술후 발생한 기관 삽관성 육아종의 임상적 연구 = CLINICAL STUDY ON POST-INTUBATION GRANULOMA

다국어 초록 (Multilingual Abstract)

Post-intubation granuloma of the larynx is a rare complication of general inhalation anesthesia, which is associated with direct mechanical irritation of laryngeal mucosa from trauma, prolonged period of endotracheal intubation, multiple intubations and endotracheal movement. This study was performed retrospectively to evaluate symptoms, incidence, duration and site for prevention of the intubation granuloma. The authors investigated 16 patients of intubation granuloma among 719 patients during 1 year period from August, 2005 to July, 2006 at the Department of Oral & Maxillofacial Surgery, Pusan National University Hospital. The results were as follows. 1. The incidence was 16/719 cases(2.2%) 2. The female to male ratio was 7:1 3. Hoarseness was the main symptom 4. Most cases occurred after 2-jaw orthognathic surgery.

참고문헌 (Reference)

1 "Vocal fold granuloma : successfultreatment with botulinum toxin" 121 : 410-, 1999

2 "Unusual Sequelae of tracheal intubation. PocRoy Soc Med 25" 1932.

3 "Post-bronchoscopygranuloma of larynx. Anesth Analg 46" hara (hara): 1967.

4 "Pathogenesis of vocal cord polyps. AnnOtol Rhinol Laryngol 91" 1982.

5 "Laryngeal injuriessecondary to nasogastric tubes. Ann Otol Rhinol Laryngol90" 1981.

6 "Intubation granuloma of the larynx" 1991.

7 "Incidence and control of trauma accompanyingendotracheal anesthesia. AMA Arch Otolaryngol 53" 1951.

8 "Clinical obserbation in20 cases with intubation granuloma. J Kor Soc Anesth 27" 1994.

9 "Bilateral granuloma of the larynx due tointratracheal anesthesia. AMA Arch Otolaryngol 56" 1952.