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General Thoracic and Cardiovascular Surgery

, Volume 62, Issue 12, pp 730–733 | Cite as

Hoarseness caused by arytenoid dislocation after surgery for lung cancer

  • Nobuyasu Kurihara
  • Kazuhiro ImaiEmail author
  • Yoshihiro Minamiya
  • Hajime Saito
  • Shinogu Takashima
  • Satoshi Kudo
  • Yasushi Kawaharada
  • Jun-ichi Ogawa
Case Report

Abstract

The patient was a 64-year-old woman with no history of laryngeal disorders. She underwent video-assisted right lower lobectomy and node dissection for lung cancer. Using a stylet while the patient was under general anesthesia, tracheal intubation with a 35-French gauge left-sided double-lumen endobronchial tube was successfully performed on the first attempt. The patient developed slight hoarseness on postoperative day 1, and we initially suspected recurrent laryngeal nerve paralysis caused by the surgery, which we elected to treat conservatively. However, because her hoarseness had not improved 4 months after surgery, we evaluated her vocal cords using laryngoscopy. This revealed severe dysfunction of the right vocal cord and arytenoid dislocation, which we treated through reduction using a balloon catheter. By 6 months, the patient’s vocal cord mobility had improved. Arytenoid dislocation is a rare complication, but should be suspected when patients have right vocal fold paralysis after lung cancer surgery.

Keywords

Lung cancer Hoarseness Arytenoid dislocation 

Notes

Acknowledgments

The authors are grateful to Prof. Kazuo Ishikawa and Dr. Shinsuke Suzuki (Department of Otorhinolaryngology-Head and Neck Surgery, Akita University Graduate School of Medicine) for suggesting the treatment of arytenoid dislocation.

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Copyright information

© The Japanese Association for Thoracic Surgery 2013

Authors and Affiliations

  • Nobuyasu Kurihara
    • 1
  • Kazuhiro Imai
    • 1
    Email author
  • Yoshihiro Minamiya
    • 1
  • Hajime Saito
    • 1
  • Shinogu Takashima
    • 1
  • Satoshi Kudo
    • 1
  • Yasushi Kawaharada
    • 1
  • Jun-ichi Ogawa
    • 1
  1. 1.Department of General Thoracic Surgery (Breast and Endocrine Surgery)Akita University Graduate School of MedicineAkitaJapan

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