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Vocal cord hematomas complicating anticoagulant therapy
Annals of Emergency Medicine
|July 1, 1984
Summary
Anticoagulated patients with hoarseness or cough may have vocal cord hematomas. This condition, caused by poor anticoagulation control, can lead to respiratory obstruction and requires medical consideration.
Area of Science:
- Otolaryngology
- Hematology
- Emergency Medicine
Background:
- Anticoagulation therapy is crucial for preventing thromboembolic events but carries a risk of bleeding.
- Vocal cord hematomas are rare but serious complications that can arise from bleeding in the laryngeal region.
Observation:
- Two cases of vocal cord hematomas secondary to inadequate anticoagulation control are presented.
- Both patients exhibited symptoms of hoarseness and cough, indicative of upper airway compromise.
Findings:
- One patient experienced significant respiratory obstruction necessitating endotracheal intubation.
- The findings highlight a direct correlation between poor anticoagulation management and the development of vocal cord hematomas.
Implications:
- Clinicians should maintain vigilant monitoring of anticoagulation levels in patients on therapy.
- Vocal cord hematoma must be included in the differential diagnosis for patients on anticoagulation presenting with acute upper airway symptoms.
- Prompt recognition and management are essential to prevent severe respiratory compromise.