Related Experiment Video
Updated: Dec 11, 2025
08:26
The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
6.7K
Arytenoid Subluxation Reduction Using 28-Jackson Dilator.
Annette Kim1, Ghiath Alnouri2, Robert T Sataloff2,3
112312Drexel University College of Medicine, Philadelphia, PA, USA.
Ear, Nose, & Throat Journal
|August 18, 2020
Summary
A novel technique using a 28-Jackson dilator successfully treated arytenoid cartilage subluxation, improving vocal fold mobility and voice quality. This method offers a less invasive option for managing cricoarytenoid joint injuries.
Area of Science:
- Otolaryngology
- Laryngology
- Vocal Fold Dynamics
Background:
- Arytenoid dislocation and subluxation often require surgical intervention with specific laryngoscopes.
- Vocal fold paralysis and paresis can result from trauma, necessitating treatment for laryngeal dysfunction.
Observation:
- A 66-year-old male presented with left vocal fold hypomotility and arytenoid cartilage subluxation after a motor vehicle accident and prolonged intubation.
- Physical examination revealed an anteriorly subluxed and immobile left cricoarytenoid joint.
Findings:
- A 28-Jackson dilator was utilized to mobilize and reduce the left arytenoid cartilage, followed by steroid injection into the cricothyroid joint.
- Immediate improvement in laryngeal mobility and patient-reported voice quality was observed post-procedure.
- Six-month follow-up demonstrated improved arytenoid height, vocal fold movement, glottic closure, and reduced voice handicap index.
Implications:
- The 28-Jackson dilator presents a viable, non-traumatic tool for manipulating the cricoarytenoid joint in cases of subluxation.
- This approach may offer an alternative to traditional surgical methods for arytenoid subluxation, potentially reducing vocal process trauma.
- Successful management of arytenoid subluxation can significantly restore vocal function and improve quality of life.
Related Concept Videos
01:12The Hyoid Bone
4.2K
The hyoid bone is a small U-shaped bone located in the upper neck at the level of the inferior mandible, with its tips pointing posteriorly. It does not directly articulate with any other bone in the body. The hyoid acts as the attachment site for the tongue, the larynx, and the pharynx. It is held in position by a series of small muscles attached from above or below. These muscles help to move the hyoid up/down or forward/back in coordination with movements of the tongue, larynx, and pharynx...
4.2K
01:23Oxygen Delivering System III: Tracheostomy and T-piece
4.3K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
4.3K
01:28Tracheostomy: Procedure and Tubes
2.1K
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
2.1K
01:25Tracheostomy Care II: Procedure
944
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
944
01:25Suctioning the Oropharyngeal Airway
617
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
617
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
323
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
323