Vocal cord granuloma after transoral thyroidectomy using oral endotracheal intubation: two case reports
Abstract Background Transoral thyroidectomy can be performed using nasal or oral intubation. Recently, we encountered two cases of vocal cord granuloma that were suspected to result from intraoperative compression by the oral endotracheal tube. Cases presentation Two women underwent transoral endosc...
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| Format: | Article |
| Language: | English |
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BMC
2021-06-01
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| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-021-01393-8 |
| _version_ | 1818448631388176384 |
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| author | Tsung-Jung Liang Nai-Yu Wang Shiuh-Inn Liu I-Shu Chen |
| author_facet | Tsung-Jung Liang Nai-Yu Wang Shiuh-Inn Liu I-Shu Chen |
| author_sort | Tsung-Jung Liang |
| collection | DOAJ |
| description | Abstract Background Transoral thyroidectomy can be performed using nasal or oral intubation. Recently, we encountered two cases of vocal cord granuloma that were suspected to result from intraoperative compression by the oral endotracheal tube. Cases presentation Two women underwent transoral endoscopic thyroidectomy with oral endotracheal tubes fixed at the mouth angle. Their initial postoperative recovery was uneventful, but they developed hoarseness 2 months after the surgery. Subsequent strobolaryngoscopy revealed vocal cord granulomas at the side of contact of the endotracheal tube. One patient received medication and voice therapy, and her granuloma shrank significantly one month later. The other patient underwent granuloma resection. Thereafter, the symptoms improved in both the patients. Conclusions Oral intubation with tube placement at the mouth angle might result in the formation of vocal cord granulomas. Therefore, we suggest positioning the tube at the midline to avoid excessive irritation on one side of the vocal cord. |
| first_indexed | 2024-12-14T20:22:35Z |
| format | Article |
| id | doaj.art-3e8ef95c06554c07936b52ec214ca47a |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-14T20:22:35Z |
| publishDate | 2021-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-3e8ef95c06554c07936b52ec214ca47a2022-12-21T22:48:42ZengBMCBMC Anesthesiology1471-22532021-06-012111510.1186/s12871-021-01393-8Vocal cord granuloma after transoral thyroidectomy using oral endotracheal intubation: two case reportsTsung-Jung Liang0Nai-Yu Wang1Shiuh-Inn Liu2I-Shu Chen3Division of General Surgery, Department of Surgery, Kaohsiung Veterans General HospitalDivision of General Surgery, Department of Surgery, Kaohsiung Veterans General HospitalDivision of General Surgery, Department of Surgery, Kaohsiung Veterans General HospitalDivision of General Surgery, Department of Surgery, Kaohsiung Veterans General HospitalAbstract Background Transoral thyroidectomy can be performed using nasal or oral intubation. Recently, we encountered two cases of vocal cord granuloma that were suspected to result from intraoperative compression by the oral endotracheal tube. Cases presentation Two women underwent transoral endoscopic thyroidectomy with oral endotracheal tubes fixed at the mouth angle. Their initial postoperative recovery was uneventful, but they developed hoarseness 2 months after the surgery. Subsequent strobolaryngoscopy revealed vocal cord granulomas at the side of contact of the endotracheal tube. One patient received medication and voice therapy, and her granuloma shrank significantly one month later. The other patient underwent granuloma resection. Thereafter, the symptoms improved in both the patients. Conclusions Oral intubation with tube placement at the mouth angle might result in the formation of vocal cord granulomas. Therefore, we suggest positioning the tube at the midline to avoid excessive irritation on one side of the vocal cord.https://doi.org/10.1186/s12871-021-01393-8Vocal cord granulomaEndoscopic thyroidectomyTransoralVestibular approachThyroid |
| spellingShingle | Tsung-Jung Liang Nai-Yu Wang Shiuh-Inn Liu I-Shu Chen Vocal cord granuloma after transoral thyroidectomy using oral endotracheal intubation: two case reports BMC Anesthesiology Vocal cord granuloma Endoscopic thyroidectomy Transoral Vestibular approach Thyroid |
| title | Vocal cord granuloma after transoral thyroidectomy using oral endotracheal intubation: two case reports |
| title_full | Vocal cord granuloma after transoral thyroidectomy using oral endotracheal intubation: two case reports |
| title_fullStr | Vocal cord granuloma after transoral thyroidectomy using oral endotracheal intubation: two case reports |
| title_full_unstemmed | Vocal cord granuloma after transoral thyroidectomy using oral endotracheal intubation: two case reports |
| title_short | Vocal cord granuloma after transoral thyroidectomy using oral endotracheal intubation: two case reports |
| title_sort | vocal cord granuloma after transoral thyroidectomy using oral endotracheal intubation two case reports |
| topic | Vocal cord granuloma Endoscopic thyroidectomy Transoral Vestibular approach Thyroid |
| url | https://doi.org/10.1186/s12871-021-01393-8 |
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