title: Surgical management for isolated cricoid fracture causing arytenoid immobility.
abstract: Cricoid cartilage fractures usually occur concurrently with disorders of laryngeal function. In, particular, displaced cricoid lamina fractures can affect arytenoid movement. However, functional, recovery may require proper repositioning of the cricoid lamina, which is associated with a high rate of, complications. Here we present a case in which an isolated cricoid cartilage fracture with arytenoid, immobility due to displacement of the fracture in the cricoarytenoid joint space was successfully, treated. Our findings suggest that a combination of external approaches with temporary, cricothyrotomy and wide suturing of the entire cricoid framework has the potential to improve, arytenoid movement and prevent associated complications.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan. Electronic address: yonekawa@med.kurume-u.ac.jp.
authors.forename: Shun-ichi
authors.initials: S
authors.lastname: Chitose
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan.
authors.forename: Kiminori
authors.initials: K
authors.lastname: Sato
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Nakazono
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan.
authors.forename: Mioko
authors.initials: M
authors.lastname: Fukahori
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan.
authors.forename: Hirohito
authors.initials: H
authors.lastname: Umeno
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan.
authors.forename: Tadashi
authors.initials: T
authors.lastname: Nakashima
mesh_terms: D001193:Arytenoid Cartilage / Q000000981:diagnostic imaging*; D001484:Baseball / Q000293:injuries*; D003413:Cricoid Cartilage / Q000000981:diagnostic imaging / Q000293:injuries*; D050724:Fractures, Cartilage / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006685:Hoarseness / Q000209:etiology; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D055815:Young Adult
keywords: Arytenoid immobility; Cricoid fracture; Lamina; Laryngeal function; Repositioning