Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Fatal vocal cord granuloma after orthognathic surgery

  • Park, Si-Yeon (Department of Oral and Maxillofacial surgery, School of Dentistry, Pusan National University) ;
  • Choi, Hong Seok (Department of Oral and Maxillofacial surgery, School of Dentistry, Pusan National University) ;
  • Yoon, Ji-Young (Department of Dental Anesthesia and Pain Medicine, School of Dentistry, Pusan National University, Dental Research Institute) ;
  • Kim, Eun-Jung (Department of Dental Anesthesia and Pain Medicine, School of Dentistry, Pusan National University, Dental Research Institute) ;
  • Yoon, Ji-Uk (Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University) ;
  • Kim, Hee Young (Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University) ;
  • Ahn, Ji-Hye (Department of Dental Anesthesia and Pain Medicine, School of Dentistry, Pusan National University, Dental Research Institute)
  • Received : 2018.11.26
  • Accepted : 2018.12.18
  • Published : 2018.12.31
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Abstract

Endotracheal intubation is commonly associated with laryngeal injury that often resolves spontaneously without any complication. However, stenosis or granulomatous lesions are generally found on the tracheal wall or vocal process at the tube cuff level, caused by excessive cuff pressure. We present a case of fatal vocal cord granuloma leading to dyspnea following orthognathic surgery and sustained intubation for 14 hours.

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References

  1. Yilmazer C, Sener M, Yilmaz I. Bilateral giant posterior laryngeal granulomas with dyspnea: a rare complication of endotracheal intubation. Anesth Analg 2005; 101: 1881-2.
  2. Yun KI, Lee JA, Park JU. Intubation granuloma: report of a case. J Oral Maxillofac Surg 2008; 66: 1263-5. https://doi.org/10.1016/j.joms.2007.06.638
  3. Barton RT. Observation on the pathogenesis of laryngeal granuloma due to endotracheal anesthesia. N Engl J Med 1953; 248: 1097-9. https://doi.org/10.1056/NEJM195306252482604
  4. Drosnes DL, Zwillenberg DA. Laryngeal granulomatous polyp after short-term intubation of a child. Ann Otol Rhinol Laryngol 1990; 99: 183-6.
  5. Dubick MN, Wright BD. Comparison of laryngeal pathology following long-term oral and nasal endotracheal intubations. Anesth Analg 1978; 57: 663-8.
  6. de Lima Pontes PA, De Biase NG, Gadelha EC. Clinical evolution of laryngeal granulomas: treatment and prognosis. Laryngoscope 1999; 109: 289-94. https://doi.org/10.1097/00005537-199902000-00021
  7. Blanc VF, Tremblay NA. The complications of tracheal intubation: a new classification with a review of the literature. Anesth Analg 1974; 53: 202-13.
  8. Barton RT. Medicolegal aspects of intubation granuloma. J Am Med Assoc 1958; 166: 1821-3. https://doi.org/10.1001/jama.1958.02990150017003
  9. Santos PM, Afrassiabi A, Weymuller EA Jr. Risk factors associated with prolonged intubation and laryngeal injury. Otolaryngol Head Neck Surg 1994; 111: 453-9. https://doi.org/10.1177/019459989411100411
  10. Altun D, Yilmaz E, Basaran B, Camci E. Surgical Excision of Postintubation Granuloma Under Jet Ventilation. Turk J Anaesthesiol Reanim 2014; 42: 220-2. https://doi.org/10.5152/TJAR.2014.16362
  11. Harari PM, Blatchford SJ, Coulthard SW, Cassady JR. Intubation granuloma of the larynx: successful eradication with low-dose radiotherapy. Head Neck 1991; 13: 230-3. https://doi.org/10.1002/hed.2880130312

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