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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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Autores principales: Sim, Yeo Hae, Choi, Jeong-Hyun, Kim, Mi Kyeong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Anesthesiologists 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4967634/
https://www.ncbi.nlm.nih.gov/pubmed/27482316
http://dx.doi.org/10.4097/kjae.2016.69.4.382
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author Sim, Yeo Hae
Choi, Jeong-Hyun
Kim, Mi Kyeong
author_facet Sim, Yeo Hae
Choi, Jeong-Hyun
Kim, Mi Kyeong
author_sort Sim, Yeo Hae
collection PubMed
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.
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spelling pubmed-49676342016-08-01 Arytenoid cartilage dislocation after reversed total shoulder replacement surgery in the beach chair position: a case report Sim, Yeo Hae Choi, Jeong-Hyun Kim, Mi Kyeong Korean J Anesthesiol 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 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. The Korean Society of Anesthesiologists 2016-08 2016-07-01 /pmc/articles/PMC4967634/ /pubmed/27482316 http://dx.doi.org/10.4097/kjae.2016.69.4.382 Text en Copyright © the Korean Society of Anesthesiologists, 2016 http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sim, Yeo Hae
Choi, Jeong-Hyun
Kim, Mi Kyeong
Arytenoid cartilage dislocation after reversed total shoulder replacement surgery in the beach chair position: a case report
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 Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4967634/
https://www.ncbi.nlm.nih.gov/pubmed/27482316
http://dx.doi.org/10.4097/kjae.2016.69.4.382
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AT kimmikyeong arytenoidcartilagedislocationafterreversedtotalshoulderreplacementsurgeryinthebeachchairpositionacasereport