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[Post-intubation laryngeal granuloma: a rare complication of tracheal intubation in pediatrics. Case report].
Arch Argent Pediatr. 2017 Oct 01; 115(5):e315-e318.AA

Abstract

Laryngeal granulomas are benign lesions located in the posterior third of the glottis, mainly at the level of the vocal apophysis of the arytenoid cartilage. They are typically associated with three etiological factors: endotracheal intubation, inappropriate voice use and/or gastroesophageal reflux. The formation of a post-intubation laryngeal granuloma is a late complication related to intubation injury. It is uncommon in the child, especially if the period of intubation is short. It is usually unilateral and produces dysphonia, pharyngeal foreign body sensation and cough. Treatment consists of surgical removal when the lesion is pediculated or causes respiratory compromise. We present a 14-year-old girl who developed a pediculated laryngeal granuloma after orotracheal intubation of less than 24 hours, which was evidenced 3 months after cardiac surgery. We describe the pathogenesis, clinical manifestations, diagnosis and treatment of this pathology.

Authors+Show Affiliations

Sección de Endoscopía Respiratoria, División de Otorrinolaringología, Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina.Sección de Endoscopía Respiratoria, División de Otorrinolaringología, Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina.Sección de Endoscopía Respiratoria, División de Otorrinolaringología, Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina.Sección de Endoscopía Respiratoria, División de Otorrinolaringología, Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina.Servicio de Cirugía, Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina.

Pub Type(s)

Case Reports
Journal Article

Language

spa

PubMed ID

28895711

Citation

Cuestas, Giselle, et al. "[Post-intubation Laryngeal Granuloma: a Rare Complication of Tracheal Intubation in Pediatrics. Case Report]." Archivos Argentinos De Pediatria, vol. 115, no. 5, 2017, pp. e315-e318.
Cuestas G, Rodríguez V, Doormann F, et al. [Post-intubation laryngeal granuloma: a rare complication of tracheal intubation in pediatrics. Case report]. Arch Argent Pediatr. 2017;115(5):e315-e318.
Cuestas, G., Rodríguez, V., Doormann, F., Bellia Munzón, P., & Bellia Munzón, G. (2017). [Post-intubation laryngeal granuloma: a rare complication of tracheal intubation in pediatrics. Case report]. Archivos Argentinos De Pediatria, 115(5), e315-e318. https://doi.org/10.5546/aap.2017.e315
Cuestas G, et al. [Post-intubation Laryngeal Granuloma: a Rare Complication of Tracheal Intubation in Pediatrics. Case Report]. Arch Argent Pediatr. 2017 Oct 1;115(5):e315-e318. PubMed PMID: 28895711.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Post-intubation laryngeal granuloma: a rare complication of tracheal intubation in pediatrics. Case report]. AU - Cuestas,Giselle, AU - Rodríguez,Verónica, AU - Doormann,Flavia, AU - Bellia Munzón,Patricio, AU - Bellia Munzón,Gastón, PY - 2017/03/23/received PY - 2017/05/17/accepted PY - 2017/9/13/entrez PY - 2017/9/13/pubmed PY - 2018/6/29/medline KW - Endotracheal intubation KW - Laryngeal granuloma KW - Pediatrics SP - e315 EP - e318 JF - Archivos argentinos de pediatria JO - Arch Argent Pediatr VL - 115 IS - 5 N2 - Laryngeal granulomas are benign lesions located in the posterior third of the glottis, mainly at the level of the vocal apophysis of the arytenoid cartilage. They are typically associated with three etiological factors: endotracheal intubation, inappropriate voice use and/or gastroesophageal reflux. The formation of a post-intubation laryngeal granuloma is a late complication related to intubation injury. It is uncommon in the child, especially if the period of intubation is short. It is usually unilateral and produces dysphonia, pharyngeal foreign body sensation and cough. Treatment consists of surgical removal when the lesion is pediculated or causes respiratory compromise. We present a 14-year-old girl who developed a pediculated laryngeal granuloma after orotracheal intubation of less than 24 hours, which was evidenced 3 months after cardiac surgery. We describe the pathogenesis, clinical manifestations, diagnosis and treatment of this pathology. SN - 1668-3501 UR - https://www.unboundmedicine.com/medline/citation/28895711/[Post_intubation_laryngeal_granuloma:_a_rare_complication_of_tracheal_intubation_in_pediatrics__Case_report]_ L2 - https://doi.org/10.5546/aap.2017.e315 DB - PRIME DP - Unbound Medicine ER -