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Related Experiment Videos

Aphonia and dysphagia after gastrectomy.

Hiroyuki Ozawa1, Kimura Satako, Kunio Mizutari

  • 1Department of Otolaryngology, National Tokyo Medical Center, Tokyo, Japan. ozawahiroyuki@kankakuki.go.jp

Acta Oto-Laryngologica
|December 16, 2005
PubMed
Summary

A patient experienced voice loss and difficulty swallowing after surgery due to cricoarytenoid dislocation. Rapid recovery was achieved with speech therapy, offering a new rehabilitation approach for this rare condition.

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Area of Science:

  • Otolaryngology
  • Speech and Language Pathology
  • Gastroenterology

Background:

  • A 67-year-old male presented with aphonia and dysphagia two weeks post-gastrectomy.
  • Symptoms included a breathy voice, inability to swallow saliva, and significant glottal incompetence during phonation.

Observation:

  • Laryngeal fiberscopy showed major glottal incompetence during attempted phonation.
  • Vocal folds abducted fully during inhalation, but a large glottal chink persisted during phonation, impairing swallowing.

Findings:

  • Diagnosis of bilateral incomplete cricoarytenoid dislocation secondary to intubation.
  • Speech therapy resulted in rapid, dramatic recovery of vocal fold movement within one minute.

Implications:

Related Experiment Videos

  • This case highlights a rare complication of intubation and its management.
  • The presented speech therapy technique offers a potentially effective and rapid rehabilitation method for bilateral cricoarytenoid dislocation.
  • This approach may serve as a valuable reference for otolaryngologists and surgeons managing similar cases worldwide.