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. 2015:2015:504791.
doi: 10.1155/2015/504791. Epub 2015 Feb 1.

Photodocumentation of the development of type I posterior glottic stenosis after intubation injury

Nelson Scott Howard  1 , Travis L Shiba  2 , Julianna E Pesce  2 , Dinesh K Chhetri  2
Affiliations

Photodocumentation of the development of type I posterior glottic stenosis after intubation injury

Nelson Scott Howard et al. Case Rep Surg. 2015.

Abstract

Bilateral vocal fold immobility may result from bilateral recurrent laryngeal nerve paralysis or physiologic insults to the airway such as glottic scars. The progression of mucosal injury to granulation tissue, and then posterior glottis stenosis, is an accepted theory but has not been photodocumented. This paper presents serial images from common postintubation injury to less common posterior glottic stenosis with interarytenoid synechia.

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Figures

Figure 1
Figure 1
Early bilateral granulation tissue after intubation.
Figure 2
Figure 2
Formation of posterior glottic adhesion with fully mobile vocal folds.
Figure 3
Figure 3
Mature posterior glottic granulation tissue and interarytenoid adhesion.
Figure 4
Figure 4
Postintubation granuloma.
Figure 5
Figure 5
Post-Botox identification of interarytenoid adhesion.
See this image and copyright information in PMC

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