BILATERAL MIDLINE FIXATION OF CRICOARYTENOID JOINTS AS A SERIOUS MEDICAL EMERGENCY
- 27 February 1960
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 172 (9) , 901-906
- https://doi.org/10.1001/jama.1960.03020090013003
Abstract
Inspiratory stridor, nonresponsive asthma, intermittent respiratory difficulty with cyanosis, sudden collapse, shock, and coma can all be observed in patients with midline fixation of the right and left cricoarytenoid joints. Each of these articulations has a ligamentous capsule lined by a synovial membrane and normally permits gliding and rotatory movements of the apposed articular surfaces. When they are ankylosed by local or general arthritis the consequences are serious. The case histories of a man 47 years of age and two women 51 and 56 years of age illustrate the severity of the symptoms, the bad effects of administering sedatives, the importance of considering tracheostomy, and the possibility of a fatal complication. The two female patients were permanently relieved by arytenoidectomy.Keywords
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