[Laryngopharyngeal Morbidity Following General Anaesthesia. Anaesthesiological and Laryngological Aspects]

Overview

Journal Anaesthesist

Specialty Anesthesiology

Date 2007 Feb 6

PMID 17277956

Citations 5

Authors

A Reber

L Hauenstein

M Echternach

Affiliations

Soon will be listed here.

Abstract

Laryngeal and pharyngeal complaints are among the subjective problems most frequently reported by patients after general anaesthesia involving endotracheal intubation, others being pain, nausea and vomiting. Hoarseness, sore throat, and vocal cord injuries restrict patients' social lives, and in some cases also their working lives. The most frequent types of laryngeal injury are swollen mucosa and haematoma of the vocal cords. Vocal cord paralysis occurs much less frequently. Knowledge of the pathophysiological aspects and other relevant factors associated with laryngopharyngeal morbidity are essential cornerstones of quality assurance in perioperative respiratory tract management. In this review specific sections are devoted to the implications of anaesthesia involving endotracheal intubation and laryngeal masks for laryngopharyngeal morbidity, and also particular aspects of thyroid gland surgery, cardiothoracic and bariatric surgery and obstetric and paediatric anaesthesia, and medicolegal aspects.

Citing Articles

VOICE CONDITION FOLLOWING SHORT-TERM ENDOTRACHEAL INTUBATION IN HEAD AND NECK SURGERY: STUDY PROTOCOL FOR CLINICAL TRIAL.

Simic I, Curic Radivojevic R, Slipac J, Prgomet D Acta Clin Croat. 2024; 62(Suppl1):49-54.

PMID: 38746618 PMC: 11090230. DOI: 10.20471/acc.2023.62.s1.06.

The Effect of Adjustment of Endotracheal Tube Cuff Pressure during Scarless Remote Access Endoscopic and Robotic Thyroidectomy on Laryngo-Pharyngeal Complications: Prospective Randomized and Controlled Trial.

Koo C, Sohn H, Choi E, Choi J, Oh A, Jeon Y J Clin Med. 2019; 8(11).

PMID: 31731506 PMC: 6912494. DOI: 10.3390/jcm8111787.

[Tapia's syndrome : Rare complication of securing airways].

Brandt L Anaesthesist. 2014; 64(2):122-7.

PMID: 25523320 DOI: 10.1007/s00101-014-2397-5.

The temporary effect of short-term endotracheal intubation on vocal function.

Paulauskiene I, Lesinskas E, Petrulionis M Eur Arch Otorhinolaryngol. 2012; 270(1):205-10.

PMID: 23010792 DOI: 10.1007/s00405-012-2130-4.

[Laryngeal masks. Possibilities and limits].

Hillebrand H, Motsch J Anaesthesist. 2007; 56(6):617-30.

PMID: 17520229 DOI: 10.1007/s00101-007-1198-5.

References

Khine H, Corddry D, Kettrick R, Martin T, McCloskey J, Rose J . Comparison of cuffed and uncuffed endotracheal tubes in young children during general anesthesia. Anesthesiology. 1997; 86(3):627-31; discussion 27A. DOI: 10.1097/00000542-199703000-00015. View

Knoll H, Ziegeler S, Schreiber J, Buchinger H, Bialas P, Semyonov K . Airway injuries after one-lung ventilation: a comparison between double-lumen tube and endobronchial blocker: a randomized, prospective, controlled trial. Anesthesiology. 2006; 105(3):471-7. DOI: 10.1097/00000542-200609000-00009. View

Salgo B, Schmitz A, Henze G, Stutz K, Dullenkopf A, Neff S . Evaluation of a new recommendation for improved cuffed tracheal tube size selection in infants and small children. Acta Anaesthesiol Scand. 2006; 50(5):557-61. DOI: 10.1111/j.1399-6576.2006.01003.x. View

Dullenkopf A, Gerber A, Weiss M . Fit and seal characteristics of a new paediatric tracheal tube with high volume-low pressure polyurethane cuff. Acta Anaesthesiol Scand. 2005; 49(2):232-7. DOI: 10.1111/j.1399-6576.2005.00599.x. View

