title: Blunt laryngeal trauma resulting in arytenoid dislocation and dysphonia.
abstract: We present a case of left arytenoid dislocation due to blunt laryngeal trauma causing a subsequent large granuloma formation resulting in dysphonia and stridor. The patient underwent emergency excision of the obstructive granuloma and speech therapy was started post-operatively. A few weeks after surgery, the granuloma started to recur and laryngeal manipulation by a specialist osteopath was performed. A few weeks after the conservative management, the recurred granuloma resolved completely and patient's voice improved remarkably. Dislocation of the arytenoid cartilage due to blunt trauma is relatively rare and a consequent spontaneous granuloma formation has not been reported so far in the literature. This is also the first report about efficacy of speech therapy combined with laryngeal manipulation in the management of the arytenoid dislocation and the subsequent laryngeal granuloma.
authors.affiliation: Department of Otolaryngology, Derbyshire Royal Infirmary, Derby, UK. DhanasekarENT@aol.com
authors.forename: Ganapathy
authors.initials: G
authors.lastname: Dhanasekar
authors.forename: Maziar
authors.initials: M
authors.lastname: Sadri
authors.forename: Sharat
authors.initials: S
authors.lastname: Mohan
authors.forename: Kate
authors.initials: K
authors.lastname: Young
authors.forename: Jacob
authors.initials: J
authors.lastname: Leiberman
mesh_terms: D000058:Accidental Falls; D001193:Arytenoid Cartilage / Q000293:injuries*; D004487:Edema / Q000209:etiology / Q000601:surgery; D005260:Female; D006099:Granuloma / Q000209:etiology / Q000601:surgery; D006685:Hoarseness / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007828:Laryngoscopy; D007830:Larynx / Q000293:injuries*; D008875:Middle Aged; D026201:Musculoskeletal Manipulations; D012135:Respiratory Sounds / Q000209:etiology; D014949:Wounds, Nonpenetrating / Q000150:complications*