Related Experiment Videos
Postintubation phonatory insufficiency: an elusive diagnosis
1Loyola Voice Institute and the Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA. rbasti@luc.edu
Summary
Postintubation phonatory insufficiency, caused by prolonged intubation injuries, often goes undiagnosed for years. This study details its diagnosis and management.
Area of Science:
- Laryngology
- Otolaryngology
- Voice Science
Background:
- Prolonged intubation can cause significant laryngeal injury.
- Postintubation phonatory insufficiency is an underdiagnosed complication.
Purpose of the Study:
- To describe postintubation phonatory insufficiency.
- To highlight diagnostic challenges and review injury mechanisms, prevention, and treatment.
Main Methods:
- Retrospective review of 138 patients evaluated for chronic intubation injuries.
- Utilized a diagnostic model including history, vocal assessment, and fiberoptic laryngeal examination.
Main Results:
- Identified erosive injury to arytenoid cartilages and/or cricoarytenoid joint scarring.
- Diagnosis was often delayed, occurring years after the initial intubation.
Conclusions:
- Postintubation phonatory insufficiency is a significant, often delayed, consequence of prolonged intubation.
- Early recognition and targeted laryngeal examination are crucial for diagnosis and management.