Dislocated arytenoid: an intubation-induced injury. |
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| Authors: | N. S. Tolley T. D. Cheesman D. Morgan G. B. Brookes |
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| Affiliation: | National Hospital for Nervous Diseases, London. |
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| 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. |
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