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Laryngeal injuries following endotracheal intubation in ENT surgery: predictive value of anatomical scores

Standard

Laryngeal injuries following endotracheal intubation in ENT surgery: predictive value of anatomical scores. / Böttcher, Arne; Mencke, Thomas; Zitzmann, Amelie; Knecht, Rainald; Jowett, Nathan; Nöldge-Schomburg, Gabriele; Pau, Hans Wilhelm; Dommerich, Steffen.

In: EUR ARCH OTO-RHINO-L, Vol. 271, No. 2, 01.02.2014, p. 345-52.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Böttcher, A, Mencke, T, Zitzmann, A, Knecht, R, Jowett, N, Nöldge-Schomburg, G, Pau, HW & Dommerich, S 2014, 'Laryngeal injuries following endotracheal intubation in ENT surgery: predictive value of anatomical scores', EUR ARCH OTO-RHINO-L, vol. 271, no. 2, pp. 345-52. https://doi.org/10.1007/s00405-013-2659-x

APA

Böttcher, A., Mencke, T., Zitzmann, A., Knecht, R., Jowett, N., Nöldge-Schomburg, G., Pau, H. W., & Dommerich, S. (2014). Laryngeal injuries following endotracheal intubation in ENT surgery: predictive value of anatomical scores. EUR ARCH OTO-RHINO-L, 271(2), 345-52. https://doi.org/10.1007/s00405-013-2659-x

Vancouver

Böttcher A, Mencke T, Zitzmann A, Knecht R, Jowett N, Nöldge-Schomburg G et al. Laryngeal injuries following endotracheal intubation in ENT surgery: predictive value of anatomical scores. EUR ARCH OTO-RHINO-L. 2014 Feb 1;271(2):345-52. https://doi.org/10.1007/s00405-013-2659-x

Bibtex

@article{756c34de34e041d3801c39c72434ce8c,
title = "Laryngeal injuries following endotracheal intubation in ENT surgery: predictive value of anatomical scores",
abstract = "Endotracheal intubation has been associated with a threefold higher incidence of laryngopharyngeal complaints following anesthesia in comparison to laryngeal mask airway. Such complaints, including hoarseness and sore throat, have been reported in up to 90% of patients within 24 h of extubation. The purpose of this study was to determine which preoperatively documented clinical and anatomic parameters are predictive of laryngo-pharyngeal trauma resulting from elective endotracheal intubation. Fifty-three patients undergoing ENT procedures requiring general anesthesia with endotracheal intubation were recruited. Pre and postoperative laryngostroboscopic examination was performed and findings correlated to preoperative clinical and anatomic parameters. Readily assessed anatomic parameters including height (>180 cm) and weight (>80 kg) correlated significantly to the Eckerbom grade of intubation-associated acute laryngeal injury (rs = 0.374; p = 0.006 and rs = 0.278; p = 0.044, respectively). The mandibular protrusion test also correlated significantly to the Eckerbom grade (rs = 0.462, p = 0.001) while the upper-lip-bite test showed significant correlation to impaired vocal fold oscillation (rs = 0.288, p = 0.036), with injury prediction sensitivities of 37.5 and 39.4%, respectively. No parameters correlated to subjective complaints (n = 5, 9.2%). This study provides suggestions on how to improve the classification of intubation-associated laryngeal injuries as well as providing the basis for larger clinical trials in other surgical subspecialties.",
keywords = "Adolescent, Adult, Aged, Anesthesia, General, Female, Hoarseness, Humans, Intubation, Intratracheal, Larynx, Male, Middle Aged, Otorhinolaryngologic Surgical Procedures, Pharyngitis, Pharynx, Preoperative Care, Stroboscopy, Young Adult",
author = "Arne B{\"o}ttcher and Thomas Mencke and Amelie Zitzmann and Rainald Knecht and Nathan Jowett and Gabriele N{\"o}ldge-Schomburg and Pau, {Hans Wilhelm} and Steffen Dommerich",
year = "2014",
month = feb,
day = "1",
doi = "10.1007/s00405-013-2659-x",
language = "English",
volume = "271",
pages = "345--52",
journal = "EUR ARCH OTO-RHINO-L",
issn = "0937-4477",
publisher = "Springer",
number = "2",

