Article Data

  • Views 617
  • Dowloads 153

Case Reports

Open Access

Bilateral vocal cord paralysis and airway obstruction during postoperative period after partial glossectomy

  • Jaegyok Song1
  • Heeyeon Sung2
  • Min A Kwon1
  • Sung Mi Ji1
  • Seokkon Kim1,*,

1Department of Anesthesiology and Pain Medicine, School of Medicine, Dankook University, 31116 Cheonan, Republic of Korea

2Department of Anesthesiology and Pain Medicine, Dankook University Hospital, 31116 Cheonan, Republic of Korea

DOI: 10.22514/sv.2024.034 Vol.20,Issue 3,March 2024 pp.106-109

Submitted: 30 May 2023 Accepted: 03 July 2023

Published: 08 March 2024

*Corresponding Author(s): Seokkon Kim E-mail: skkim@dankook.ac.kr

Abstract

Bilateral vocal cord paralysis is a rare complication of endotracheal intubation, causing serious problems. We report a case of bilateral vocal cord paralysis and airway obstruction in the postoperative period after partial glossectomy. A 61-year-old male patient with diabetes mellitus underwent partial glossectomy under general anesthesia. The anesthesia during surgery was uneventful. After extubation, the patient appeared to have airway obstruction and complained of dyspnea. Flexible fiberoptic laryngoscopy was performed immediately, and the patient was diagnosed with bilateral vocal cord paralysis. Therefore, reintubation was performed. The patient was extubated the following day and discharged with incomplete recovery of vocal cord paralysis. The study findings indicate that inappropriate endotracheal tube location and cuff pressure can cause bilateral vocal cord paralysis. The involvement of head position and tongue traction during glossectomy was suggested in this case. Anesthesiologists should be able to consider and manage bilateral vocal cord paralysis in patients with airway obstruction in the postoperative period.


Keywords

Airway obstruction; Extubation; Glossectomy; Vocal cord paralysis


Cite and Share

Jaegyok Song,Heeyeon Sung,Min A Kwon,Sung Mi Ji,Seokkon Kim. Bilateral vocal cord paralysis and airway obstruction during postoperative period after partial glossectomy. Signa Vitae. 2024. 20(3);106-109.

References

[1] Park DH, Lee CA, Jeong CY, Yang HS. Nasotracheal intubation for airway management during anesthesia. Anesthesia and Pain Medicine. 2021; 16: 232–247.

[2] Tekin M, Acar GO, Kaytaz A, Savrun FK, Çelik M, Cam OH. Bilateral Vocal cord paralysis secondary to head and neck surgery. Journal of Craniofacial Surgery. 2012; 23: 135–137.

[3] Kikura M, Suzuki K, Itagaki T, Takada T, Sato S. Age and comorbidity as risk factors for vocal cord paralysis associated with tracheal intubation. British Journal of Anaesthesia. 2007; 98: 524–530.

[4] Lim S, Kim DC, Cho K, Kim MH, Moon S, Cho H, et al. Vocal cord paralysis following general anesthesia with endotracheal intubation: a clinical review on 43 cases. Anesthesia and Pain Medicine. 2020; 15: 226–232.

[5] Brodsky MB, Akst LM, Jedlanek E, Pandian V, Blackford B, Price C, et al. Laryngeal injury and upper airway symptoms after endotracheal intubation during surgery: a systematic review and meta-analysis. Anesthesia & Analgesia. 2021; 132: 1023–1032.

[6] Chung MY, Lee JY, Cho EJ, Kim CJ, Jeong JT, Chea JS, et al. Transient unilateral vocal cord paralysis following endotracheal intubation in elderly patient with the abdominal surgery: a case report. Anesthesia and pain medicine. 2012; 7: 67–70.

[7] Wason R, Gupta P, Gogia AR. Bilateral Adductor vocal cord paresis following endotracheal intubation for general anaesthesia. Anaesthesia and Intensive Care. 2004; 32: 417–418.

[8] Maresch KJ. AANA journal course—vocal cord paralysis: implications for anesthesia care. The AANA Journal. 2021; 89: 443–448.

[9] Wallace S, McGrath BA. Laryngeal complications after tracheal intubation and tracheostomy. BJA Education. 2021; 21: 250–257.

[10] Park JH, Lee HJ, Lee SH, Kim JS. Changes in tapered endotracheal tube cuff pressure after changing position to hyperextension of neck: a randomized clinical trial. Medicine. 2021; 100: e26633.

[11] Wang HW, Lu CC, Chao PZ, Lee FP. Causes of vocal fold paralysis. Ear, Nose & Throat Journal. 2022; 101: NP294–NP298.

[12] Li Y, Garrett G, Zealear D. Current treatment options for bilateral vocal fold paralysis: a state-of-the-art review. Clinical and Experimental Otorhinolaryngology. 2017; 10: 203–212.


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

Top