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Chondronecrosis of the larynx following use of the laryngeal mask airway
Author(s) -
Beswick Daniel M.,
Collins Jeremy,
Nekhendzy Vladimir,
Damrose Edward J.
Publication year - 2015
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.24967
Subject(s) - medicine , larynx , laryngeal mask airway , surgery , airway , anesthesia , laryngectomy , laryngeal masks , laryngoscopy , mascara , intubation
This case describes the development of laryngeal chondronecrosis after use of the laryngeal mask airway (LMA). A 69‐year‐old male with prior laryngeal irradiation underwent total knee replacement with general anesthesia via LMA. Postoperatively, he developed laryngeal chondronecrosis, bilateral vocal fold immobility, and aspiration, necessitating tracheostomy and gastrostomy placement. He improved with hyperbaric oxygen therapy, intravenous antibiotics, and endoscopic repair of a residual fistula. Vocal fold motion returned and he was decannulated. Chondronecrosis of the larynx may occur with the use of the LMA, and caution should be used in patients with a history of prior laryngeal irradiation. Laryngoscope , 125:946–949, 2015