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Thursday, November 12, 2015

An approach in dealing with accidental Aretynoid dislocation after endotracheal intubation



Follow up the patient:

If voice is not improving: (Better to call the ENT Surgeon to do this-) Do a laryngoscopy and using any instrument, just give a mild pressure on aretynoid; usually it will fall back to correct  position.

If speech is improving,  advice VOCAL CORD ADDUCTION EXERCISES

๐Ÿ‰ Standing position.. Take a deep inspiration 
   and stop..and hold the breath.. this closes glottis..now strongly fall over and push against a wall...keep it for a few seconds.. Repeat this a few times.. This can force the aretynoid back to normal position by a stretching force... Usually voice is regained by this after 2 days.. 

๐Ÿ‰Or lift heavy weights after deep inspiration (not for CAD patients) 

๐Ÿ‰Plus continue Speech Therapy

Problem occurs, when Aretynoid dislocates, and nobody attempts to relocate it, and it get fixed in that position..


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