Laryngeal dislocation after ventral fusion of the cervical s
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Laryngeal dislocation is a never before described complication after ventral cervical fusion and osteosynthetic stabilization. Intra-operative laryngeal manipulation leading to dislocation can be life-threatening for the patient because of the resultant substantial change to the upper airway anatomy. Furthermore, reactive oedema of the mucous membranes can result. The usual tools for managing difficult airways such as laryngeal mask airways, Fastrach™, video laryngoscopy and coniotomy may fail to establish an airway in such cases.We report on a 70-year-old patient who underwent ventral fusion of the cervical spine (C3/4 and C4/5) for spinal canal stenosis performed by the neurosurgery department. The patient suffered an exceedingly rare complication of the surgery – laryngeal dislocation. Had the deformed laryngeal structures been overlooked and the patient extubated as usual after surgery, reintubation would have been impossible due to the associated swelling, which might have had disastrous consequences...

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