Laryngeal complications by orotracheal intubation: Literature review

Luiz Alberto Alves Mota, Glauber Barbosa de Cavalho, Valeska Almeida Brito, Luiz Alberto Alves Mota, Glauber Barbosa de Cavalho, Valeska Almeida Brito

Abstract

Introduction: The injuries caused for the orotracheal intubation are common in our way and widely told by literature. Generally the pipe rank of or consequence of its permanence in the aerial ways of the patient is caused by accidents in. It has diverse types of larynx injuries, caused for multiple mechanisms.

Objective: To verify, in literature, the main causes of laryngeal complications after- orotracheal intubation and its mechanisms of injury. Revision of Literature: The searched databases had been LILACS, BIREME and SCIELO. Were updated, books and theses had been used, delimiting itself the period enters 1953 the 2009. The keywords used for the search of articles had been: complications, injuries, larynx, intubation, endotracheal, orotracheal, granulomas, stenosis. 59 references had been selected. The used criteria of inclusion for the choice of articles had been the ones that had shown to the diverse types of injuries caused for the orotracheal intubation and its pathophysiology.

Final considerations: This revision of literature was motivated by the comment in the practical clinic of a great number of laryngeal sequels in patients submitted to the orotracheal intubation. Of that is ahead important the knowledge, for the professionals of the area of health, the types of complications and its causes, with intention to prevent them, adopting measured of prevention of these injuries.

Keywords: dysphonia; larynx; voice.

