دورية أكاديمية
Acquired laryngomalacia as a cause of post-extubation stridor and extubation failure following craniotomy: a case report
| العنوان: | Acquired laryngomalacia as a cause of post-extubation stridor and extubation failure following craniotomy: a case report |
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| المؤلفون: | Kazuyuki Mizunoya, Keisyu Onodera, Yuki Takahashi, Takayuki Toki, Hitoshi Saito, Yuji Morimoto |
| المصدر: | JA Clinical Reports, Vol 9, Iss 1, Pp 1-4 (2023) |
| بيانات النشر: | SpringerOpen, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Anesthesiology LCC:Medical emergencies. Critical care. Intensive care. First aid |
| مصطلحات موضوعية: | Acquired laryngomalacia, Post-extubation stridor, Epiglottis, Arytenoid, Anesthesiology, RD78.3-87.3, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| الوصف: | Abstract Background Laryngomalacia is a dynamic airway condition characterized by flaccid laryngeal tissue and inward collapse of supraglottic structures during inspiration. Although it may cause airway obstruction and requires careful management, there have been few reports regarding laryngomalacia after surgery. We report a case of adult-onset laryngomalacia occurred after craniotomy requiring reintubation. Case presentation A 21-year-old man was admitted to the ICU after craniotomy for a cerebellopontine angle tumor. He developed severe stridor immediately after extubation on the postoperative day 2 and required reintubation. On the postoperative day 5, similar episode occurred following re-extubation and fiberoptic laryngoscopy revealed a collapsed epiglottis and left arytenoid into the glottis. A diagnosis of laryngomalacia was made, and he underwent tracheostomy. Laryngomalacia had completely improved; however, bilateral vocal cord paralysis was detected 2 weeks later. Conclusions Acquired laryngomalacia should be considered as a possible mechanism of the airway symptoms in a patient with neurological dysfunction. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2363-9024 |
| Relation: | https://doaj.org/toc/2363-9024 |
| DOI: | 10.1186/s40981-023-00637-5 |
| URL الوصول: | https://doaj.org/article/290eb34e7a6f4fcf9a5b622d4c4f082c |
| رقم الأكسشن: | edsdoj.290eb34e7a6f4fcf9a5b622d4c4f082c |
| قاعدة البيانات: | Directory of Open Access Journals |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 23639024 |
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| DOI: | 10.1186/s40981-023-00637-5 |