Acute Cricoarytenoid Joint Fixation Following Routine Intubation: A Case Report
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Updated: Oct 9, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
Jay S Saggu1, Janice L Farlow2, Robert J Morrison3
1From the Department of Anesthesiology, Michigan Medicine, Ann Arbor, Michigan.
Abstract:
Prolonged intubation is a common cause of injury to the posterior larynx often resulting in cricoarytenoid joint (CAJ) fixation and posterior glottic stenosis (PGS). We present a case of respiratory failure due to acute bilateral CAJ fixation and PGS following only 2 days of intubation for routine cardiac surgery. A tracheostomy was placed due to critical airway obstruction. Clinicians should remain vigilant for laryngeal injury presenting as CAJ fixation and PGS. Prompt surgical consultation is advised as early intervention is associated with reduced morbidity.
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