Habitual non-traumatic cricothyroid joint dislocation: a rare case of rotated larynx

A case of a 21 year old gentleman is described, with no history of preceding trauma, presenting with intermittent dysphagia to solids and fluids for 4 years. Neck examination at rest was normal. However on deep inspiration, the right thyroid lamina protrudes or becomes more prominent. The patie...

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Bibliographic Details
Main Authors: Mohamad, Irfan, Al- Hadeethi, Yahia F. Hussein, Hassan, Nik Fariza Husna, Wan Din, Wan Shah Jihan, Abdullah, Baharudin
Format: Article
Language:English
Published: Malaysian Medical Association 2012
Subjects:
Online Access:http://irep.iium.edu.my/66359/
http://irep.iium.edu.my/66359/
http://irep.iium.edu.my/66359/1/Cricothyroid_Joint.pdf
Description
Summary:A case of a 21 year old gentleman is described, with no history of preceding trauma, presenting with intermittent dysphagia to solids and fluids for 4 years. Neck examination at rest was normal. However on deep inspiration, the right thyroid lamina protrudes or becomes more prominent. The patient is able to return the larynx to its normal position with manual manipulation. Laryngeal examination with fibreoptic scope during rest and deep breath shows gross rotation of the laryngeal structures for more than 60° on deep breath, with the vocal cords axis rotated to the left side. Management was conservative.