Laryngeal Granuloma: a Complication of Prolonged Endotracheal Intubation

Overview

Journal Anesth Prog

Specialties Anesthesiology
Dentistry

Date 1991 Nov 1

PMID 1842162

Citations 1

Authors

G J Keiser

N E Bozentka

B D Gold

Affiliations

Soon will be listed here.

Abstract

Laryngeal granuloma is an uncommon complication arising from irritation of the laryngeal structures. We present a case where bilateral laryngeal granulomas became clinically evident 3 mo after orthognathic surgery. The patient, a 19-yr-old female, developed acute dyspnea after experiencing gradual voice loss. Excision of the lesions under endotracheal general anesthesia led to an uneventful outcome. The causes, predisposing factors, diagnostic features, and treatment of laryngeal granuloma are reviewed.

Citing Articles

Comparison of intubation and tracheotomy in adult patients with acute epiglottitis or supraglottitis.

Tapiovaara L, Aro K, Back L, Koskinen A Eur Arch Otorhinolaryngol. 2019; 276(11):3173-3177.

PMID: 31489494 PMC: 6811371. DOI: 10.1007/s00405-019-05624-0.

References

Blanc V, Tremblay N . The complications of tracheal intubation: a new classification with a review of the literature. Anesth Analg. 1974; 53(2):202-13. View

Dubick M, Wright B . Comparison of laryngeal pathology following long-term oral and nasal endotracheal intubations. Anesth Analg. 1978; 57(6):663-8. View

Lewis Jr F, Schiobohm R, Thomas A . Prevention of complications from prolonged tracheal intubation. Am J Surg. 1978; 135(3):452-7. DOI: 10.1016/0002-9610(78)90083-1. View

Stauffer J, Olson D, Petty T . Complications and consequences of endotracheal intubation and tracheotomy. A prospective study of 150 critically ill adult patients. Am J Med. 1981; 70(1):65-76. DOI: 10.1016/0002-9343(81)90413-7. View

Bishop M, Weymuller Jr E, Fink B . Laryngeal effects of prolonged intubation. Anesth Analg. 1984; 63(3):335-42. View

Tonkin J, Harrison G . The surgical management of the laryngeal complications of prolonged intubation. Laryngoscope. 1971; 81(2):297-307. DOI: 10.1288/00005537-197102000-00010. View

Stanley T, Kawamura R, Graves C . Effects of nitrous oxide on volume and pressure of endotracheal tube cuffs. Anesthesiology. 1974; 41(3):256-62. DOI: 10.1097/00000542-197409000-00007. View

BARON S, KOHLMOOS H . Laryngeal sequelae of endotracheal anesthesia. Ann Otol Rhinol Laryngol. 1951; 60(3):767-92. DOI: 10.1177/000348945106000320. View

BARTON R . Observation on the pathogenesis of laryngeal granuloma due to endotracheal anesthesia. N Engl J Med. 1953; 248(26):1097-9. DOI: 10.1056/NEJM195306252482604. View

10.

TENNEY S, CARPENTER F, Rahn H . Gas transfers in a sulfur hexafluoride pneumoperitoneum. J Appl Physiol. 1953; 6(4):201-8. DOI: 10.1152/jappl.1953.6.4.201. View

11.

BARTON R . Medicolegal aspects of intubation granuloma. J Am Med Assoc. 1958; 166(15):1821-3. DOI: 10.1001/jama.1958.02990150017003. View

12.

Eger 2nd E, SAIDMAN L . HAZARDS OF NITROUS OXIDE ANESTHESIA IN BOWEL OBSTRUCTION AND PNEUMOTHORAX. Anesthesiology. 1965; 26:61-6. DOI: 10.1097/00000542-196501000-00011. View