Spontaneous Dislocation of the Arytenoid Cartilage

• Saigusa Hideto

  Department of Otolaryngology, Nippon Medical School

• Nonaka Yasuhiro

  Department of Otolaryngology, Nonaka Clinic

• Ikezono Tetsuro

  Department of Otolaryngology, Nippon Medical School

• Aino Iichiro

  Department of Otolaryngology, Nippon Medical School

• Iwasaki Chiharu

  Department of Otolaryngology, Nippon Medical School

• Kokawa Takayuki

  Department of Otolaryngology, Kitamurayama Public Hospital

• Nakamura Takashi

  Department of Otolaryngology, Kitamurayama Public Hospital

• Yagi Toshiaki

  Department of Otolaryngology, Nippon Medical School

Bibliographic Information

Other Title

• 自然発症した披裂軟骨脱臼症の１例
• シゼン ハッショウ シタ ヒレツナンコツ ダッキュウショウ ノ 1レイ

Abstract

Dislocation of the arytenoid cartilage occurs following medical instrumentation involving the laryngeal cavity or laryngeal injury from outside the larynx. We reported a case of spontaneously posterior dislocation of the arytenoid cartilage. A 53-year-old man suffering from suddenly recurring aphonia and its improvement many over 3 months without laryngeal injury or inducement eventually ceased to improve. Laryngoscopic findings showed that the left vocal fold was tensely prolonged and the vocal process of the arytenoid cartilage on the left side was dislocated posterolaterally. X-ray videofluorography of the larynx on repetitive phonation of /he/ showed abnormally high and diagonal displacement of the vocal fold and the upper structure of the arytenoid cartilage on the left side. Palpating the cricoarytenoid joint on the left side showed abnormal swelling with tenderness, Electomyography of the intrinsic laryngeal muscle on the left side showed normal action potential. From these findings, we diagnosed his voice disorder as spontaneously posterior dislocation of the arytenoid cartilage. We manually reduced it by pulling up a balloon inserted from the piriform sinus of the affected side to the esophagus.

Journal

• Nippon Jibiinkoka Gakkai Kaiho

  Nippon Jibiinkoka Gakkai Kaiho 108 (2), 164-167, 2005

  Japanese Society of Otorhinolaryngology-Head and neck surgery

Keywords

• arytenoid cartilage dislocation
• laryngeal injury
• spontaneous dislocation of the arytenoid cartilage
• manual reduction

Details

• CRID: 1390001205007088000
• NII Article ID: 10015568447
• NII Book ID: AN00191551
• DOI: 10.3950/jibiinkoka.108.164
• COI: 1:STN:280:DC%2BD2M7js1Oktw%3D%3D
• ISSN: 18830854
• ISSN: 00306622
• ISSN: http://id.crossref.org/issn/00306622
• NDL BIB ID: 7289589
• PubMed: 15768478
• Web Site: http://id.ndl.go.jp/bib/7289589
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I7289589
• Web Site: https://search.jamas.or.jp/link/ui/2005097383
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • PubMed
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed