삽관 육아종 1례

Abstract

Endotracheal intubation has been used widely for the maintenance of airway in the emergency patients and general anesthesia. However, several complications occur in about 4% after endotracheal intubation. The complications include laryngeal edema, laryngomalacia, laryn¬geal stenosis, laryngeal granuloma etc.. Among these complications, laryngeal granuloma is a relatively rare complication. Authors reported a case of laryngeal granuloma which developed after endotracheal intubation. A 33-year old female patient visited our hospital Emergency Room due to right humerus and left scapular fracture, liver laceration and pleural effusion. At 2 days after admission, sudden dyspnea developed and oxygen therapy was done. After oxygen therapy, PaC>2 was not elevat¬ed above 70 mmHg. Then endotracheal intubation was performed, it was difficult to intubate endotracheally due to short neck and obesity. She was intubated for 5 days. The patient was discharged after 1 month of medical treatment. At 2 months after discharge, the patient felt a progressive hoarseness and foreign body sensation in larynx. She was diagnosed as laryngeal granuloma at ENT department. She was underwent the surgical operation.