Acute upper airway obstruction following Teflon injection of a vocal cord; the value of nebulized adrenaline and a helium/oxygen mixture in its management.
A 67-year-old man presented with a 45-year history of a week voice. This was result of polio which had left him with a right vocal cord palsy. The patient underwent a Teflon injection of the right vocal cord under general anaesthesia to improve the quality of his voice. In the immediate post-operative period, he suffered acute upper airway obstruction. The problem of acute upper airway obstruction following Teflon injection is considered and its management with nebulized adrenaline and a helium/oxygen mixture is discussed.
Solomons
N B
NB
Royal Surrey County Hospital, Guildford, Surrey.
Livesey
J R
JR
D000208:Acute Disease; D000368:Aged; D000402:Airway Obstruction / Q000139:chemically induced* / Q000628:therapy; D004837:Epinephrine / Q000008:administration & dosage; D006371:Helium / Q000008:administration & dosage; D006801:Humans; D008297:Male; D009330:Nebulizers and Vaporizers; D010100:Oxygen / Q000008:administration & dosage; D011138:Polytetrafluoroethylene / Q000008:administration & dosage / Q000009:adverse effects*; D014826:Vocal Cord Paralysis / Q000150:complications*; D014832:Voice Disorders / Q000209:etiology* / Q000628:therapy
D006371:Helium; D011138:Polytetrafluoroethylene; D010100:Oxygen; D004837:Epinephrine