PubMed · 3353193
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D Roberts, T McQuinn, R C Beckerman. 1988. Neonatal arytenoid dislocation.. https://pubmed.ncbi.nlm.nih.gov/3353193/
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The crico-arytenoid articulation is a functional, anatomical entity the preservation or damage of which plays an important role in laryngeal carcinological surgery. In reconstructive laryngectomies, particular biomechanics of the neoglottis were observed at the origin of a specific rehabilitative protocol as well as an evolution over time of this crico-arytenoid unit. Functional readaptation should simultaneously deal with breathing, swallowing and speech. From D1 to D7, breathing work is started. From D6 to D14, swallowing is begun by establishing the sphincter. From D3 to D120, phonation work is dealt with by establishing a sphincter and the vibrator.
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Airway lesions preventing tracheotomy decannulation may not always be readily apparent or may be underestimated by the inexperienced observer. Examples of tracheal keloid, tracheomalacia due to vascular compression, vocal cord dislocation and fixation and subglottic webbing with emphasis on the need for meticulous endoscopy are demonstrated.