Arytenoid cartilage dislocation after reversed total shoulder replacement surgery in the beach chair position: a case report
Arytenoid cartilage dislocation is not a common complication, but its delayed diagnosis reduces the therapeutic effect of treatment. A male patient underwent reversed total shoulder replacement surgery in the beach chair position under general anesthesia. The patient experienced postoperative hoarse...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2016-08-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-69-382.pdf |
| _version_ | 1818529146250199040 |
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| author | Yeo Hae Sim Jeong-Hyun Choi Mi Kyeong Kim |
| author_facet | Yeo Hae Sim Jeong-Hyun Choi Mi Kyeong Kim |
| author_sort | Yeo Hae Sim |
| collection | DOAJ |
| description | Arytenoid cartilage dislocation is not a common complication, but its delayed diagnosis reduces the therapeutic effect of treatment. A male patient underwent reversed total shoulder replacement surgery in the beach chair position under general anesthesia. The patient experienced postoperative hoarseness, and it was revealed that he had right arytenoid dislocation. Voice restoration was accomplished with closed reduction. We discussed changes in patient position during the operation and how they may contribute to the arytenoid dislocation. Flexion and a slight rotation of the neck during the operation can lead to an increase in intracuff pressure of the endotracheal tube. It is necessary to check neck position and monitor intracuff pressure in patients undergoing operations in the beach chair position. Also, the anesthesiologist should suspect arytenoid dislocation in the case of persistent hoarseness after surgery in the beach chair position. |
| first_indexed | 2024-12-11T12:59:05Z |
| format | Article |
| id | doaj.art-2b9993dc37b041d4936422fa2c341886 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-11T12:59:05Z |
| publishDate | 2016-08-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-2b9993dc37b041d4936422fa2c3418862022-12-22T01:06:30ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632016-08-0169438238510.4097/kjae.2016.69.4.3828204Arytenoid cartilage dislocation after reversed total shoulder replacement surgery in the beach chair position: a case reportYeo Hae Sim0Jeong-Hyun Choi1Mi Kyeong Kim2Department of Anesthesiology and Pain Medicine, Kyung Hee University Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University Medical Center, Seoul, Korea.Arytenoid cartilage dislocation is not a common complication, but its delayed diagnosis reduces the therapeutic effect of treatment. A male patient underwent reversed total shoulder replacement surgery in the beach chair position under general anesthesia. The patient experienced postoperative hoarseness, and it was revealed that he had right arytenoid dislocation. Voice restoration was accomplished with closed reduction. We discussed changes in patient position during the operation and how they may contribute to the arytenoid dislocation. Flexion and a slight rotation of the neck during the operation can lead to an increase in intracuff pressure of the endotracheal tube. It is necessary to check neck position and monitor intracuff pressure in patients undergoing operations in the beach chair position. Also, the anesthesiologist should suspect arytenoid dislocation in the case of persistent hoarseness after surgery in the beach chair position.http://ekja.org/upload/pdf/kjae-69-382.pdfarytenoid cartilagehoarsenessintratracheal intubationpatient positioning |
| spellingShingle | Yeo Hae Sim Jeong-Hyun Choi Mi Kyeong Kim Arytenoid cartilage dislocation after reversed total shoulder replacement surgery in the beach chair position: a case report Korean Journal of Anesthesiology arytenoid cartilage hoarseness intratracheal intubation patient positioning |
| title | Arytenoid cartilage dislocation after reversed total shoulder replacement surgery in the beach chair position: a case report |
| title_full | Arytenoid cartilage dislocation after reversed total shoulder replacement surgery in the beach chair position: a case report |
| title_fullStr | Arytenoid cartilage dislocation after reversed total shoulder replacement surgery in the beach chair position: a case report |
| title_full_unstemmed | Arytenoid cartilage dislocation after reversed total shoulder replacement surgery in the beach chair position: a case report |
| title_short | Arytenoid cartilage dislocation after reversed total shoulder replacement surgery in the beach chair position: a case report |
| title_sort | arytenoid cartilage dislocation after reversed total shoulder replacement surgery in the beach chair position a case report |
| topic | arytenoid cartilage hoarseness intratracheal intubation patient positioning |
| url | http://ekja.org/upload/pdf/kjae-69-382.pdf |
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