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A promising new technique for closed reduction of arytenoid dislocation

Published online by Cambridge University Press:  15 December 2011

V Leelamanit  and
W Sinkijcharoenchai
V Leelamanit*
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Prince of Songkla University, Songkla, Thailand
W Sinkijcharoenchai
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Prince of Songkla University, Songkla, Thailand
*
Address for correspondence: Dr Vitoon Leelamanit, Department of Otolaryngology, Faculty of Medicine, Prince of Songkla University, Hat-Yai, Songkla 90110, Thailand Fax: +66 74 429620 E-mail: [email protected]
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Abstract

Objectives:

To study the effect of a new technique for closed reduction of dislocated arytenoids.

Methods:

The study included 21 females (72.4 per cent) and eight males (27.6 per cent) with a diagnosis of arytenoid dislocation. There were 18 cases of left arytenoid dislocation and 11 of right arytenoid dislocation.Twenty-eight cases had anteromedial dislocation and one had posterolateral dislocation. All patients were treated with closed reduction using custom-made metal rods and an operating microscope, under general anaesthesia.

Results:

Post-operatively, 21 patients’ voices returned completely to normal (including full vocal fold mobility), five had an improved voice and three failed to show any improvement. There were no post-operative complications.

Conclusion:

This new closed reduction technique is a safe procedure for patients with dislocated arytenoids. It is repeatable and the outcome is reliable and effective. Closed reduction can be a useful treatment for arytenoid dislocation.

Keywords

Arytenoid CartilageDislocationsTraumaIntubation, EndotrachealSurgical Procedures, Operative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 2 , February 2012 , pp. 168 - 174
Copyright
Copyright © JLO (1984) Limited 2011

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