Abstract:Objective A study was conducted to summarize the latest progress on the diagnosis and treatment of arytenoid dislocation(AD). Methods A total of 3241 articles on the diagnosis and treatment of AD that were published before 2022 were searched in databases, such as SinoMed, Wanfang, and PubMed. The literatures that had repeated search, low content relevance, unavailable full text, low quality, and poor innovation were excluded. Forty-six literatures were finally included, and these were summarized and analyzed. Results AD can seriously affect patients' quality of life. Medical history, electronic (stroboscopic) laryngoscope, CT, laryngeal electromyography, and voice analysis are available diagnostic methods that should be combined. According to the patient's condition and needs, as well as the competence of the hospital, the patient can choose from various treatments, such as closed reduction under local anesthesia, closed reduction under general anesthesia, fat injection, open reduction, and voice therapy. Conclusion Every approach used to diagnose cricoarytenoid joint dislocation has its own advantages and disadvantages. The precise diagnosis of the affected side, extent of dislocation, and orientation requires the combination of multiple methods. An appropriate time window is needed when treating patients. The closed reduction of arytenoid cartilage under general anesthesia with visual laryngoscope and reduction forceps can reduce pain, allowing the surgeon to operate more calmly; this can also facilitate recording and sharing, which is an important treatment measure. Moreover, voice therapy is an effective adjuvant treatment.
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