[Severe laryngeal injury due to a nasogastric tube].
We report the case of a 71-year-old woman where nasogastric tube provoked a severe laryngeal injury, revealed by acute respiratory distress. Direct laryngoscopic findings included arytenoid edema, postcricoid ulceration and bilateral vocal cord paralysis in adduction. A tracheotomy was performed. Several months later, no improvement was noted because of a cricoid necrosis. Physiopathology, prophylaxis and management are discussed.
Leclerc
C
C
Service d'anesthésie et de réanimation, Fondation de la Miséricorde, 14033 Caen, France.
Perhirin
M
M
De Rugy
M Goulet
MG
Valdazo
A
A
D000368:Aged; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D007830:Larynx / Q000293:injuries*; D012128:Respiratory Distress Syndrome / Q000209:etiology* / Q000503:physiopathology; D014140:Tracheotomy; D016896:Treatment Outcome