A Case of Laryngeal Granuloma Likely Caused by Laryngopharyngeal Reflux Disease Following a Sagittal Split Ramus Osteotomy

• Published in: Anesthesia progress Vol. 64; no. 4; pp. 248 - 250
• Main Authors: Nakamura, Mami, Uda, Akio, Kataoka, Naokazu, Nagasaka, Kana, Tamashige, Kazuhisa, Mori, Daichi, Niwa, Hideo, Shibutani, Koh
• Format: Journal Article
• Language: English
• Published: United States Allen Press Inc 01.01.2017; American Dental Society of Anesthisiology
• Subjects: Brief Communications; Corticosteroids; Dentistry; Dyspnea; Extubation; Family medical history; Gastroesophageal reflux; Granuloma; Granulomas; Hormones; Intubation; Larynx; Osteotomy; Otolaryngology; Proton pump inhibitors; Surgery; General anesthesia; Laryngeal granuloma; Laryngopharyngeal reflux disease; Gastroesophageal reflux disease; Conservative treatment
• ISSN: 0003-3006; 1878-7177
• DOI: 10.2344/anpr-64-02-12

Laryngeal granuloma is an uncommon complication of prolonged endotracheal intubation. A 25-year-old woman with severe jaw deformity underwent sagittal split ramus osteotomy under general anesthesia. Two days after extubation, the patient complained of hoarseness, sore throat, and dyspnea. When symptoms persisted, she was evaluated in the Otolaryngology Department. She was diagnosed with laryngeal granuloma of the bilateral arytenoid cartilages, and conservative treatment was selected. Administration of corticosteroid hormones, proton pump inhibitors, and a subsequent follow-up examination performed in our outpatient clinic showed no evidence of recurrence 10 months after the initial presentation.