Abstract
Three reports describing the morbidity resulting from intubation-induced arytenoid cartilage dislocation are presented. Significant factors contributing to such an injury are: retrognathia, dental malocclusion, a large tongue base and intubation inexperience. We advise that in all patients who undergo a difficult intubation the possibility of arytenoid dislocation should be considered. A ventilating bronchoscope should be readily available upon extubation, to deal with any acute airway problem that may arise. Treatment modalities are discussed and the advantages of a combined anaesthetic and ENT approach highlighted.
Full text
PDF



Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Brain A. I. Three cases of difficult intubation overcome by the laryngeal mask airway. Anaesthesia. 1985 Apr;40(4):353–355. doi: 10.1111/j.1365-2044.1985.tb10788.x. [DOI] [PubMed] [Google Scholar]
- Cavo J. W., Jr True vocal cord paralysis following intubation. Laryngoscope. 1985 Nov;95(11):1352–1359. doi: 10.1288/00005537-198511000-00012. [DOI] [PubMed] [Google Scholar]
- Edens E. T., Sia R. L. Flexible fiberoptic endoscopy in difficult intubations. Ann Otol Rhinol Laryngol. 1981 Jul-Aug;90(4 Pt 1):307–309. doi: 10.1177/000348948109000402. [DOI] [PubMed] [Google Scholar]
- Kambic V., Radsel Z. Intubation lesions of the larynx. Br J Anaesth. 1978 Jun;50(6):587–590. doi: 10.1093/bja/50.6.587. [DOI] [PubMed] [Google Scholar]
- Keane W. M., Denneny J. C., Rowe L. D., Atkins J. P., Jr Complications of intubation. Ann Otol Rhinol Laryngol. 1982 Nov-Dec;91(6 Pt 1):584–587. doi: 10.1177/000348948209100609. [DOI] [PubMed] [Google Scholar]
- Prasertwanitch Y., Schwarz J. J., Vandam L. D. Arytenoid cartilage dislocation following prolonged endotracheal intubation. Anesthesiology. 1974 Nov;41(5):516–517. doi: 10.1097/00000542-197411000-00022. [DOI] [PubMed] [Google Scholar]
- Quick C. A., Merwin G. E. Arytenoid dislocation. Arch Otolaryngol. 1978 May;104(5):267–270. doi: 10.1001/archotol.1978.00790050033007. [DOI] [PubMed] [Google Scholar]

