33. A CASE REPORT: A SUCCESSFUL APPLICATION OF THE NEW “A NOVEL FIVE-STEP REDUCTION TECHNIQUE ARYTENOID DISLOCATION” UNDER ENDOSCOPY AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL IN 2024
Main Article Content
Abstract
The arytenoid disarticulation is a rare clinical condition, often occurring as a secondary complication after endotracheal intubation, during anesthesia, or sometimes due to external trauma to the larynx. At the Ear-Nose-Throat (ENT) department of Can Tho University of Medicine and Pharmacy hospital, we have one patient with arytenoid disarticulation caused by a rope cutting into the neck.
Case Report: The patient presented with hoarseness and left arytenoid cartilage repositioning under endoscopic laryngeal surgery. The patient was diagnosed with arytenoid disarticulation following an accident 2 weeks prior, where a rope cut into the neck while the patient was riding a motorcycle at approximately 30-40 km/h. After surgery, the patient's voice almost returned to normal, and the arytenoid cartilage was restored to its anatomical position. Currently, there is no consensus on the devices and methods for reducing arytenoid disarticulation. Some international studies have reported successful treatment of arytenoid disarticulation using the "5-step reduction technique for arytenoid dislocation" under laryngeal endoscopy.
Conclusion: To implement a new method for treating arytenoid disarticulation, we report a successful case of treating arytenoid disarticulation using the "5-step reduction technique for arytenoid dislocation " in a patient following a traffic accident.
Article Details
Keywords
Arytenoid dislocation, A Novel Five-Step Reduction Technique, Laryngeal injury, Hoarseness
References
[2] Liu K., Hu H., Lu Y. và cộng sự (2024), A Novel Five-Step Reduction Technique of Arytenoid Dislocation, The Laryngoscope, 134(4), 1744-1748.
[3] Rubin AD, Hawkshaw MJ, Moyer CA, Dean CM, Sataloff RT. Arytenoid cartilage dislocation: a 20-year experience, J Voice 2005, 19, 687-701.
[4] Szigeti CL, Baeuerle JJ, Mongan PD. Arytenoid dislocation with lighted stylet intubation: case report and retrospective review, Anesth Analg, 1994, 78, 185-6.
[5] Mikuni 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 Jan;96(1):136-8.
[6] Abe K, Nishino H, Makino N, Ishikawa K, Ishikawa K, Imai K, Ichimura K. [Fiberscopic reduction under local anesthesia for anterior arytenoid cartilage dislocation]. Nihon Jibiinkoka Gakkai Kaiho. 2007 Jan;110(1):13-9.
[7] Lee SW, Park KN, Welham NV. Clinical features and surgical outcomes following closed reduction of arytenoid dislocation. JAMA Otolaryngol Head Neck Surg. 2014 Nov;140(11):1045-50.