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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


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