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Photodocumentation of the Development of Interarytenoid Adhesion Bands
Author(s) -
Howard Nelson S.,
Cohen Marc,
Chhetri Dinesh K.
Publication year - 2009
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.20445
Subject(s) - citation , presentation (obstetrics) , section (typography) , library science , art history , history , computer science , medicine , radiology , operating system
There is no consensus regarding duration of intubation prior to elective tracheotomy. This report emphasizes the importance of serial examination of any patient with long term intubation (>7 days) who develops persistent voice alteration with findings of posterior glottic granulation tissue. Early definitive surgical intervention for interarytenoid adhesions and posterior glottic webs is necessary for acute change in respiratory or voice characteristics. Botox use may augment surgical intervention by reduction of contact time of bilateral granulation tissue. Interarytenoid adhesions secondary to intubation trauma are thought to cause vocal cord abductor immobility secondary to contraction band formation.