| CASE REPORT
Repeated postoperative laryngeal obstruction due to bilateral cricoarytenoid joint involvement in rheumatoid arthritis
Sayaka Fujiwara1, Ichiro Nakamura1, Ryuzaburo Higo2, Yasuhito Tajiri1, Kozo Nakamura3 and Hiromi Oda1
| (1) |
Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, Japan |
| (2) |
Department of Otolaryngology, Faculty of Medicine, The University of Tokyo, Tokyo, Japan |
| (3) |
Department of Rheumatology, Yugawara Kosei-Nenkin Hospital, 438 Miyakami, Yugawara, Ashigara-shimo, Kanagawa 259-0314, Japan |
Received: 01 June 2004 Accepted: 29 November 2004
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Abstract A 61-year-old woman with a 40-year history of severe rheumatoid arthritis developed postoperative laryngeal obstruction twice; the first episode occurred just after surgery for cervical myelopathy and the second episode occurred 3 weeks after surgery when physiotherapy activity increased. A flexible laryngeal endoscopy demonstrated that abduction of the bilateral vocal cords was severely disturbed at the paramedian position, suggesting a diagnosis of cricoarytenoid arthritis. Early administration of corticosteroids was successful.
Key words Cricoarytenoid (CA) joint - Laryngeal obstruction - Postoperative - Rheumatoid arthritis
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