There are various medical conditions that can top to the prolapse of the airways . One such condition , in which the upper air duct is obstructed , is know as Arytenoid prolapsus . This stipulation is often precede by laryngotracheoplasty .
What is Arytenoid Prolapse?
The word descensus mean switch of a part or organ from its actual position . Arytenoid prolapse is a medical condition wherein the arytenoid cartilage cartilage near the voice box shift from its usual side make airway obstruction . Arytenoid gristle is a three - sided , small pyramid shaped social system on the voice box . The outspoken chords are attached to the arytenoids which avail in the movement of the outspoken chords . It help the outspoken chord to loosen up , tense and gauge . At times , this arytenoid cartilage might lurch from its position run to arytenoid prolapse . The prolapsus of the arytenoid cartilage might obstruct the airway giving rise to external respiration difficulty .
Types of Arytenoid Prolapse
Arytenoid prolapse is sub - sort out into three types . These are –
Symptoms of Arytenoid Prolapse
The symptom of Arytenoid prolapse include :
The less common symptom of Arytenoid prolapse might includesore throat , cough , dysphagia , andodynophagia . The physical foretoken might include diminish outspoken fold mobility , arytenoid edema along with arytenoid symmetry loss , poor occlusion of glottis , misalignment of the vocal fold and posterior glottis chink are some of the physical sign noted during diagnostic examinations .
Arytenoid Prolapse in Children
Arytenoid prolapse is often reported to be pass off more in the children . Though it is quite a common occurrence or phenomenon that the upper airline business will be obstructed more in youngster due to a general anesthesia , why it conduct to Arytenoid prolapse is not clear .
However , reports and enquiry work have prove that the pediatric patient are more susceptible to Arytenoid prolapsus as they undergo halothane anaesthesia .
Causes of Arytenoid Prolapse
The doctors often consider the supraglottic tissue paper as responsible for Arytenoid prolapse . The supraglottic tissues which are responsible for for this condition are characteristically –
Apart from the supraglottic tissue paper , the conditions that are etiologically considered to be responsible for for the Arytenoid prolapse are –
However , none of these drive are considered to be the obvious causes in every case of Arytenoid prolapse .
How Does Arytenoid Prolapse Occur?
Laryngotracheoplasty is a status in which the subglottis is obturate and the airway is blocked . In such a shape , Arytenoid prolapsus is a possible outcome . Though the condition is quite difficult to place , it ordinarily requires operative interference to treat Arytenoid prolapse .
In case of severe laryngotracheal stenosis , especially the ones that occur in the children , a late treatment method that is widely being used is CTR or Cricotracheal Resection . account have been received that this consideration too can direct to arytenoid prolapse .
Diagnosis and Treatment of Arytenoid Prolapse
Those , who are suspected to be suffering from arytenoid prolapse , are diagnose with a telecasting endoscopy . This is regard to be an excellent creature that would clearly show the obstruction of the airway passage .
As this consideration is diagnosed , the doc provide a continuous and positive imperativeness of the airway . This has been proven to be an excellent manner to empty the blocked airway and the obstruction is in effect remove .
Arytenoid prolapse is a rare condition with an incidence of 80 reported lawsuit till date . The major factor contributing to arytenoid prolapse is laryngotracheoplasty or any laryngeal instrumentation . However , the experimental condition want a elaborate valuation and research so that the exact causes that tether to arytenoid prolapse can be diagnosed , treated and prevented .
