PEDIATRICS Vol. 81 No. 4 April 1988, pp. 580-582
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Neonatal Arytenoid Dislocation

DION ROBERTS MD1, TIM MCQUINN MD1, and ROBERT C. BECKERMAN MD1

1 Department of Pediatrics, Section of Pulmonary Diseases, Constance Kaufman Center for the Study of Breathing Disorders in Infants and Children, Tulane University School of Medicine, New Orleans

Arytenoid dislocation is a well-described injury in adults.1-6 We report here what we believe is the first neonatal case and contrast the findings and course to those previously described.

CASE REPORT

A 2,640-g girl was born at 38 weeks' gestation by spontaneous delivery after labor complicated by the passage of meconium-stained amniotic fluid. She was intubated with a 3.0-mm oral endotracheal tube without a stylet. No meconium was found below the vocal cords. Apgar scores at 1, 5, and 10 minutes were 5, 7, and 9, respectively. When the baby was admitted to the nursery, she was described as having pink color, a strong cry, no retractions, a cardiac rate of 136 beats per minute, and a respiratory rate of 48 breaths per minute.

Submitted on April 23, 1987
Accepted on June 5, 1987




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Arytenoid Dislocation While Using a McCoy Laryngoscope
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