}

RIS

TY - JOUR

T1 - Laryngeal injuries following endotracheal intubation in ENT surgery: predictive value of anatomical scores

AU - Böttcher, Arne

AU - Mencke, Thomas

AU - Zitzmann, Amelie

AU - Knecht, Rainald

AU - Jowett, Nathan

AU - Nöldge-Schomburg, Gabriele

AU - Pau, Hans Wilhelm

AU - Dommerich, Steffen

PY - 2014/2/1

Y1 - 2014/2/1

N2 - Endotracheal intubation has been associated with a threefold higher incidence of laryngopharyngeal complaints following anesthesia in comparison to laryngeal mask airway. Such complaints, including hoarseness and sore throat, have been reported in up to 90% of patients within 24 h of extubation. The purpose of this study was to determine which preoperatively documented clinical and anatomic parameters are predictive of laryngo-pharyngeal trauma resulting from elective endotracheal intubation. Fifty-three patients undergoing ENT procedures requiring general anesthesia with endotracheal intubation were recruited. Pre and postoperative laryngostroboscopic examination was performed and findings correlated to preoperative clinical and anatomic parameters. Readily assessed anatomic parameters including height (>180 cm) and weight (>80 kg) correlated significantly to the Eckerbom grade of intubation-associated acute laryngeal injury (rs = 0.374; p = 0.006 and rs = 0.278; p = 0.044, respectively). The mandibular protrusion test also correlated significantly to the Eckerbom grade (rs = 0.462, p = 0.001) while the upper-lip-bite test showed significant correlation to impaired vocal fold oscillation (rs = 0.288, p = 0.036), with injury prediction sensitivities of 37.5 and 39.4%, respectively. No parameters correlated to subjective complaints (n = 5, 9.2%). This study provides suggestions on how to improve the classification of intubation-associated laryngeal injuries as well as providing the basis for larger clinical trials in other surgical subspecialties.

AB - Endotracheal intubation has been associated with a threefold higher incidence of laryngopharyngeal complaints following anesthesia in comparison to laryngeal mask airway. Such complaints, including hoarseness and sore throat, have been reported in up to 90% of patients within 24 h of extubation. The purpose of this study was to determine which preoperatively documented clinical and anatomic parameters are predictive of laryngo-pharyngeal trauma resulting from elective endotracheal intubation. Fifty-three patients undergoing ENT procedures requiring general anesthesia with endotracheal intubation were recruited. Pre and postoperative laryngostroboscopic examination was performed and findings correlated to preoperative clinical and anatomic parameters. Readily assessed anatomic parameters including height (>180 cm) and weight (>80 kg) correlated significantly to the Eckerbom grade of intubation-associated acute laryngeal injury (rs = 0.374; p = 0.006 and rs = 0.278; p = 0.044, respectively). The mandibular protrusion test also correlated significantly to the Eckerbom grade (rs = 0.462, p = 0.001) while the upper-lip-bite test showed significant correlation to impaired vocal fold oscillation (rs = 0.288, p = 0.036), with injury prediction sensitivities of 37.5 and 39.4%, respectively. No parameters correlated to subjective complaints (n = 5, 9.2%). This study provides suggestions on how to improve the classification of intubation-associated laryngeal injuries as well as providing the basis for larger clinical trials in other surgical subspecialties.

KW - Adolescent

KW - Adult

KW - Aged

KW - Anesthesia, General

KW - Female

KW - Hoarseness

KW - Humans

KW - Intubation, Intratracheal

KW - Larynx

KW - Male

KW - Middle Aged

KW - Otorhinolaryngologic Surgical Procedures

KW - Pharyngitis

KW - Pharynx

KW - Preoperative Care

KW - Stroboscopy

KW - Young Adult

U2 - 10.1007/s00405-013-2659-x

DO - 10.1007/s00405-013-2659-x

M3 - SCORING: Journal article

C2 - 23990031

VL - 271

SP - 345

EP - 352

JO - EUR ARCH OTO-RHINO-L

JF - EUR ARCH OTO-RHINO-L

SN - 0937-4477

IS - 2

ER -