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A Case of Glottic Interarytenoid Adhesion Following Endotracheal Intubation.

1993; Japan Broncho-esophagological Society; Volume: 44; Issue: 1 Linguagem: Inglês

10.2468/jbes.44.43

1880-6848

Yoshihisa Kawasaki, Hiroyuki Fukuda, Akiko Fujimura, Tsukasa Sakoh, Syunichi Sasaki, Ryouhei Sakaguchi, Akihiro Shiotani, Masahiro Kawaida,

Head and Neck Anomalies

A case of glottic interarytenoid adhesion following endotracheal intubation was reported. A sixty-nine year-old female with severe dyspnea due to bronchiectasis had had a tracheostomy 4 days after the initial intubation. Two months after decannulation, her dyspnea and dysphonia developed. Laryngoscopy under general anesthesia revealed an adhesion of the tips of the vocal processes. This adhesion was divided with carbon dioxide laser. The post operative course was successful in terms of phonation, and laryngoscopy revealed a normal larynx. Adhesion between the posterior ends in the inter-arytenoid area is a frequent cause of laryngeal stenosis after intubation. To avoid glottic stenosis due to intubation, earlier phonation following decannulation will be necessary. Endoscopic management can be successful if it is started as early as possible.