title: [Intubation injuries of the larynx and trachea--etiology, forms, therapy and endoscopic control for prevention].
abstract: Severe intubation injuries of the larynx and trachea are usually caused by prolonged intubation, particularly if the primary intubation was difficult. Due to the persisting, time-consuming therapeutic problems, tracheal and laryngeal stenoses are among the most-feared sequelae of long-term intubation. Therefore many laryngologists reject endotracheal intubation for prolonged respiratory support and recommend an early tracheostomy. Advances in respiration techniques and in the development of tissue-compatible tubes with low pressure cuffs permit, in our opinion, prolonged intubation if this is controlled by repeated endoscopic examination to recognize lesions at an early, still reversible, stage.
mesh_terms: D000776:Anesthesiology / Q000379:methods; D004724:Endoscopy; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects* / Q000379:methods; D007830:Larynx / Q000293:injuries* / Q000473:pathology; D014132:Trachea / Q000293:injuries* / Q000473:pathology
vernacular_title: Intubationsschäden von Kehlkopf und Trachea--Ursachen, Formen, Therapie und endoskopische Früherfassung zur kontrollierten Prophylaxe.