References

    1. Martins R HG, Braz J RC, Dias N H, Castilho E C, Braz L G, Camacho Navarro L H. Rouquidão após intubação traqueal. Rev Bras de Anestesiol. 2006;56(2):189–99.
    1. Martins R HG, Dias N H, Braz J RC, Castilho E C. Complicações das vias aéreas relacionadas à intubação endotraqueal. Rev Bras Otorrinolaringol. 2004;70(5):671–7.
    1. Pons Y, Conessa C, Ouraini S, Clement P, Roguet E, Poncet Jl. Complications laryngo-trachéales post-intubation atypiques: à propos de 3 cas. Rev Laryngol Otol Rhinol. 2009;130(2):129–32.
    1. Colice G L, Stukel T A, Dain B. Laryngeal complications of prolonged intubation. Chest. 1989;96:877–883.
    1. Woo P, Kelly G, Kirshner P. Airway complications in the head injured. Laryngoscope. 1989;99:725–731.
    1. Lindholm C E. Prolonged endotracheal intubation. A clinical investigation with special reference to its consequences for the larynx and trachea and to its place an alternative to intubation through a tracheostomy. Acta Anaesthesiol Scand. 1969;33:1–131.
    1. Martins R HG, Dias N H, Santos D C, Fabro A T, Braz J RC. Aspectos clínicos, histológicos e de microscopia eletrônica dos granulomas de intubação das pregas vocais. Rev Bras Otorrinolaringol. 2009;75(1):116–22.
    1. Lacau Saint Guily J, Boisson-Bertrand D, Monnier P. Lésions liées à l'intubation oro- et nasotrachéale et aux techniques alternatives: lèvres, cavités buccale et nasales, pharynx, larynx, trachée, oesophage. Annales Françaises d'Anesthésie et de Réanimation. 2003;22:81–96.
    1. Laccourreye L, Perie S, Monceaux G, Angelard B, Lacau Saint Guily J. Traumatismes iatrogènes du larynx et de la trachée. EMC Oto-Rhino-Laryngologie. 1998;20:720–30.
    1. Lundy D S, Casiano R R, Shatz D, Reisberg M, Xue J W. Laryngeal injuries after short-versus long-term intubation. J Voice. 1998;12(3):360–5.
    1. Santos P M, Afrassiabi A, Weymuller E A Jr. Risk factors associated with prolonged intubation and laryngeal injury. Otolaryngol Head Neck Surg. 1994;111(4):453–9.
    1. Pinto J A, Simon S P, Silva S NS. Granulomas inespecíficos da laringe. Rev Bras Otorrinolaringol. 1993;59:253–6.
    1. Kimaid P AT Quagliato E MAB Crespo A N Wolf A Viana M A Resende L AL Laryngeal electromyography in movement disorders Arq Neuropsiquiatr 200462(3–A):741–4.
    1. Hedden M, Ersoz C J, Donnelly W H, Safar P. Laryngotracheal damage after prolonged use orotracheal tubes in adults. JAMA. 1969;207:703–8.
    1. Peppard S, Dickens J. Laryngeal injury following short term intubation. Ann Otol Rhinol Laryngol. 1983;92:327–30.
    1. Keane W, Rowe L, Denneny J, Atkins J. Complications of intubation. Ann Otol Rhinol Laryngol. 1982;91:584–7.
    1. Hamdan A L, Sabra O, Rameh C, El-Khatib M. Persistant dysphonia following endotracheal intubation. M.E.J. Anesth. 2007;19(1):5–14.
    1. Santos P, Afrassiabi A, Weymuller E. Prospective studies evaluating the standard endotracheal tube and a prototype endotracheal tube. Ann Otol Rhinol Laringol. 1989;98:935–40.
    1. Balestrieri F, Watson C B. Intubation granuloma. Otolaryngol Clin North Am. 1982;15:567–79.
    1. Kikura M, Suzuki K, Itagaki T, Takada T, Sato S. Age and comorbidity as risk factors for vocal cord paralysis associated with tracheal intubation. British Journal of Anaesthesia. 2007;98(4):524–30.
    1. Sommer D D, Freeman J L. Bilateral vocal cord paralysis associated with diabetes mellitus: case reports. J Otolaryngol. 1994;23:169–71.
    1. Ajemian M S, Nirmul G B, Anderson M T, Zirlen D M, Kwasnik E M. Routine fiberoptic endoscopic evaluation of swallowing following prolonged intubation: implications for management. Arch Surg. 2001;136(4):434–7.
    1. Goldsmith T. Evaluation and treatment of swallowing disorders following endotracheal intubation and tracheostomy. Int Anesthesiol Clin. 2000;38(3):219–42.
    1. El Solh A, Okada M, Bhat A, Pietrantoni C. Swallowing disorders post orotracheal intubation in the elderly. Intensive Care Med. 2003;29(9):1451–5.
    1. Whited R E. Posterior commissure stenosis post long-term intubation. Laryngoscope. 1983;93:1314–8.
    1. Coelho M S, Stori W S Jr. Lesões crônicas da laringe pela intubação traqueal. J Pneumol. 2001;27(2):68–76.
    1. Kastanos N, Miro R E, Perez A M, Mir A X, Agusti-Vidal A. Laryngotracheal injury due to endotracheal intubation: incidence, evolution, and predisposing factors. A prospective long-term study. Crit Care Med. 1983;11:362–7.
    1. Kaneda N, Goto R, Ishijima S, Kawakami S, Park K, Shima Y. La-ryngeal granuloma caused by short-term endotracheal intubation. Anesthesiology. 1999;90:1482–3.
    1. Shimokojin T, Takenoshita M, Sakai T, Yoshikawa K. Vocal cord bowing as a cause of long-lasting hoarseness after a few hours of tracheal intubation. Anestesiology. 1998;89:785–7.
