[The arthritis of the cricoarytenoid joint, a rare postintubation complication and its novel treatment (author's transl)].
A case of aphonia following a long-time endotracheal intubation is presented. The paramedian position of the left and the incomplete adduction of the right vocal cord were caused by a complete, respectively partial ankylosis of the cricoarytenoid joints. The ankylosis was the result of an arthritis during the intubation period. A nearly normal mobility of the vocal cords and a normal voice was achieved by translaryngeal injections of Fludrocortisone and Hyaluronidase into the cricoarytenoid joints and by their passive mobilisation.
D000063:Accidents, Traffic; D000293:Adolescent; D000844:Ankylosis / Q000209:etiology; D001044:Aphonia / Q000209:etiology; D001168:Arthritis / Q000150:complications / Q000209:etiology*; D005260:Female; D005438:Fludrocortisone / Q000627:therapeutic use; D006801:Humans; D006821:Hyaluronoglucosaminidase / Q000627:therapeutic use; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007596:Joints; D007817:Laryngeal Cartilages; D013997:Time Factors
D006821:Hyaluronoglucosaminidase; D005438:Fludrocortisone
Die Arthritis des Krikoarytänoidgelenkes, über eine seltene Intubationsfolge und deren Therapie