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Uvular injury: A narrative review.

Sheetal D Bapu¹, Serena J Tan¹, Sridhar R Musuku²

¹Albany Medical College, Albany, NY, USA.

Saudi Journal of Anaesthesia

|February 19, 2026

Summary

Uvular injury, a rare complication of airway procedures, can range from mild swelling to severe necrosis. Most cases resolve with conservative treatment, but standardized guidelines are needed for prevention and management.

Keywords:

Airway management intubation complications pediatric uvular injury uvula uvular edema uvular injury uvular necrosis uvular paralysis

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Area of Science:

Otorhinolaryngology
Anesthesiology
Gastroenterology

Background:

Uvular injury is a rare but significant complication of airway and pharyngeal manipulation.
It occurs across various medical specialties, including anesthesiology, otolaryngology, and emergency medicine.

Purpose of the Study:

To review the embryological origin, anatomy, pathophysiology, management, and prevention of uvular injury.
To outline current understanding and identify gaps in standardized management protocols.

Main Methods:

Narrative review of case reports and series.
Literature search conducted on MEDLINE, Embase, and Google Scholar from 1978 to 2025.

Main Results:

Common etiologies include mechanical injury, infection, drug reactions, and idiopathic causes.
Symptoms range from sore throat and dysphagia to airway obstruction; physical findings vary from edema to avulsion.
Conservative management with analgesics and anti-inflammatories is typically effective, with most injuries resolving within two weeks.

Conclusions:

Uvular injuries usually resolve with conservative care, with surgical intervention rarely needed.
Preventative measures focus on careful instrumentation and patient positioning.
Standardized management guidelines and grading systems are lacking, necessitating further research.