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Updated: Oct 1, 2026

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation
Published on: August 2, 2024
[Severe laryngeal injury due to a nasogastric tube]
C Leclerc1, M Perhirin, M Goulet De Rugy
1Service d'anesthésie et de réanimation, Fondation de la Miséricorde, 14033 Caen, France.
Abstract:
We report the case of a 71-year-old woman where nasogastric tube provoked a severe laryngeal injury, revealed by acute respiratory distress. Direct laryngoscopic findings included arytenoid edema, postcricoid ulceration and bilateral vocal cord paralysis in adduction. A tracheotomy was performed. Several months later, no improvement was noted because of a cricoid necrosis. Physiopathology, prophylaxis and management are discussed.
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