Abstract
We report a case of interarytenoid adhesion at the vocal processes. A nineteen-year-old male with dyspnea due to traffic accident had an endotracheal intubation for three weeks. Two months later, he complained dyspnea and stridor at the first visit to our outpatient clinic. Laryngoscopy showed bilateral vocal cord immobility, however it did not show the intrarytenoid adhesion at that time. Tracheotomy was performed for acquiring the sufficient air way. Six months later, fiberoptic endoscopy under local anesthesia revealed the adhesion between the vocal processes. Under general anesthesia, the adhesion was excised by a cold instrument and steroid was injected into both vocal processes. Good vocal cord mobility on both sides was obtained just after the operation. Tracheostoma was closed. Two months later, contact granuloma was observed at both vocal processes, but the lesions disappeared after four months of voice therapy and proton pump inhibitor medication. There has not been re-adhesion at the vocal processes for two years and three months. Observing and touching the vocal processes by endoscopy or direct laryngoscopy can provide important information for the precise diagnosis of bilateral vocal cord immobility.
