2015 Volume 144 Pages 64-65
A 70-year-old woman was admitted to our hospital with acute heart failure, and was managed on a ventilator for 3 days. She was extremely hoarse after extubation, and was referred to the otolaryngology department, but there were no abnormal findings. Three months after discharge, she was admitted with extreme hoarseness. Tumors were observed on the bilateral vocal cords which had almost closed the airway, and which we determined as requiring surgical resection. At first the patient underwent tracheotomy and the tumors were resected. Since then, no new granulation has been permitted.
Because of the choking hazard, a huge granuloma requires surgical resection. Prevention is the most important strategy in intubation granulomas, so we believe that it is important to eliminate as many factors involved in the development of granuloma as possible.
