title: Dislocated arytenoid: an intubation-induced injury.
abstract: Three reports describing the morbidity resulting from intubation-induced arytenoid cartilage dislocation are presented. Significant factors contributing to such an injury are: retrognathia, dental malocclusion, a large tongue base and intubation inexperience. We advise that in all patients who undergo a difficult intubation the possibility of arytenoid dislocation should be considered. A ventilating bronchoscope should be readily available upon extubation, to deal with any acute airway problem that may arise. Treatment modalities are discussed and the advantages of a combined anaesthetic and ENT approach highlighted.
authors.affiliation: National Hospital for Nervous Diseases, London.
authors.forename: N S
authors.initials: NS
authors.lastname: Tolley
authors.forename: T D
authors.initials: TD
authors.lastname: Cheesman
authors.forename: D
authors.initials: D
authors.lastname: Morgan
authors.forename: G B
authors.initials: GB
authors.lastname: Brookes
mesh_terms: D001193:Arytenoid Cartilage / Q000293:injuries*; D002648:Child; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged