[Laryngeal immobility after intubation].
Based on findings in 14 cases of post-intubation laryngeal immobility simulating a paralysis, it is demonstrated that a mechanical cause bringing into play the arytenoids exists in every case. The origin may be from a synechia between the vocal cords, crico-arytenoid ankylosis, inter-arytenoid and plate of the cricoid fibrosis, or a combination of these lesions. Conclusive evidence of the type of lesion involved is rarely apparent from clinical or paraclinical examinations, an exact diagnosis requiring a median thyrotomy. This emphasizes the need for pathologic investigation of the arytenoidectomy surgical specimens. These findings suggest that neurogenic theories concerning the etiopathogenicity of post-intubation laryngeal immobility be revised.
D000328:Adult; D000844:Ankylosis / Q000209:etiology; D001193:Arytenoid Cartilage / Q000473:pathology / Q000503:physiopathology*; D003413:Cricoid Cartilage / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007511:Ischemia / Q000209:etiology; D007817:Laryngeal Cartilages / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D012009:Recurrent Laryngeal Nerve / Q000098:blood supply; D000267:Tissue Adhesions; D014826:Vocal Cord Paralysis / Q000175:diagnosis / Q000209:etiology*
Les immobilités laryngées après intubation.