Arytenoid subluxation is a rare laryngeal injury that may follow instrumentation of the airway and present as hoarseness, vocal fatigue, stridor, dysphagia, odynophagia and sore throat. We report the case of an 88-year-old man with type 2 diabetes mellitus who developed this complication during a difficult intubation where a Macintosh laryngoscope and gum elastic bougie were used to facilitate intubation. Previously considered to play a minor role in treatment, voice therapy was used successfully in this patient to correct subluxation of the arytenoid, with prompt resolution of his symptoms.
RosenbergM.K., RontalE., RontalM., Lebenbom-MansourM.Arytenoid cartilage dislocation caused by a laryngeal mask airway treated with chemical splinting. Anesth Analg1996; 83: 1335–1336.
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UsuiT., SaitoS., GotoF.Arytenoid dislocation while using a McCoy laryngoscope. Anesth Analg2001; 92: 1347–1348.
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MikuniI., SuzukiA., TakahataO., FujitaS., OtomoS., IwasakiH.Arytenoid cartilage dislocation caused by a double-lumen endobronchial tube. Br J Anaesth2006; 96: 136–138.
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GaussA., TreiberH.S., HaehnelJ., JohannsenH.S.Spontaneous reposition of a dislocated arytenoid cartilage. Br J Anaesth1993; 70: 591–592.
