{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T04:52:21Z","timestamp":1766119941137,"version":"3.48.0"},"reference-count":9,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,11,29]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>Postoperative vocal cord dysfunction can be caused by direct laryngeal trauma, nerve injury or can occur spontaneously. Patients with connective tissue disorders such as Marfan syndrome may be at higher risk for arytenoid dislocation due to tissue laxity. A woman in the 50s with Marfan syndrome underwent emergent total arch replacement for Type A aortic dissection. On endotracheal extubation, she was noted to have stridor. Fibreoptic examination was notable for an immobile right arytenoid. This case highlights the risk of arytenoid dislocation following endotracheal intubation in patients with connective tissue disorders such as Marfan syndrome. Conservative therapy can result in complete recovery without surgery. Furthermore, this case demonstrates that subsequent endotracheal intubations can be performed safely with proper airway planning. Increased awareness and further reporting are needed to understand and mitigate the risk in this vulnerable population.<\/jats:p>","DOI":"10.1136\/bcr-2025-268523","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T04:05:29Z","timestamp":1766117129000},"page":"e268523","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Arytenoid dislocation in a patient with Marfan syndrome after undergoing aortic arch surgery"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6989-8626","authenticated-orcid":false,"given":"Ashley Vincent","family":"Thomson","sequence":"first","affiliation":[{"name":"Anesthesiology, Duke University Hospital, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica","family":"Ogunsusi","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery, Duke University Hospital, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Welsby","sequence":"additional","affiliation":[{"name":"Anesthesiology, Duke University Hospital, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"key":"2025121820052178000_18.12.e268523.1","doi-asserted-by":"crossref","first-page":"1353","DOI":"10.1288\/00005537-199411000-00007","article-title":"Arytenoid dislocation: diagnosis and treatment","volume":"104","author":"Sataloff","year":"1994","journal-title":"Laryngoscope"},{"key":"2025121820052178000_18.12.e268523.2","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/j.anorl.2019.02.018","article-title":"Spontaneous arytenoid dislocation and crico-arytenoid instability","volume":"136","author":"Gallet","year":"2019","journal-title":"Eur Ann Otorhinolaryngol Head Neck Dis"},{"key":"2025121820052178000_18.12.e268523.3","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1016\/j.mayocp.2017.01.016","article-title":"Arytenoid Prolapse in 3 Patients With Ehler-Danlos Syndrome Leading to Respiratory Compromise","volume":"92","author":"Safi","year":"2017","journal-title":"Mayo Clin Proc"},{"key":"2025121820052178000_18.12.e268523.4","doi-asserted-by":"crossref","first-page":"3365","DOI":"10.1007\/s11136-022-03192-1","article-title":"Swallowing and quality of life in individuals with Marfan syndrome: a cross-sectional study","volume":"31","author":"Baylow","year":"2022","journal-title":"Qual Life Res"},{"key":"2025121820052178000_18.12.e268523.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2005.11.054"},{"key":"2025121820052178000_18.12.e268523.6","doi-asserted-by":"publisher","DOI":"10.1177\/000348949110000101"},{"key":"2025121820052178000_18.12.e268523.7","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1177\/0310057X0903700505","article-title":"Arytenoid subluxation after a difficult intubation treated successfully with voice therapy","volume":"37","author":"Tan","year":"2009","journal-title":"Anaesth Intensive Care"},{"key":"2025121820052178000_18.12.e268523.8","article-title":"Incidence and Risk Factors of Arytenoid Dislocation Following Endotracheal Intubation: A Systematic Review and Meta-Analysis","volume":"16","author":"Alalyani","year":"2024","journal-title":"Cureus"},{"key":"2025121820052178000_18.12.e268523.9","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aem005"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-268523","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T04:05:29Z","timestamp":1766117129000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-268523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":9,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,12,18]]},"published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1136\/bcr-2025-268523"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-268523","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]}}}