Iatrogenic vocal process fracture and arytenoid dislocation caused by transesophageal echocardiography
Adem Binnetoglu, Tekin Baglam, Ali Cemal Yumusakhuylu, Melis Demirag Evman, Berat Demir, Murat Sari
Keywords: Arytenoid dislocation, arytenoid subluxation, intubation trauma, vocal cord movement, voice recovery.
Abstract
Arytenoid dislocation (AD) is a rare condition that may occur secondary to laryngeal trauma. Fiberoptic laryngoscopy, laryngeal computed tomography, and laryngeal electromyography are used to diagnose vocal process fracture in conjunction with AD. In this article, we report a 26-year-old female patient with hoarseness after transesophageal echocardiography. With the diagnosis of concomitant AD and vocal process fracture, closed reduction was performed. Closed reduction should be considered for all patients in whom instruments have been used in the upper aerodigestive tract and particularly who are diagnosed as AD and non-responsive to reduction procedures.