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Published on: February 26, 2017
Fatal asphyxia due to large laryngeal granuloma
Ajay Kumar1, Ravi Rautji2, Asit Ranjan Mridha3
1All India Institute of Medical Sciences, Department of Forensic Medicine & Toxicology, New Delhi, Delhi, India.
Abstract:
Laryngeal granuloma, vocal process granuloma, or post-intubation granuloma are benign, inflammatory lesions of the arytenoid cartilage vocal process. The etiology of laryngeal granulomas is multifactorial, such as chronic irritation due to endotracheal intubation, vocal cord injury or trauma, and gastroesophageal reflux disease. They can arise postoperatively after mucosal injury due to orotracheal intubation. Clinical manifestations include voice change and dyspnea, which may start one to four months after extubation and may rarely lead to asphyxia. We presented a case of death due to glottic granuloma occurring after a surgical procedure to remove a laryngeal polyp attributed to previous laryngeal injuries by multiple intubations.
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