[Perforation of the hypopharynx after endotracheal intubation].
A case of perforating injury to the hypopharynx following uneventful intubation is reported. As symptoms are relatively unspecific, perforating trauma of the pharynx, larynx, esophagus or trachea may temporarily remain undetected. Consecutive development of an abscess or mediastinitis can cause a potential vital threat to the patient. Depending on the defect size and the overall situation a conservative or surgical management should be followed. Persistent complaints of neck or thorax pain after endotracheal intubation should always raise suspicion of injury to the upper aerodigestive tract, even after uncomplicated intubation.
Luers
J C
JC
Klinik und Poliklinik für Hals-, Nasen-, Ohren-Heilkunde, Kopf- und Hals-Chirurgie am Klinikum der Universität, Kerpener Str. 24, 50924 Köln. jan-christoffer.lueers@uk-koeln.de
Preuss
S F
SF
Bovenschulte
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H
Mackenrodt
K A
KA
Beutner
D
D
D000769:Anesthesia, Inhalation; D002763:Cholecystectomy; D006801:Humans; D007013:Hypopharynx / Q000293:injuries* / Q000473:pathology; D007431:Intraoperative Complications / Q000209:etiology* / Q000628:therapy; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007830:Larynx / Q000293:injuries / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D014057:Tomography, X-Ray Computed