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Fatal vocal cord granuloma after orthognathic surgery

Journal of Dental Anesthesia and Pain Medicine 2018³â 18±Ç 6È£ p.375 ~ 378
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¹Ú½Ã¿¬ ( Park Si-Yeon ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
ÃÖÈ«¼® ( Choi Hong-Seok ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
À±Áö¿µ ( Yoon Ji-Young ) - Pusan National University School of Dentistry Department of Dental Anesthesia and Pain Medicine
±èÀºÁ¤ ( Kim Eun-Jung ) - Pusan National University School of Dentistry Department of Dental Anesthesia and Pain Medicine
À±Áö¿í ( Yoon Ji-Uk ) - Pusan National University School of Medicine Department of Anesthesia and Pain Medicine
±èÈñ¿µ ( Kim Hee-Young ) - Pusan National University School of Medicine Department of Anesthesia and Pain Medicine
¾ÈÁöÇý ( Ahn Ji-Hye ) - Pusan National University School of Dentistry Department of Dental Anesthesia and Pain Medicine

Abstract


Endotracheal intubation is commonly associated with laryngeal injury that often resolves spontaneously without any complication. However, stenosis or granulomatous lesions are generally found on the tracheal wall or vocal process at the tube cuff level, caused by excessive cuff pressure. We present a case of fatal vocal cord granuloma leading to dyspnea following orthognathic surgery and sustained intubation for 14 hours.

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Granuloma; Intubation; Trauma; Vocal Cord

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