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

Irfan M 1 , Yahia D 2 , Nik Fariza Husna NH 3 , Wan Shah Jihan WD 4 , Baharudin A 5

Affiliations 

  • 1 Irfan Mohamad, MD, MMed (ORL-HNS). Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Malaysia. irfan@kb.usm.my
  • 2 D Yahia, MBBS. Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Malaysia.
  • 3 N H Nik Fariza Husna, MD, MMed (ORL-HNS). Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Malaysia.
  • 4 W D Wan Shah Jihan, MBBS, MMed (ORL-HNS). Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Malaysia.
  • 5 A Baharudin, MBBS, MMed (ORL-HNS). Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Malaysia.
Med J Malaysia, 2012 Feb;67(1):113-5.
PMID: 22582561 MyJurnal

Abstract

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 degrees on deep breath, with the vocal cords axis rotated to the left side. Management was conservative.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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