• Anaesth Intensive Care · Sep 2009

    Case Reports

    Arytenoid subluxation after a difficult intubation treated successfully with voice therapy.

    • V Tan and S Seevanayagam.
    • Department of Anaesthesia, The Northern Hospital, Epping, Victoria, Australia.
    • Anaesth Intensive Care. 2009 Sep 1;37(5):843-6.

    AbstractArytenoid subluxation is a rare laryngeal injury that may follow instrumentation of the airway and present as hoarseness, vocal fatigue, stridor, dysphagia, odynophagia and sore throat. We report the case of an 88-year-old man with type 2 diabetes mellitus who developed this complication during a difficult intubation where a Macintosh laryngoscope and gum elastic bougie were used to facilitate intubation. Previously considered to play a minor role in treatment, voice therapy was used successfully in this patient to correct subluxation of the arytenoid, with prompt resolution of his symptoms.

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