle ScholarPubMed
8Rosenberg, MK, Rontal, E, Rontal, M, Lebenbom-Mansour, M. Arytenoid cartilage dislocation caused by a laryngeal mask airway treated with chemical splinting. Anesth Analg 1996;83:1335–6CrossRefGoogle ScholarPubMed
9Rontal, E, Rontal, M. Botulinum toxin as an adjunct for the treatment of acute anteromedial arytenoid dislocation. Laryngoscope 1999;109:164–6CrossRefGoogle ScholarPubMed
10Talmi, YP, Wolf, M, Bar-Ziv, J, Nusem-Horowitz, S, Kronenberg, J. Postintubation arytenoid subluxation. Ann Otol Rhinol Laryngol 1996;105:384–90CrossRefGoogle ScholarPubMed
11Stack, BC Jr, Ridley, MB. Arytenoid subluxation from blunt laryngeal trauma. Am J Otolaryngol 1994;15:68–73CrossRefGoogle ScholarPubMed
12Quick, CA, Merwin, GE. Arytenoid dislocation. Arch Otolaryngol 1978;104:267–70CrossRefGoogle ScholarPubMed
13Dudley, JP, Mancuso, AA, Fonkalsrud, EW. Arytenoid dislocation and computed tomography. Arch Otolaryngol 1984;110:483–4CrossRefGoogle ScholarPubMed
14Faries, PL, Martella, AT. Arytenoid dislocation. Otolaryngol Head Neck Surg 1996;115:160–2CrossRefGoogle ScholarPubMed
15Hogikyan, ND, Wodchis, WP, Terrell, JE, Bradford, CR, Esclamado, RM. Voice-related quality of life (V-RQOL) following type I thyroplasty for unilateral vocal fold paralysis. J Voice 2000;14:378–86CrossRefGoogle ScholarPubMed
16Hoffman, HT, Brunberg, JA, Winter, P, Sullivan, MJ, Kileny, PR. Arytenoid subluxation: diagnosis and treatment. Ann Otol Rhinol Laryngol 1991;100:1–9CrossRefGoogle ScholarPubMed
17Alexander, AE Jr, Lyons, GD, Fazekas-May, MA, Rigby, PL, Nuss, DW, David, L et al. Utility of helical computed tomography in the study of arytenoid dislocation and arytenoid subluxation. Ann Otol Rhinol Laryngol 1997;106:1020–3Google Scholar
18Rontal, E, Rontal, M, Silverman, B, Kileny, PR. The clinical differentiation between vocal cord paralysis and vocal cord fixation using electromyography. Laryngoscope 1993;103:133–7CrossRefGoogle ScholarPubMed
19Yin, SS, Qiu, WW, Stucker, FJ. Value of electromyography in differential diagnosis of laryngeal joint injuries after intubation. Ann Otol Rhinol Laryngol 1996;105:446–51CrossRefGoogle ScholarPubMed
20Senoglu, N, Oksuz, H, Ugur, N, Dogan, Z, Kahraman, A. Arytenoid dislocation related to an uneventful endotracheal intubation: a case report. Cases J 2008;1:251CrossRefGoogle Scholar
21Kasperbauer, JL. A biomechanical study of the human cricoarytenoid joint. Laryngoscope 1998;108:1704–11CrossRefGoogle ScholarPubMed
22Paulsen, FP, Rudert, HH, Tillmann, BN. New insights into the pathomechanism of postintubation arytenoid subluxation. Anesthesiology 1999;91:659–66CrossRefGoogle ScholarPubMed
23Hiong, YT, Fung, CF, Sudhaman, DA. Arytenoid subluxation: implications for the anaesthetist. Anaesth Intensive Care 1996;24:609–10CrossRefGoogle ScholarPubMed