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Prospective study of the complications of endoscopic laryngeal surgery

Published online by Cambridge University Press:  29 June 2007

P. M. Robinson*
Affiliation:
Bradford
*
P. M. Robinson, ENT Department, Manor Hospital, Moat Road, Walsall WS2 9PS.

Abstract

Patients undergoing 204 endoscopic laryngeal operations were studied prospectively to determine the incidence of complications. Twelve patients were considered to be at high risk of postoperative airway obstruction. Two of these patients had an elective tracheostomy. One required temporary reintubation in the recovery room. No case of respiratory obstruction occurred in a patient not considered to be in the high risk group. Mucosal haemorrhage or oedema was seen on postoperative indirect laryngoscopy in 31 per cent of patients. The commonest abnormality found was mucosal haemorrhage in the oropharynx.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1991

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References

Bartlett, J. G., Faling, L. J., Willey, S. (1978) Quantitative tracheal bacteriologic and cytologic studies in patients with longterm tracheostomies. Chest, 74: 635639.Google Scholar
Brook, I. (1979) Bacterial colonization, tracheobronchitis and pneumonia following tracheostomy and long-term intubation in pediatric patients. Chest, 76: 420424.Google Scholar
Carter, P., Benjamin, B. (1983) Ten-year review of pediatric tracheotomy. Annals of Otology, Rhinology and Laryngology, 92: 398400.Google Scholar
Commission on the Provision of Surgical services (1985) Guidelines for day case surgery. Royal College of Surgeons of England.Google Scholar
Hill, R. S., Koltai, P. J., Parnes, S. M. (1987) Airway complications from laryngoscopy and panendoscopy. Annals of Otology, Rhinology and Laryngology, 96: 691694.CrossRefGoogle ScholarPubMed
Jordan, W. S., Graves, C. L., Elwyn, R. A. (1970) New therapy for post-intubation laryngeal oedema and tracheitis in children. Journal of the American Medical Association, 212: 585588.Google Scholar
Kambic, V., Radsel, Z. (1978) Intubation lesions of the larynx. British Journal of Anaesthesia, 50: 587590.CrossRefGoogle ScholarPubMed
Koka, B. V., Jeon, I. S., Andre, J. M., MacKay, I., Smith, R. M. (1977) Post-intubation croup in children. Anesthesia-Analgesia, 56: 501505.Google Scholar
Martis, C., Athanassiades, S. (1971) Post-thyroidectomy laryngeal edema. A survey of 54 cases. American Journal of Surgery, 122: 5860.Google Scholar
Niederman, M. G., Ferranti, R. D., Ziegler, A., Merrill, W. W., Reynolds, H. T. (1984) Respiratory infection complicating longterm tracheostomy. Chest, 85: 3944.Google Scholar
Peppard, S. B., Dickens, J. H. (1983) Laryngeal injury following short-term intubation. Annals of Otology, Rhinology and Laryngology, 92: 327330.CrossRefGoogle ScholarPubMed
Stout, D. M., Bishop, M. J., Dwersteg, J. F., Cullen, B. F. (1987) Correlation of endotracheal tube size with sore throat and hoarseness following general anaesthesia. Anaesthesiology, 67: 419421.Google Scholar