Laryngeal Injury following Short-Term Intubation

Peppard, Sean B.; Dickens, J. H.

doi:10.1177/000348948309200402

Cited by 153 publications

(55 citation statements)

References 13 publications

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“…Tracheal intubation can result in haematoma, mucosal laceration, mucosal granuloma and arytenoid cartilage damage [1,15,16]. In our study, only one patient developed a haematoma following tracheal intubation, while the Combitube was more traumatising, resulting in haematoma in 36% and mucosal lacerations in 12% of patients.…”

Section: Discussionmentioning

confidence: 52%

“…However, introduction of the tracheal tube usually requires direct laryngoscopy, which may cause laryngopharyngeal lesions leading to pain, sore throat and loss of voice, even after short-term intubation [1]. The oesophageal-tracheal Combitube (Kendall-Sheridan Catheter Corp., Argyle, NY, USA) is a well-established device in emergency medicine providing adequate ventilation and oxygenation without the need for direct laryngoscopy, with a low risk/benefit ratio [2][3][4].…”

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confidence: 99%

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Complications following the use of the Combitube, tracheal tube and laryngeal mask airway

Oczenski¹,

Krenn²,

Dahaba³

et al. 1999

Anaesthesia

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SummaryIn a prospective, randomised trial, 75 patients scheduled for routine surgery were randomly allocated to one of three groups to evaluate trauma and postoperative complications after insertion of the Combitube, tracheal tube or laryngeal mask airway. Insertion of the Combitube was associated with a higher incidence of sore throat (48% vs. 16% vs. 12% [p < 0.01]) and dysphagia (68% vs. 12% vs. 8% [p < 0.01]) compared with tracheal intubation or insertion of the laryngeal mask airway, respectively. Hoarseness was significantly less common in both the Combitube and the laryngeal mask groups (both 12%) than in the tracheal tube group (44%; p < 0.01). Haematoma occurred in 36% of the Combitube group compared with 4% in both the laryngeal mask and the tracheal tube groups (p < 0.01). The higher incidence of complications should be considered when using the Combitube.

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Section: Discussionmentioning

confidence: 52%

mentioning

confidence: 99%

Complications following the use of the Combitube, tracheal tube and laryngeal mask airway

Oczenski¹,

Krenn²,

Dahaba³

et al. 1999

Anaesthesia

View full text Add to dashboard Cite

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“…Since our patient did not show any defects of the other caudal cranial nerves and since we had excluded a hematoma of the brainstem, we suggest that the palsy was more likely to be idiopathic or caused by tracheal intubation trauma. Temporary vocal cord palsy can occur after endotracheal intubation in 0.04%-1.4% of surgeries [22] and is known to have a good prognosis.…”

Section: Vocal Cord Palsymentioning

confidence: 99%

Complications of the Middle Cranial Fossa Approach for Acoustic Neuroma Removal

Scheich

Ginzkey²,

Müller³

et al. 2017

Int Adv Otol

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“…16 Peppard and Dickens described hematoma of glottis healing within 4 weeks in 21 out of 22 patients. 17 In literature, it should be mentioned that the nerve can be impaired/injured during orotracheal intubation as well. 18 Orotracheal intubation can cause hoarseness of voice as well.…”

Section: Surgeons Experiencementioning

confidence: 99%

Voice changes after thyroidectomy: an experience with 364 cases of thyroid surgery

2018

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INTRODUCTIONVoice changes due to laryngeal dysfunction after thyroid surgery is a very common complication. However, very few data in the literatures are available which highlights the impact of thyroidectomy and effects of factors, such as patient age, sex, operation type, surgeons experience, laryngeal nerve injury and orotracheal intubation on voice of patients undergoing thyroid surgery. ABSTRACTBackground: An study the voice changes and to evaluate the impact of thyroidectomy and effects of factors such as patient age, sex, operation-type, surgeons-experience, laryngeal nerve injury and orotracheal intubation on voice of patients undergoing thyroidectomy. Methods: Author prospectively analyzed 364 cases of multinodular goiter (MNG) and neoplastic thyroid disorders, undergoing sub-total/total-thyroidectomy and completion-thyroidectomy in the department of surgery, during the study period of June 2016 to December 2016. Results: The study comprised of 364 patients, with 298 females and 66 males. Voice changes were seen in 216(59.34%) patients. Transient voice changes were seen in 212(98.15%) patients and permanent in 4(1.85%) patents. Out of 216 patents, age group ≥65 years were 128(59.25%) and age group <65 years were 88(40.75%) patients(p:0.012324). Out of 216 patients in which voice changes were seen,165(76.39%) patients were females and 51(23.61%) patients were males(p:0.001046). Voice changes were seen in 190(88%) patients in which sub-total/totalthyroidectomies were performed and in 26(12%) patients completion-thyroidectomies were performed. Voice changes were statistically significant in which completion-thyroidectomies were performed(p:0.002102). Voice changes were seen in 205(68.56%) cases and 11(16.92%) cases which were performed by post-graduate-trainee and experiencedsurgeon respectively. Voice changes were seen in 122(67.77%) cases in which orotracheal intubation was performed and in 94(51.65%) cases cervical-epidural anaesthesia was given (p:0.00281). RLN palsy was seen in 2(0.60%) cases in which sub-total/total-thyroidectomy were performed and 2(6.25%) cases in which completion-thyroidectomy was performed (p:0.003426). Conclusions: Voice changes is common after thyroid surgery but usually transient and sometimes, permanent. So, patients must be informed about the risk of voice-impairment after thyroid surgery. Present study is novel as it investigates not only laryngeal neve injury but also highlights patient age, sex, types of operation, surgeons experience and laryngeal complications during orotracheal intubation.

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Laryngeal Injury following Short-Term Intubation

Cited by 153 publications

References 13 publications

Complications following the use of the Combitube, tracheal tube and laryngeal mask airway

Complications following the use of the Combitube, tracheal tube and laryngeal mask airway

Complications of the Middle Cranial Fossa Approach for Acoustic Neuroma Removal

Voice changes after thyroidectomy: an experience with 364 cases of thyroid surgery

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