Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

326
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
326
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

6.1K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
6.1K
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

2.8K
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
2.8K
Respiratory System Abnormal Finding II: Palpation and Auscultation01:31

Respiratory System Abnormal Finding II: Palpation and Auscultation

1.2K
In assessing respiratory abnormalities, palpation and auscultation are critical tools for detecting and interpreting various pathophysiological changes. These techniques provide insight into underlying disorders by evaluating tactile sensations and sounds produced by the respiratory system.
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
1.2K
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

2.1K
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
2.1K
Physical Assessment of the Respiratory Tract IV: Auscultation01:28

Physical Assessment of the Respiratory Tract IV: Auscultation

1.7K
Auscultation is a crucial component of the physical assessment of the respiratory tract. It offers valuable insights into airflow through the bronchial tree and potential lung obstructions. This process involves careful listening to breath, voice, and adventitious sounds, which can reveal a wealth of information about a patient's respiratory health.
Breath Sounds
Breath sounds are categorized into vesicular, bronchovesicular, and bronchial.
1.7K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Double aortic arch and aortotracheal fistula as cause of fatal massive bleeding: a rare and dangerous association].

Andes pediatrica : revista Chilena de pediatria·2024
Same author

Improved vocal quality and decreased vocal effort after botulinum toxin treatment for laryngeal dystonia.

Auris, nasus, larynx·2023
Same author

Acute Vocal Fold Hemorrhage: Retrospective Analysis in a Voice Unit.

Journal of voice : official journal of the Voice Foundation·2022
Same author

Management of Contralateral Reactive Vocal Fold Lesions, a Retrospective Study.

Journal of voice : official journal of the Voice Foundation·2022
Same author

Bamboo Nodes as an Autoimmune Disease Laryngeal Manifestation. Case Series.

Journal of voice : official journal of the Voice Foundation·2021
Same author

Determination of variables for a more accurate diagnostic approach in suspected acute invasive fungal rhinosinusitis: A non-concurrent cohort study.

Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·2021

Related Experiment Video

Updated: Dec 12, 2025

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
07:22

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing

Published on: December 1, 2023

840

Postintubation Phonatory Insufficiency: A Challenging Diagnosis.

Phoebe H Ramos1, Antonia E Lagos1, Carla A Napolitano1

  • 1Otolaryngology Department, Pontificia Universidad Católica de Chile, Santiago, Chile.

Journal of Voice : Official Journal of the Voice Foundation
|August 12, 2020
PubMed
Summary

Postintubation phonatory insufficiency (PIPI) causes voice problems after prolonged intubation, often missed due to normal initial exams. Early diagnosis and speech therapy are key for managing this glottic gap.

Keywords:
Glottic insufficiencyLaryngotracheoscopyOrotraqueal intubation

More Related Videos

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

21.9K
Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
03:58

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes

Published on: August 2, 2024

1.5K

Related Experiment Videos

Last Updated: Dec 12, 2025

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
07:22

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing

Published on: December 1, 2023

840
A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

21.9K
Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
03:58

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes

Published on: August 2, 2024

1.5K

Area of Science:

  • Otolaryngology
  • Speech and Language Pathology
  • Medical Diagnostics

Background:

  • Glottic insufficiency, a common cause of dysphonia, is often underdiagnosed.
  • Postintubation phonatory insufficiency (PIPI) presents with dysphonia despite normal laryngeal imaging.
  • Scarce literature exists on PIPI, contributing to its underdiagnosis.

Purpose of the Study:

  • To describe two cases of PIPI diagnosed at a Voice Unit.
  • To discuss the clinical features, diagnostic process, and treatment options for PIPI.
  • To highlight the importance of recognizing PIPI in patients with persistent voice complaints after intubation.

Main Methods:

  • Reported two clinical cases of prolonged orotracheal intubation (OTI) with subsequent dysphonia.
  • Utilized laryngoscopy and laryngotracheoscopy with transtracheal anesthesia for detailed laryngeal evaluation.
  • Identified scar tissue causing a posterior glottic gap as the cause of PIPI.

Main Results:

  • Patients presented with dysphonia, vocal fatigue, breathy voice, and poor vocal projection post-OTI.
  • Laryngoscopy revealed no membranous glottis lesions but difficulty evaluating the respiratory glottis.
  • Laryngotracheoscopy confirmed scar tissue medial to vocal processes, causing a posterior glottic gap.

Conclusions:

  • Prolonged OTI can lead to a posterior glottic gap due to arytenoid mucosa damage, causing glottic insufficiency.
  • PIPI is challenging to diagnose and requires direct clinical suspicion, especially with normal laryngeal imaging.
  • Management often begins with counseling and speech therapy, as treatment options for complete defect closure are limited.