Loughlin C, Koufman J . Paroxysmal laryngospasm secondary to gastroesophageal reflux. Laryngoscope. 1996; 106(12 Pt 1):1502-5. DOI: 10.1097/00005537-199612000-00011. View

Hartley M, Vaughan R . Problems associated with tracheal extubation. Br J Anaesth. 1993; 71(4):561-8. DOI: 10.1093/bja/71.4.561. View

Ptok M, Strack D . [Voice exercise therapy versus electrostimulation therapy in patients with unilateral vocal fold paralysis]. HNO. 2005; 53(12):1092-7. DOI: 10.1007/s00106-004-1216-8. View

Rieger A, Hass I, Gross M, Gramm H, EYRICH K . [Intubation trauma of the larynx--a literature review with special reference to arytenoid cartilage dislocation]. Anasthesiol Intensivmed Notfallmed Schmerzther. 1996; 31(5):281-7. DOI: 10.1055/s-2007-995921. View

Kruse E . [Voice disorder. Conservative management]. Laryngorhinootologie. 2005; 84 Suppl 1:S192-200. DOI: 10.1055/s-2005-861143. View

10.

Weiss M, Knirsch W, Kretschmar O, Dullenkopf A, Tomaske M, Balmer C . Tracheal tube-tip displacement in children during head-neck movement--a radiological assessment. Br J Anaesth. 2006; 96(4):486-91. DOI: 10.1093/bja/ael014. View

11.

McHardy F, Chung F . Postoperative sore throat: cause, prevention and treatment. Anaesthesia. 2000; 54(5):444-53. DOI: 10.1046/j.1365-2044.1999.00780.x. View

12.

Higgins P, Chung F, Mezei G . Postoperative sore throat after ambulatory surgery. Br J Anaesth. 2002; 88(4):582-4. DOI: 10.1093/bja/88.4.582. View

13.

Mikuni I, Suzuki A, Takahata O, Fujita S, Otomo S, Iwasaki H . Arytenoid cartilage dislocation caused by a double-lumen endobronchial tube. Br J Anaesth. 2005; 96(1):136-8. DOI: 10.1093/bja/aei281. View

14.

Ruben R . Redefining the survival of the fittest: communication disorders in the 21st century. Laryngoscope. 2000; 110(2 Pt 1):241-5. DOI: 10.1097/00005537-200002010-00010. View

15.

Sittel C, Echternach M, Federspil P, Plinkert P . Polydimethylsiloxane particles for permanent injection laryngoplasty. Ann Otol Rhinol Laryngol. 2006; 115(2):103-9. DOI: 10.1177/000348940611500204. View

16.

DeJonckere P, Bradley P, Clemente P, Cornut G, Crevier-Buchman L, Friedrich G . A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Guideline elaborated by the Committee on Phoniatrics of the European.... Eur Arch Otorhinolaryngol. 2001; 258(2):77-82. DOI: 10.1007/s004050000299. View

17.

Zimmert M, Zwirner P, Kruse E, Braun U . Effects on vocal function and incidence of laryngeal disorder when using a laryngeal mask airway in comparison with an endotracheal tube. Eur J Anaesthesiol. 1999; 16(8):511-5. DOI: 10.1046/j.1365-2346.1999.00525.x. View

18.

Remacle M, Lawson G . Diagnosis and management of laryngopharyngeal reflux disease. Curr Opin Otolaryngol Head Neck Surg. 2006; 14(3):143-9. DOI: 10.1097/01.moo.0000193189.17225.91. View

19.

Streitz Jr J, Shapshay S . Airway injury after tracheotomy and endotracheal intubation. Surg Clin North Am. 1991; 71(6):1211-30. DOI: 10.1016/s0039-6109(16)45586-6. View

20.

Close L, Merkel M, Watson B, Schaefer S . Cricoarytenoid subluxation, computed tomography, and electromyography findings. Head Neck Surg. 1987; 9(6):341-8. DOI: 10.1002/hed.2890090607. View