Cricoid chondronecrosis: a serious complication of prolonged endotracheal intubation

Author:

Bijou Walid1ORCID,Oukessou Youssef2,Mohamed Laachoubi2,Rouadi Sami2,Abada Reda2,Roubal Mohamed2,Mahtar Mohamed2

Affiliation:

1. ENT Department, Face and Neck Surgery, Hospital August, 20’1953, University Hospital Center IBN ROCHD, Hassan II University

2. ENT Department, Face and Neck Surgery, Hospital August, 20’1953, University Hospital Center IBN ROCHD, Casablanca, Morocco

Abstract

Chondronecrosis is a rare life-threatening complication of endotracheal intubation. This case is a patient with a history of severe brain injury, who developed a cricoid chondronecrosis after prolonged intubation. The complication was suspected when decannulation led to upper airway obstruction and was confirmed by laryngoscopy and computed tomography. We discuss the diagnosis of the condition, the causative factors, treatment through a literature review.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

Reference12 articles.

1. Radionecrosis of the larynx: case report and review of the literature;Cukurova;Acta Otorhinolaryngol Ital,2010

2. Aseptic necrosis of the cricoid: a complication of tracheal intubation;Charlin;J Otolaryngol,1987

3. Chondronecrosis of the cricoid after prolonged intubation (author’s transl) [in French];Gehanno;Ann Otolaryngol Chir Cervicofac,1980

4. Benign erosion of laryngeal cartilage: report of two cases;Weissman;AJNR Am J Neuroradiol,1990

5. The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines;Agha;Int J Surg,2020

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