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Article
August 1985

The Twisted Larynx: A Clinical Syndrome

Arch Otolaryngol. 1985;111(8):557. doi:10.1001/archotol.1985.00800100105020
Abstract

To the Editor.—Distortions in the normal position of the human larynx have often been noted in observations and descriptions of the usual roentgenographic study of the chest, and these are usually noted along with the associated pulmonary and thoracic variations. To my knowledge, however, the phenomenon of the "twisted larynx" as a clinical syndrome has not been noted. These distortions may be divided into two types, the extrinsic and the intrinsic.

Years ago I was requested to perform a tracheotomy in an elderly patient with laryngeal obstruction. The larynx could not be found by palpation, but it was finally located by applying a stethoscope circumferentially around the neck until breath sounds could be heard. The displacement or twist was such that the trachea was under the left mastoid process. This was the area where a successful and adequate tracheotomy was performed.

The intrinsic is a rotary twist and

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