Complicações extralaríngeas das cirurgias por laringoscopia direta de suspensão

Abstract

Al though suspension laryngoscopy is routinely used in laryngeal surgery, there are only few studies on the complications of this procedure. Aim: to evaluate the complications outside the larynx following suspension laryngoscopy and analyze their relation with surgery duration. Materials and Methods: Thirty-seven procedures were prospectively analyzed for intervention-related complications. The study included patient preoperative and postoperative assessment, focusing on dental, mucosal and nerve status (hypoglossal and lingual nerves). Results: Most procedures (27/37) were associated to some kind of complication, and mucosal injuries were the most common; temporary nerve lesions were observed in five cases and dental injuries in one case. Statistic significance was found between surgery duration and mucosal injury (lesions smaller than 1 centimeter), showing that longer procedure pose higher risks for these complications. Conclusion: These findings suggest that suspension laryngoscopy is frequently associated with complications outside the larynx. Although these injuries represent a low risk of significant morbidity, they can be avoided if more accurate techniques are used.

The neonatal intubation causes defects in primary teeth of premature infants

“…The forces exerted by the laryngoscope in traumatic swing maneuvers during direct laryngoscopy on the oral mucosa are considered the main causes of trauma to the tooth buds of maxillary incisors in development 14,22 . These complications can be avoided if an accurate technique is used during laryngoscopy for tracheal intubation 23 . Although the enamel defects have been observed among premature newborns before the 80's, few studies have been done on the relationship between intubation, intubation time, prematurity and enamel defects in deciduous teeth.…”

Efetividade da fonoterapia no tratamento do pólipo em pregas vocais

“…Despite the increasing number of publications and presentations of case studies in national and international scientific events on initial speech therapy as the treatment of vocal fold polyp, the routine medical approach is still surgical intervention, which requires the application of general anesthesia, besides being liable to complications during or after the intervention 8,12,[14][15][16][17][18][19][20][21][22][23][24] .…”