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Inter-arytenoid glottic bar following intubation

Published online by Cambridge University Press:  29 June 2007

A. W. McCombe ,
D. E. Philips  and
J. H. Rogers
A. W. McCombe*
Affiliation:
Liverpool
D. E. Philips
Affiliation:
Liverpool
J. H. Rogers
Affiliation:
Liverpool
*
A W McCombe, Department of Otorhinolaryngology, University of Liverpool, PO Box 147, Liverpool L69 3BX.
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Abstract

Inter-arytenoid glottic bar is a rare complication of prolonged endotracheal intubation. We present two such cases and their treatment.

The aetiology of this complication is multifactorial and involves local factors—local tauma, movement of the endotracheal tube within the larynx, infection, and anatomical influences–together with systemic factors such as in our two cases.

The relative importance of these factors is discussed.

A comment is also made on the use of a pre-operative topogram and the importance of an ENT assessment in patients with airway problems following prolonged intubation.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 9 , September 1990 , pp. 727 - 729
Copyright
Copyright © JLO (1984) Limited 1990

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References

Benjamin, B. (1981) In: Atlas of paediatric endoscopy, OxfordUniversity Press p. 78.Google Scholar
Bishop, M. J., Weymuller, E. A., Fink, B. R. (1984). Laryngeal effects of prolonged intubation. Anaesthesia Amalg, 63: 335–342.Google ScholarPubMed
Ellis, P. D. M., Bennett, J. (1977) Laryngeal trauma after prolonged endotracheal intubation. Journal of Laryngology and Otology, 91: 69–74.CrossRefGoogle ScholarPubMed
Graham, J. M. (1988). Acquired subglottic stenosis in infants: proceedings of round table meeting. Journal of Laryngology and Otology, Supplement 17: 3–5.Google Scholar
Harrison, G. A., Tonkin, J. P. (1968) Prolonged therapeutic endotracheal intubation. British Journal of Anaesthesia, 40: 241–248.CrossRefGoogle ScholarPubMed
Hilding, A. C., Hilding, J. A. (1962) Tolerance of the respiratory mucous membrane to trauma: surgical swabs and intratracheal tubes. Annals of Otology, Rhinology and Laryngology, 71: 455–479.CrossRefGoogle ScholarPubMed
Jackson, C. (1953) Contact ulcer granuloma and other laryngeal complications of endotracheal anaesthesia. Anesthesiology, 14: 425–436.CrossRefGoogle Scholar
Nowak, P., Cohn, A. M., Guidice, M. A. (1987) Airway complications in patients with closed head injuries. American Journal Otolaryngology, 8: 91–96.CrossRefGoogle ScholarPubMed
Volpi, D., Lin, P., Kuriloff, D. B., Kimmelman, C. P. (1987) Risk factors for intubation injury of the larynx. Annals of Otology, Rhinology and Laryngology, 96: 684–686.CrossRefGoogle ScholarPubMed