Laryngeal injuries after short- versus long-term intubation.
Forty-five patients were seen over a 5-year period with laryngeal injuries following endotracheal intubation (ETI). The mean duration of ETI was 5.6 days (2 hours to 37 days). Patients intubated for less than 24 hours were most likely to present with a vocal fold immobility or an anterior glottic web. Long-term intubation was associated with the development of subglottic stenoses and granulomas. Patients with vocal fold immobility were seen more often after ETI for surgical reasons and had a significantly higher incidence of previous intubation and tobacco usage. Subglottic stenoses were seen in younger patients intubated for medical reasons and associated with nasogastric tubes and longer periods of intubation.
Department of Otolaryngology, University of Miami School of Medicine, Florida, USA.
D S
DS
Lundy
R R
RR
Casiano
D
D
Shatz
M
M
Reisberg
J W
JW
Xue
D000328:Adult; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007829:Laryngostenosis / Q000601:surgery; D007830:Larynx / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013997:Time Factors; D014947:Wounds and Injuries / Q000209:etiology