Airway Management of a Pediatric Patient with Interarytenoid Adhesion : A case report

Shin, Chang Seok; Kwon, Jae Young; Baik, Seung Wan; Kim, Hae Kyu

Case Report

Pediatric Anesthesia

Anesthesia and Pain Medicine 2007;2(2):78-81.
Published online April 30, 2007.

Airway Management of a Pediatric Patient with Interarytenoid Adhesion : A case report

Chang Seok Shin, Jae Young Kwon, Seung Wan Baik, Hae Kyu Kim

Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Busan, Korea. jykwon@pusan.ac.kr

Abstract

Interarytenoid adhesion is a rare complication associated with endotracheal intubation. The vocal cord is fixed to arytenoid cartilage and the movement of vocal cord is limited. Its clinical symptoms are dyspnea and hoarseness, so sometimes it is mistaken for bilateral vocal cord palsy because of its clinical features. We have experienced unanticipated failed intubation followed by hypoxia in interarytenoid adhesion who was scheduled for emergency tracheotomy due to bilateral vocal cord palsy. After failure of cricothyroidotomy, patient was successfully ventilated with jet injector and tracheotomy was done without complication.

Key Words: interarytenoid, adhesion, jet, injector, vocal, cord, palsy