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http://dx.doi.org/10.1258/jrsm.2009.090125DOI Listing

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Ultrasonography of the cricoarytenoid joint and its movements.

Auris Nasus Larynx

December 2024

Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan.

Objective: Ultrasound provides real-time anatomical information and motion. We used ultrasound to image the cricoarytenoid joint and its rotating, rocking, and gliding movements.

Methods: Between March and October 2023, 20 patients (10 males and 10 females) who visited our hospital underwent laryngeal ultrasonography.

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Rheumatoid arthritis (RA) can cause a number of laryngeal manifestations; however, most of these do not cause an airway emergency. Airway obstruction due to vocal cord fixation of one or both vocal cords occurs late in the disease process of RA and can present as an inspiratory stridor. We report the case of an elderly lady who presented with acute stridor secondary to RA-induced bilateral vocal cord palsy and describe the various management options that were considered.

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Rheumatoid arthritis presenting as acute upper airway obstruction.

Am J Otolaryngol

January 2021

University of Maryland School of Medicine, United States of America; Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, United States of America.

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Cricoarytenoid joint arthritis: a possible complication of dermatomyositis.

Pan Afr Med J

December 2020

Otolaryngology - Head and Neck Surgery Department, Hotel Dieu de France University Hospital, Saint Joseph University, School of Medicine, Alfred Naccache Street, Achrafieh, Beirut, Lebanon.

Cricoarytenoid joint arthritis is most frequently reported in Rheumatoid Arthritis and in other systemic diseases such as Sjogren's syndrome, Systemic Lupus Erythematosus, Ankylosing Arthritis, Juvenile Chronic Arthritis, and autoimmune hepatitis but it has not been reported in dermatomyositis. In this paper, we report the case of a 43 years-old woman treated for dermatomyositis who presented with hoarseness and severe odynophagia. The laryngoscopy revealed the presence of an extensive white swelling of the left cricoarytenoid joint with reduced mobility of the left vocal cord, consistent with left cricoarytenoid joint arthritis, which has not previously been described in dermatomyositis to our knowledge.

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