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A Case of Unilateral Vocal Cord Palsy after Endotracheal Intubation: Could it be due to Arytenoid Subluxation?


Affiliations
1 Assistant Professor, Department of Anaesthesiology, Bangalore Medical College, Bengaluru - 560002, Karnataka, India
2 Retired Professor, Department of Anaesthesiology, Bangalore Medical College, Bengaluru - 560002, Karnataka, India
 

Endotracheal intubation can result in complications in 1% of patients, of which hoarseness of voice is a common complaint. One of the rare causes is arytenoid dislocation. A 24 year old patient diagnosed with ruptured ectopic pregnancy was posted for emergency laparotomy. She underwent emergency laparotomy under general anaesthesia. Post operatively, patient developed hoarseness of voice. Further evaluation with fibreoptic bronchoscopy revealed immobile arytenoid cartilage, which improved with conservative management.

Keywords

Arytenoid Subluxation, Laryngeal Electromyography, Recurrent Laryngeal Nerve Palsy, Vocal Cord Palsy
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  • A Case of Unilateral Vocal Cord Palsy after Endotracheal Intubation: Could it be due to Arytenoid Subluxation?

Abstract Views: 268  |  PDF Views: 131

Authors

Ranjitha Gangadharaiah
Assistant Professor, Department of Anaesthesiology, Bangalore Medical College, Bengaluru - 560002, Karnataka, India
Karuna Harsoor
Retired Professor, Department of Anaesthesiology, Bangalore Medical College, Bengaluru - 560002, Karnataka, India

Abstract


Endotracheal intubation can result in complications in 1% of patients, of which hoarseness of voice is a common complaint. One of the rare causes is arytenoid dislocation. A 24 year old patient diagnosed with ruptured ectopic pregnancy was posted for emergency laparotomy. She underwent emergency laparotomy under general anaesthesia. Post operatively, patient developed hoarseness of voice. Further evaluation with fibreoptic bronchoscopy revealed immobile arytenoid cartilage, which improved with conservative management.

Keywords


Arytenoid Subluxation, Laryngeal Electromyography, Recurrent Laryngeal Nerve Palsy, Vocal Cord Palsy