    1. Nordin U The trachea and cuff-induced tracheal injury. An experimental study on causative factors and prevention Acta Otolaryngol 1977345(suppl):1–71.
    1. Castilho E C, Braz J RC, Catâneo A JM, Martins R HG, Gregório E A, Monteiro E R. Efeito da pressão limite de 25 cmH2O e mínima de selo do balonete de tubos traqueais sobre a mucosa traqueal do cão. Rev Bras Anestesiol. 2003;53:743–55.
    1. Luna C M, Legarreta G, Esteva H, Laffaire E, Jolly E C. Effect of tracheal dilatation and rupture on mechanical ventilation using a low-pressure cuff tube. Chest. 1993;104:639–40.
    1. Navarro L HC, Braz J RC, Pletsh A K, Amorim R B, Módolo N SP. Estudos comparativos das pressões de balonetes de tubos traqueais, contendo ou não válvula geradora de pressão de Lanz. Rev Bras Anestesiol. 2001;51:17–27.
    1. Jackson C. Contact ulcer granuloma and other laryngeal complications of endotracheal anesthesia. Anesthesiology. 1953;14:425–36.
    1. Weymuller E, Bishop M. Problems associated with prolonged intubation in the geriatric patient. Otolaryngol Clin N Amer. 1990;23:1057–74.
    1. Jones M W, Catling S, Evans E, Green D H, Green J R. Hoarseness after tracheal intubation. Anesthesia. 1992;47:213–6.
    1. Mencke T, Echternach M, Kleinschmidt S, Lux P, Barth V, Peter K P, Fuchs-Buder T. Laryngeal morbidity and quality of tracheal intubation. A randomized controlled trial. Anesthesiology. 2003;98:1049–56.
    1. Kunigk M RG, Chehter E. Disfagia orofaríngea em pacientes submetidos à entubação orotraqueal. Rev Soc Bras Fonoaudiol. 2007;12(24):287–91.
    1. Thomas R, Kumar E V, Kameswaran M, Shamim A, Ghamdii S A, mummigatty A P. et intubation sequelae in an intensive care unit. J Laryngol Otol. 1995;109:313–6.
    1. Benjamin B Prolonged intubations injuries of the larynx: endoscopic diagnosis, classification, and treatment Ann Otol Rhinol Laringol 1993102(Suppl 160):1–15.
    1. Hamdan A L, Moukarbel R V, Farhat F, Obeid M. Vocal cord paralysis after open-heart surgery. Eur J Cardiothorac Surg. 2002;21:671–4.
    1. Sasaki C T, Fukuda M, Kirchner J A. Laryngeal abductor activity in response to varying ventilatory resistance. Trans Am Acad OpthOtol. 1973;77:403–10.
    1. Laccourreye H, Chabolle F, Brasnu D, Saintguily J L. Les immobilités laryngées après intubation. Ann Otolaryngol Chir Cervicofac. 1984;101(4):253–9.
    1. Pontes P AL, De Biase N G, Gadelha E C. Clinical evolution of laryngeal granulomas: treatment and prognosis. Laryngoscope. 1999;109:289–94.
    1. Shumrick K A Shumrick D A Vietti M J Inflamatory diseases of the larynx St Louis: Mosby; 1996. p. 283–306
    1. Porto A JS, Alves S N. Granuloma pós-entubação. Rev Bras Anestesiol. 1989;39:43–5.
    1. Pontes P, De Biase N, Kyrillos L, Pontes A. The importance of glottic configuration in the development of posterior granuloma. Ann Otol Rhinol Laryngol. 2001;110:765–9.
    1. Mota L AA, Sefer M PC, Costa dos Santos Y M. Granuloma laríngeo - tratamento fonoterápico. Odontologia Clin Científ. Recife. 2003;2(3):229–32.
    1. de Biase N, Master S, Pontes P, de Biase S. Granuloma posterior da laringe: evolução após injeção de botox. Rev Bras Otorrinolaringol. 2001;67(4):557–61.
    1. Whited R E. A prospective study of laryngotracheal sequelae in longterm intubation. Laryngoscope. 1984;94:367–77.
    1. Marshak G, Doyle W J, Bluestore C D. Canine model of subglotic stenosis secondary to prolonged endotracheal intubation. Laryngoscope. 1982;92(7):805–9.
    1. Supance J S, Reilly J S, Doyle W J, Bluestone C D, Hubbard J. Acquired subglottic stenosis following prolonged endotracheal intubation. A canine model. Arch Otolaryngol. 1982;108(11):727–31.
    1. Volpi D Kurillof D B, Lin Pi-Tang, Kimmellaman CP. Risk factors for intubation injury of the larynx Ann Otol Rhinol Laryngol 198796684–6.
    1. Montovani J C, Rui R L Jr, Castilho E C. Estenose subglótica. Rev Bras Otorrinolaringol. 1995;61(2):97–102.
    1. Cotton R T, Evans J N. Laryngotracheal reconstruction in children: five year follow-up. Ann Otol Rhinol Laryngol. 1981;90(5):516–20.
    1. Prescott C A. Protocol for management of the interposition cartilage graft laryngotracheoplasty. Ann Otol Rhinol Laryngol. 1988;97(3):239–42.
    1. Seid A B, Pransky S M, Kearns D B. One stage laryngotracheoplasty. Arch Otola-ryngol Head Neck Surg. 1991;117(4):408–10.
    1. Ranne R D, Lindley S, Holder T M, Ashcraft K W, Sharp R J, Amoury R A. Relief of subglottic stenosis by anterior cricoid resection: an operation for the difficult case. J Pediatr Surg. 1991;26(3):255–8.
    1. Anand V K, Alemar G, Warren E T. Surgical considerations in tracheal stenosis. Laryngoscope. 1992;102(3):237–43.

Source: PubMed

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