Xiong XJ, Wang L, Li T. Formation of granulation tissue on bilateral vocal cords after double-lumen endotracheal intubation: A case report. World J Clin Cases 2022; 10(34): 12690-12695 [PMID: 36579081 DOI: 10.12998/wjcc.v10.i34.12690]
Corresponding Author of This Article
Ting Li, MD, Attending Doctor, Doctor, Department of Anesthesiology, Army Medical Center of PLA, Daping Hospital, Army Medical University, No. 10 Changjiang Zhilu, Yuzhong District, Chongqing 400042, China. 569304104@qq.com
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Dec 6, 2022; 10(34): 12690-12695 Published online Dec 6, 2022. doi: 10.12998/wjcc.v10.i34.12690
Formation of granulation tissue on bilateral vocal cords after double-lumen endotracheal intubation: A case report
Xiao-Juan Xiong, Li Wang, Ting Li
Xiao-Juan Xiong, Li Wang, Ting Li, Department of Anesthesiology, Army Medical Center of PLA, Daping Hospital, Army Medical University, Chongqing 400042, China
Author contributions: Xiong XJ, Li T and Wang L contributed equally to this work; Xiong XJ, Li T and Wang L designed the research study; Xiong XJ, Li T and Wang L performed the research; Xiong XJ, Li T and Wang L contributed new reagents and analytic tools; Xiong XJ and Li T analyzed the data and wrote the manuscript; all authors have read and approve the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ting Li, MD, Attending Doctor, Doctor, Department of Anesthesiology, Army Medical Center of PLA, Daping Hospital, Army Medical University, No. 10 Changjiang Zhilu, Yuzhong District, Chongqing 400042, China. 569304104@qq.com
Received: July 21, 2022 Peer-review started: July 21, 2022 First decision: October 12, 2022 Revised: October 22, 2022 Accepted: November 4, 2022 Article in press: November 4, 2022 Published online: December 6, 2022
Abstract
BACKGROUND
Most case reports on laryngeal granuloma formation have described patients after tracheotomy and single-lumen endotracheal intubation. Few studies have investigated vocal cord granuloma formation after double-lumen endotracheal (DLT) intubation.
CASE SUMMARY
We report granulation tissue formation on the bilateral vocal cords after DLT intubation in a 45-year-old, 153-cm-tall female patient. Previous imaging reports showed no formation of vocal cord granuloma before DLT intubation. Therefore, we inferred that DLT intubation may have been the main reason for the postoperative granulation tissue formation on her bilateral vocal cords, based on the patient’s history of DLT intubation, persistent hoarseness after thoracic surgery, and fibrolaryngoscopic and pathological reports during 12 mo follow-up.
CONCLUSION
Thirty-two Fr DLT tubes should be utilized for thoracic surgery on female patients who are shorter than 153 cm in height.
Core Tip: Most case reports on laryngeal granuloma formation have been reported on patients after tracheotomy and single-lumen endotracheal intubation. