A new procedure of arytenoid adduction combined with type I thyroplasty under general anesthesia using a laryngeal mask.
Laryngeal framework surgery is usually performed under local anesthesia. However, some patients are unable to tolerate extended surgery. A case of an 82-year-old woman who underwent medialization thyroplasty and arytenoid adduction of direct lateral cricoarytenoid (LCA) muscle pulling at the same time under general anesthesia using a laryngeal mask is reported. Endoscopic observation through the laryngeal mask allows direct visual control of the vocal cord. The LCA pulling method does not touch the posterior border of the thyroid cartilage so that the laryngeal mask does not disturb the arytenoid adducts.
Tokashiki
Ryoji
R
Department of Otolaryngology, Tokyo Medical University, Tokyo, Japan. tokachanman@aol.com
Hiramatu
Hiroyuki
H
Tsukahara
Kiyoaki
K
Kanebayashi
Hidenori
H
Nakamura
Kazuhiro
K
Motohashi
Rei
R
Suzuki
Mamoru
M
D000369:Aged, 80 and over; D000768:Anesthesia, General; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001193:Arytenoid Cartilage / Q000601:surgery*; D005260:Female; D006801:Humans; D017214:Laryngeal Masks; D007828:Laryngoscopy; D010699:Phonation / Q000502:physiology; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000601:surgery; D019919:Prosthesis Implantation; D013061:Speech Acoustics; D013957:Thyroid Cartilage / Q000601:surgery*; D014826:Vocal Cord Paralysis / Q000601:surgery*
D011138:Polytetrafluoroethylene