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BJA Advance Access published online on November 25, 2005
British Journal of Anaesthesia, doi:10.1093/bja/aei281
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Accepted October 17, 2005

Case Report

Arytenoid cartilage dislocation caused by a double-lumen endobronchial tube

I. Mikuni 1 *, A. Suzuki 1, O. Takahata 1, S. Fujita 2, S. Otomo 3, and H. Iwasaki 1

1 Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical College, Asahikawa, Japan
2 Department of Emergency Medicine, Asahikawa Medical College, Asahikawa, Japan
3 Department of Anesthesia, Nayoro City General Hospital, Nayoro, Japan

* To whom correspondence should be addressed.
I. Mikuni, E-mail: subetenakusitamamani{at}yahoo.co.jp


  Abstract

Following surgery requiring the use of a double-lumen endobronchial tube, a patient immediately complained of persistent severe hoarseness. On the third day after the operation, fibreoptic laryngoscopy revealed posterolateral dislocation of the left arytenoid cartilage. By the sixth day of the operation, a slight improvement was observed in the hoarseness without treatment and a spontaneous recovery of arytenoid cartilage dislocation was expected. The patient did not consent to surgical treatment, and therefore a conservative therapy was selected. Ten weeks after the operation, it was found that the dislocated left arytenoid cartilage had spontaneously repositioned and the patient regained his normal voice. The causes and treatment options are discussed.

Keywords: complications, arytenoid dislocation; complications, intubation endobronchial; equipment, tubes double-lumen.
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postintubation cricoarytenoid joint dysfunction
jithesh appukutty
British Journal of Anaesthesia, 28 Sep 2007 [Full text]
Re: postintubation cricoarytenoid joint dysfunction
Ikuomi Mikuni
British Journal of Anaesthesia, 11 Oct 2007 [Full text]

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