Cricoarytenoid Dislocation after Endotracheal Intubation in Total Thyroidectomy Patient

Dr. Priyanka V, Dr. Vinayak N Panchgar, Dr. Shivaraddi G Bhandi, Dr. Shilpa S Kumar

Abstract: The case highlights the uncommon occurrence of arytenoid cartilage dislocation following endotracheal intubation in a patient undergoing total thyroidectomy, a condition that can be mistaken for recurrent laryngeal nerve paralysis because of its similar presentation. The report describes a middle aged male with a difficult airway, where postoperative hoarseness persisted beyond the usual recovery period, prompting further evaluation. Laryngoscopic examination revealed unilateral vocal cord immobility, and imaging confirmed cricoarytenoid joint dislocation. The discussion brings attention to how subtle early symptoms, varied intubation challenges, and anatomical factors can influence the likelihood of such injuries. It also outlines how delayed diagnosis can complicate recovery, while timely intervention and structured rehabilitation, including speech therapy, may support gradual improvement. The case underlines the need for clinicians to consider mechanical joint injury when hoarseness does not resolve, especially in patients with difficult intubation or risk factors affecting laryngeal stability.

Keywords: arytenoid dislocation, hoarseness, cricoarytenoid injury, difficult intubation, vocal cord immobility

How to Cite?: Dr. Priyanka V, Dr. Vinayak N Panchgar, Dr. Shivaraddi G Bhandi, Dr. Shilpa S Kumar, "Cricoarytenoid Dislocation after Endotracheal Intubation in Total Thyroidectomy Patient", Volume 14 Issue 12, December 2025, International Journal of Science and Research (IJSR), Pages: 244-245, https://www.ijsr.net/getabstract.php?paperid=SR251203135207, DOI: https://dx.doi.org/10.21275/SR251203135207