Vocal Fold Hypomobility Secondary to Elective Endotracheal Intubation: A General Surgeon's Perspective

Sariego, Jack

doi:10.1016/j.jvoice.2008.05.001

Cited by 20 publications

(13 citation statements)

References 19 publications

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“…[7][8][9][10][11][12][13] Postoperative hoarseness, an important clinical sign of laryngeal injury or dysfunction, can be distressing to a patient. 4,8,12 It may have a negative effect on the patients' degree of satisfaction, as well as on their level of activity after hospital discharge. 14 However, patients usually consult an otorhinolaryngologist only if postoperative hoarseness persists for a longer time (eg, 6 weeks), since it is considered to be a typical effect of general anesthesia and is expected to recover spontaneously.…”

Section: Discussionmentioning

confidence: 99%

Adverse Laryngeal Effects Following Short-term General Anesthesia<subtitle>A Systematic Review</subtitle>

Mendels

Brunings²,

Hamaekers³

et al. 2012

Arch Otolaryngol Head Neck Surg

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Hoarseness and vocal cord injuries are clinically relevant complications related to short-term general anesthesia using an endotracheal tube or laryngeal mask. However, more well-designed prospective studies are necessary to generate reliable data as well as to investigate techniques to reduce adverse laryngeal effects. For future research, a proposal to categorize the vocal cord lesions due to general anesthesia is presented. Furthermore, use of a preoperative and postoperative standardized measurement protocol using acoustic analysis and the Voice Handicap Index is advised.

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Section: Discussionmentioning

confidence: 99%

Adverse Laryngeal Effects Following Short-term General Anesthesia<subtitle>A Systematic Review</subtitle>

Mendels

Brunings²,

Hamaekers³

et al. 2012

Arch Otolaryngol Head Neck Surg

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show abstract

“…12 This is an exceedingly rare injury and is thought to occur in only 0.033-0.07% of intubations. 11,53 When viewed as a proportion of cases of vocal cord paralysis rather than as a percentage of intubations, vocal fold paralysis related to intubation injury seems more common. Intubation is estimated to be the cause of paralysis in 4 -7.5% of cases of unilateral vocal fold immobility and 9 -25% of cases of bilateral vocal fold immobility.…”

Section: Larynxmentioning

confidence: 99%

“…This compression may compromise vascularity and result in nerve dysfunction. 53,56,57 Awareness of maintaining appropriate cuff pressures is widespread. However, recent reports have documented that cuff pressures may increase from baseline values when cervical retractors are positioned for exposure during anterior cervical spine surgery.…”

Section: Larynxmentioning

confidence: 99%

Complications of Airway ManagementDiscussion

Pacheco-Lopez¹,

Berkow

Hillel³

et al. 2014

Respir Care

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Although endotracheal intubation is commonly performed in the hospital setting, it is not without risk. In this article, we review the impact of endotracheal intubation on airway injury by describing the acute and long-term sequelae of each of the most commonly injured anatomic sites along the respiratory tract, including the nasal cavity, oral cavity, oropharynx, larynx, and trachea. Injuries covered include nasoseptal injury, tongue injury, dental injury, mucosal lacerations, vocal cord immobility, and laryngotracheal stenosis, as well as tracheomalacia, tracheoinnominate, and tracheoesophageal fistulas. We discuss the proposed mechanisms of tissue damage that relate to each and present their most common clinical manifestations, along with their respective diagnostic and management options. This article also includes a review of complications of airway management pertaining to video laryngoscopy and supraglottic airway devices. Finally, potential strategies to prevent intubation-associated injuries are outlined.

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“…Surgery involving the brainstem and skull base may result in vagus nerve paralysis and is often associated with other neurologic deficits. Other iatrogenic trauma includes endotracheal intubation, occurring in 0.1 % of patients intubated for any reason, and central venous catheterization [7,8].…”

Section: Causes Of Vocal Fold Immobilitymentioning

confidence: 99%

Evaluation of Unilateral Vocal Fold Immobility

Kupfer

Meyer

2014

Curr Otorhinolaryngol Rep

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Unilateral vocal fold immobility (UFVI) is a highly variable clinical entity that may be neurogenic or mechanical in origin. Patients with UVFI have varying degrees of voice, swallowing, and airway disturbance. The patient should be carefully evaluated, including thorough history, head, neck, and neurologic examination, and laryngoscopy, to determine the etiology of UFVI and the current level of laryngeal function. If the etiology cannot be determined, cross sectional imaging of the skull base through the mediastinum is recommended to evaluate the underlying cause. Laryngeal electromyography is most useful for predicting poor functional recovery and may affect the decision to proceed with early definitive surgical management. Formal swallowing testing is indicated for patients with dysphagia to identify aspiration.

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Vocal Fold Hypomobility Secondary to Elective Endotracheal Intubation: A General Surgeon's Perspective

Cited by 20 publications

References 19 publications

Adverse Laryngeal Effects Following Short-term General Anesthesia<subtitle>A Systematic Review</subtitle>

Adverse Laryngeal Effects Following Short-term General Anesthesia<subtitle>A Systematic Review</subtitle>

Complications of Airway ManagementDiscussion

Evaluation of Unilateral Vocal Fold Immobility

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