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Updated: Apr 3, 2026

Open Tracheostomy Gastric Acid Aspiration Murine Model of Acute Lung Injury Results in Maximal Acute Nonlethal Lung Injury
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Soft tissue injuries after direct laryngoscopy.

J Mourão1, J Moreira2, J Barbosa3

  • 1Department of Anesthesiology Centro Hospitalar São João, EPE, Porto, Portugal; Anesthesiology and Perioperative Care Unit, Department of Surgery, Faculty of Medicine, University of Porto, Porto, Portugal.

Journal of Clinical Anesthesia
|September 23, 2015
PubMed
Summary

Oral soft tissue trauma is common during tracheal intubation, with over half of patients experiencing mild to moderate injuries. Tongue and lip injuries were most frequent, highlighting the need for careful airway management.

Keywords:
Airway managementIntubationLaryngoscopy complications

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Area of Science:

  • Anesthesiology
  • Oral Surgery
  • Patient Safety

Background:

  • Tracheal intubation is a critical procedure in anesthesia.
  • Direct laryngoscopy is a common method for intubation.
  • Oral soft tissue trauma is a potential complication.

Purpose of the Study:

  • To determine the incidence of oral soft tissue trauma during direct laryngoscopy.
  • To identify risk factors associated with this trauma.

Main Methods:

  • Prospective observational study.
  • Adult patients undergoing elective surgery requiring tracheal intubation.
  • Oral examinations performed by anesthesiologists.

Main Results:

  • 52.1% of patients experienced soft tissue trauma.
  • Tongue (36.3%) and lower lip (22.3%) injuries were most common.
  • All injuries were mild (grade 1) or moderate (grade 2).

Conclusions:

  • High incidence of mild to moderate oral soft tissue trauma during direct laryngoscopy.
  • Oral mucosa injury was associated with age.