Vocal fold immobility following burn intensive care.
OBJECTIVE
To evaluate factors associated with the development of vocal fold immobility in patients surviving burn intensive care.


METHODS
A retrospective review of patients referred to Department of Speech Pathology by the Burn Intensive Care Unit between June 2002 and November 2004. Patients underwent videostroboscopic examination, and associations of vocal fold immobility with factors related to patient management were examined by using logistic regression.


RESULTS
Vocal fold immobility was diagnosed in 25 (48%) of the 52 patients evaluated. A significant association with a history of intubation during overseas aeromedical evacuation (odds ratio 4.5, P = 0.026) was observed. Multivariate modeling demonstrated an increased risk of 3% for each % total body surface area (TBSA) of burn.


CONCLUSIONS
High-altitude transport of intubated patients was a significant risk factor in the development of laryngeal injury.


CONCLUSIONS
This study magnifies the role that endotracheal tube cuff pressure may play in recurrent laryngeal nerve injury.
Pfannenstiel
Travis J
TJ
Department of Otolaryngology, Brooke Army Medical Center, FT Sam Houston, TX 78234, USA. travis.pfannenstiel@us.army.mil
Gal
Thomas J
TJ
Hayes
David K
DK
Myers
Karen V
KV
D000328:Adult; D000337:Aerospace Medicine; D002056:Burns / Q000628:therapy*; D016022:Case-Control Studies; D003422:Critical Care; D005260:Female; D005336:Fiber Optic Technology; D006685:Hoarseness / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D020704:Laryngoscopes; D008297:Male; D008875:Middle Aged; D008889:Military Personnel; D010347:Patient Care Planning; D011312:Pressure; D012189:Retrospective Studies; D012307:Risk Factors; D049489:Stroboscopy; D014741:Video Recording; D014826:Vocal Cord Paralysis / Q000209:etiology*