耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
気管内挿管麻酔による晩発性合併症としての喉頭肉芽腫
窪 敦子新田 しず子
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ジャーナル フリー

1955 年 1 巻 3 号 p. 190-196

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The authors report four cases of laryngeal granuloma, with two additional cases of laryngeal stenosis in early occurrence, which occurred as a result of the late complication of endotracheal intubation.
Case 1: I. M., a man aged 27. Case 2: K. T., a man aged 41.
Case 3: A. N., a woman aged 31. Case 4: S. O., a woman aged 16.
These patients underwent intrathoracal operations of the heart and the lung under endotracheal intubation about three months ago, and appeared at the authors' clinic complaining of hoarseness.
Granulomas from soya bean size to pea size were observed on both the vocal cords in two cases and on the left vocal cord at its posterior portion in two cases. Two cases were recovered by removal, and one by spontaneous exhalation. Histologically the tumors were nonspecific granulation tissues. The remainder is now under observation of process. Case 5: R. I., a woman gaed 27. Case 6: Y. M., a man aged 7.
In these cases, dyspnea and stridor appeared immediately after the operations which were performed under endotracheal intubation, and they consulted the authors on the first postoperative day. Thick pseudomembrane was found at the glottic and subglottic space.
Case 6 was recovered by performing repeated suction, but tracheotomy was required for case 5.
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