Nakamura Mami, Uda Akio, Kataoka Naokazu, Nagasaka Kana, Tamashige Kazuhisa, Mori Daichi, Niwa Hideo, Shibutani Koh
Department of Anesthesiology, Nihon University School of Dentistry at Matsudo, Chiba, Japan.
Department of Head and Neck Surgery, Nihon University School of Dentistry at Matsudo, Chiba, Japan.
Anesth Prog. 2017 Winter;64(4):248-250. doi: 10.2344/anpr-64-02-12.
Laryngeal granuloma is an uncommon complication of prolonged endotracheal intubation. A 25-year-old woman with severe jaw deformity underwent sagittal split ramus osteotomy under general anesthesia. Two days after extubation, the patient complained of hoarseness, sore throat, and dyspnea. When symptoms persisted, she was evaluated in the Otolaryngology Department. She was diagnosed with laryngeal granuloma of the bilateral arytenoid cartilages, and conservative treatment was selected. Administration of corticosteroid hormones, proton pump inhibitors, and a subsequent follow-up examination performed in our outpatient clinic showed no evidence of recurrence 10 months after the initial presentation.
喉肉芽肿是长期气管插管罕见的并发症。一名25岁严重颌骨畸形女性在全身麻醉下接受了下颌支矢状劈开截骨术。拔管两天后,患者出现声音嘶哑、咽痛和呼吸困难。症状持续不缓解时,她到耳鼻喉科就诊。诊断为双侧杓状软骨喉肉芽肿,遂选择保守治疗。给予糖皮质激素、质子泵抑制剂,在我院门诊进行后续随访检查,结果显示初次就诊10个月后无复发迹象。