{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:19:41Z","timestamp":1789561181292,"version":"build-2803163510"},"reference-count":12,"publisher":"S.C. JURNALUL PENTRU MEDICINA SI VIATA S.R.L","issue":"3","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMedLife"],"abstract":"<jats:p>We carried out a prospective case series study in order to evaluate the laryngeal complications of the endotracheal tube. Two hundred patients aged 15 years and above who were subjected to endotracheal intubation for less than 5 hours were enrolled in the study. The data were collected from the Al-Salam Teaching Hospital in Mosul, Iraq. A preoperative assessment was accomplished clinically using 70\u00ba and\/or 90\u00ba Hopkins rods or fiber optic laryngoscopy. As part of the assessment, the patients' voices were recorded as well. Five to seven days after the procedure, the same assessment was repeated and compared to the preoperative data. If the postoperative examination and the voices were similar to the preoperative data, no follow-up was performed. If any abnormality was found in the larynx, the examination was repeated once weekly for one month or until the voice was recovered. In our study, five patients (2.5%) had intubation-related laryngeal injuries. The intubation period, changes in the position of the head or body of the patient during anesthesia, and the difficulty of intubation raised the possibility of laryngeal injuries. In general, intubation is a safe procedure; however, a laryngeal injury may appear as a rare complication. We found that there is a relation between the intubation period, changing the position of the patient during intubation, and difficulty of intubation with the occurrence of laryngeal injury.<\/jats:p>","DOI":"10.25122\/jml-2020-0148","type":"journal-article","created":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T05:29:05Z","timestamp":1634275745000},"page":"355-360","source":"Crossref","is-referenced-by-count":14,"title":["Laryngeal injury and dysphonia after endotracheal intubation"],"prefix":"10.25122","volume":"14","author":[{"given":"Ali Ahmad","family":"Al Saeg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Otolaryngology, Al-Salam Teaching Hospital, Mosul, Iraq","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haitham","family":"Alnori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Surgery, College of Medicine, University of Mosul, Mosul, Iraq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Haitham Alnori, Assistant Professor of Otolaryngology, Department of Surgery, College of Medicine, University of Mosul, Mosul, Iraq. Phone: 009647701637724; E-mail: haithamabdnori@uomosul.edu.iq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10755","published-online":{"date-parts":[[2021,6]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Thomas R, Vijaya Kumar E, Kameswaran M, Shamim A, Ghamdii S Al, Mummigatty. AP, et al. Post intubation laryngeal sequelae in an intensive care unit. J Laryngol Otol. 1995 Apr 29;109(4):313\u20136.","DOI":"10.1017\/S0022215100130002"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Colice GL, Stukel TA, Dain B. Laryngeal Complications of Prolonged Intubation. Chest [Internet]. 1989 Oct;96(4):877\u201384. Available from: https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0012369215404696","DOI":"10.1378\/chest.96.4.877"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Cavo JW. True vocal cord paralysis following intubation. Laryngoscope. 1985 Nov;95(11):1352\u20139.","DOI":"10.1288\/00005537-198511000-00012"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Brodsky MB, Levy MJ, Jedlanek E, Pandian V, Blackford B, Price C, et al. Laryngeal Injury and Upper Airway Symptoms After Oral Endotracheal Intubation With Mechanical Ventilation During Critical Care. Crit Care Med. 2018 Dec;46(12):2010\u20137.","DOI":"10.1097\/CCM.0000000000003368"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"de Lima E da S, de Oliveira MAB, Barone CR, Dias KMM, de Rossi SD, Schweiger C, et al. Incidence and endoscopic characteristics of acute laryngeal lesions in children undergoing endotracheal intubation. Braz J Otorhinolaryngol. 2016 Sep;82(5):507\u201311.","DOI":"10.1016\/j.bjorl.2015.09.012"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Lee DH, Yoon TM, Lee JK, Lim SC. Clinical Characteristics of Arytenoid Dislocation After Endotracheal Intubation. J Craniofac Surg. 2015 Jun;26(4):1358\u201360.","DOI":"10.1097\/SCS.0000000000001749"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Jang M, Basa K, Levi J. Risk factors for laryngeal trauma and granuloma formation in pediatric intubations. Int J Pediatr Otorhinolaryngol. 2018 Apr;107:45\u201352.","DOI":"10.1016\/j.ijporl.2018.01.008"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Tadi\u00e9 J-M, Behm E, Lecuyer L, Benhmamed R, Hans S, Brasnu D, et al. Post-intubation laryngeal injuries and extubation failure: a fiberoptic endoscopic study. Intensive Care Med. 2010 Jun 18;36(6):991\u20138.","DOI":"10.1007\/s00134-010-1847-z"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Mota L, de Cavalho G, Brito V. Laryngeal complications by orotracheal intubation: Literature review. Int Arch Otorhinolaryngol. 2012 Apr 5;16(02):236\u201345.","DOI":"10.7162\/S1809-97772012000200014"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Colton House J, Noordzij JP, Murgia B, Langmore S. Laryngeal injury from prolonged intubation: A prospective analysis of contributing factors. Laryngoscope. 2011 Mar;121(3):596\u2013600.","DOI":"10.1002\/lary.21403"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Matta Ri, Halan Bk, Sandhu K. Postintubation recurrent laryngeal nerve palsy: A review. J Laryngol Voice. 2017;7(2):25.","DOI":"10.4103\/jlv.JLV_5_16"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Senoglu N, Oksuz H, Ugur N, Dogan Z, Kahraman A. Arytenoid dislocation related to an uneventful endotracheal intubation: a case report. Cases J. 2008 Dec 20;1(1):251.","DOI":"10.1186\/1757-1626-1-251"}],"container-title":["Journal of Medicine and Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medandlife.org\/wp-content\/uploads\/JMedLife-14-355.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T05:30:21Z","timestamp":1634275821000},"score":1,"resource":{"primary":{"URL":"https:\/\/medandlife.org\/wp-content\/uploads\/JMedLife-14-355.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["JMedLife-14-355"],"URL":"https:\/\/doi.org\/10.25122\/jml-2020-0148","relation":{},"ISSN":["1844-122X","1844-3117"],"issn-type":[{"value":"1844-122X","type":"print"},{"value":"1844-3117","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6]]}}}