Late bilateral vocal cord palsy following endotracheal intubation due to COVID-19 pneumonia
| Autor: | Curros Mata, N., Alvarado de la Torre, S., Carballo Fernández, J., Martínez Morán, A., Álvarez Refojo, F., Rama-Maceiras, P. |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Traqueotomía
Respiratory distress syndrome Pneumonia viral Infecciones por coronavirus Intubación intratraqueal COVID-19 Case Report General Medicine respiratory system Neumonía viral Parálisis de los pliegues vocales Síndrome de dificultad respiratoria del adulto otorhinolaryngologic diseases Intubation intratracheal Vocal cords paralysis Tracheotomy |
| Zdroj: | Revista Espanola De Anestesiologia Y Reanimacion |
| ISSN: | 2341-1929 |
| DOI: | 10.1016/j.redare.2020.11.012 |
| Popis: | Vocal cord paralysis is a rare but severe complication after orotracheal intubation. The most common cause is traumatic, due to compression of the recurrent laryngeal nerve between the orotracheal tube cuff and the thyroid cartilage. Other possible causes are direct damage to the vocal cords during intubation, dislocation of the arytenoid cartilages, or infections, especially viral infections. It is usually due to a recurrent laryngeal nerve neuropraxia, and the course is benign in most patients. We present the case of a man who developed late bilateral vocal cord paralysis after pneumonia complicated with respiratory distress due to SARS-CoV-2 that required orotracheal intubation for 11 days. He presented symptoms of dyspnea 20 days after discharge from hospital with subsequent development of stridor, requiring a tracheostomy. Due to the temporal evolution, a possible contribution of the SARS-CoV- 2 infection to the picture is pointed out. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect