title: [Severe laryngeal injury due to a nasogastric tube].
abstract: 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.
authors.affiliation: Service d'anesthésie et de réanimation, Fondation de la Miséricorde, 14033 Caen, France.
authors.forename: C
authors.initials: C
authors.lastname: Leclerc
authors.forename: M
authors.initials: M
authors.lastname: Perhirin
authors.forename: M Goulet
authors.initials: MG
authors.lastname: De Rugy
authors.forename: A
authors.initials: A
authors.lastname: Valdazo
mesh_terms: 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