Evidence map›Paper›PMID 40935871›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

Arytenoid prolapse following open airway reconstruction in adults: factors, incidence, and development of a novel grading system.

Abdullah Sindi, Dana A Obeid, Nasser Almutairi, Waleed Alshareef, Khaled Alhussinan, Roqaih Aldueb, Ahmed Alammar

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Abdullah SindiDepartment of Otolaryngology-Head and Neck Surgery, King Saud University Medical City, Riyadh, Saudi Arabia.
Dana A ObeidDepartment of Otolaryngology-Head and Neck Surgery, King Saud University Medical City, Riyadh, Saudi Arabia.
Nasser AlmutairiDepartment of Otolaryngology-Head and Neck Surgery, King Saud University Medical City, Riyadh, Saudi Arabia.
Waleed AlshareefDepartment of Otolaryngology-Head and Neck Surgery, King Saud University Medical City, Riyadh, Saudi Arabia.
Khaled AlhussinanDepartment of Otolaryngology-Head and Neck Surgery, King Saud University Medical City, Riyadh, Saudi Arabia. ikhalidhu@gmail.com.ORCID http://orcid.org/0000-0002-0904-2827
Roqaih AlduebOtolaryngology, Head and Neck Surgery, Security Forces Hospital Riyadh, Riyadh, Saudi Arabia.
Ahmed AlammarDepartment of Otolaryngology-Head and Neck Surgery, King Saud University Medical City, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to study the correlation and incidence between arytenoid prolapse after open airway surgeries and its risk factors, and to classify the degree of arytenoid prolapse in the adult population.

methodsFrom 2015 to 2020, we reviewed the charts of adult patients aged > 16 years who had undergone open airway surgeries at our facilities. We excluded patients with pre-existing arytenoid prolapse, limited postoperative endoscopic documentation, or loss to follow-up.

resultsThe study included 23 patients; most of whom were 40 years (73.91%) and males (65.57%). Subglottic stenosis (SGS) Grade 3 (47.8%) was the most common grade prior to our intervention. No significant association was observed between the degree of SGS, comorbidity, presence of tracheostomized status, operation type (cricotracheal resection or laryngotracheal reconstruction), and the presence of arytenoid prolapse. Patients with bilateral vocal cord immobility were more likely to have arytenoid prolapse compared to those with normal vocal fold mobility (P = 0.045).

conclusionIn adults, open airway surgeries did not correlate with arytenoid prolapse unless the patients had an immobile vocal cord. This may be due to the altered position of the arytenoid cartilage in cases of vocal fold immobility. Moreover, paralysis of the posterior cricoarytenoid muscles can lead to arytenoid apices prolapse anteromedially.

Indexed as

Arytenoid CartilageLaryngostenosisPlastic Surgery ProceduresPostoperative ComplicationsAdultAgedFemaleHumansIncidenceMaleMiddle AgedOtorhinolaryngologic Surgical ProceduresProlapseRetrospective StudiesRisk FactorsVocal Cord ParalysisArytenoidLaryngotracheal reconstructionPartial cricotracheal resectionProlapseSubglottic stenosis

Identifiers

PMID40935871

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