Arytenoid cartilage dislocation after reversed total shoulder replacement surgery in the beach chair position -a case report-

다국어 초록 (Multilingual Abstract)

Arytenoid cartilage dislocation is not a common complication, but its delayed diagnosis reduces the therapeutic effect of treatment. A male patient underwent reversed total shoulder replacement surgery in the beach chair position under general anesthesia. The patient experienced postoperative hoarseness, and it was revealed that he had right arytenoid dislocation. Voice restoration was accomplished with closed reduction. We discussed changes in patient position during the operation and how they may contribute to the arytenoid dislocation. Flexion and a slight rotation of the neck during the operation can lead to an increase in intracuff pressure of the endotracheal tube. It is necessary to check neck position and monitor intracuff pressure in patients undergoing operations in the beach chair position. Also, the anesthesiologist should suspect arytenoid dislocation in the case of persistent hoarseness after surgery in the beach chair position.

참고문헌 (Reference)

1 Wang RC, "Three-dimensional analysis of cricoarytenoid joint motion" 108 : 1-17, 1998

2 Kako H, "The relationship between head and neck position and endotracheal tube intracuff pressure in the pediatric population" 24 : 316-321, 2014

3 Maruyama K, "Sore throat and hoarseness after total intravenous anaesthesia" 92 : 541-543, 2004

4 Yamanaka H, "Prolonged hoarseness and arytenoid cartilage dislocation after tracheal intubation" 103 : 452-455, 2009

5 Frink EJ, "Posterior arytenoid dislocation following uneventful endotracheal intubation and anesthesia" 70 : 358-360, 1989

6 Mencke T, "Laryngeal morbidity and quality of tracheal intubation: a randomized controlled trial" 98 : 1049-1056, 2003

7 Kambic V, "Intubation lesions of the larynx" 50 : 587-590, 1978

8 Brimacombe J, "Direct measurement of mucosal pressures exerted by cuff and non-cuff portions of tracheal tubes with different cuff volumes and head and neck positions" 82 : 708-711, 1999

9 Sataloff RT, "Arytenoid dislocation: diagnosis and treatment" 104 : 1353-1361, 1994

10 Szigeti CL, "Arytenoid dislocation with lighted stylet intubation: case report and retrospective review" 78 : 185-186, 1994

11 Senoglu N, "Arytenoid dislocation related to an uneventful endotracheal intubation: a case report" 1 : 251-, 2008

12 Dudley JP, "Arytenoid dislocation and computed tomography" 110 : 483-484, 1984

13 Quick CA, "Arytenoid dislocation" 104 : 267-270, 1978

14 Rubin AD, "Arytenoid cartilage dislocation: a 20-year experience" 19 : 687-701, 2005

15 Rosenberg MK, "Arytenoid cartilage dislocation caused by a laryngeal mask airway treated with chemical splinting" 83 : 1335-1336, 1996