| 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
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| (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
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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