Aphonia and dysphagia after total gastrectomy

Hiroyuki Ozawa, Satoko Kimura, Kunio Mizutari, Takekatsu Fujimine, Masato Fujii, Syunji Ikeuchi, Tatsuo Matunaga, Koichi Tsunoda

Research output: Contribution to journalArticlepeer-review


A 67-year-old male was referred to our otolaryngological clinic because of aphonia and dysphagia. His voice was breathy and he could not even swallow saliva following a total gastrectomy for gastric carcinoma performed 2 weeks previously. Laryngeal fiberscopy revealed major glottal incompetence when he tried to phonate. However, both vocal folds abducted over the full range during inhalation. The patient could not swallow saliva because of a huge glottal chink, even during phonation. Based on these findings, he was diagnosed as having bilateral incomplete cricoarytenoid dislocation after intubation. The patient underwent speech therapy; within 1 min his vocal fold movement recovered dramatically and he was able to phonate and swallow. There have been few case reports of bilateral cricoarytenoid dislocation, and no effective rehabilitation has been reported. We believe that our method of vocal rehabilitation serves as a useful reference for physicians and surgeons worldwide.

Original languageEnglish
Pages (from-to)1244-1246
Number of pages3
JournalActa Oto-Laryngologica
Issue number11
Publication statusPublished - 2005 Nov
Externally publishedYes


  • Cricoarytenoid dislocation
  • Laryngeal fiberscopy
  • Vocal rehabilitation

ASJC Scopus subject areas

  • Otorhinolaryngology


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