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

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..

Or lift heavy weights after deep inspiration (not for CAD patients)

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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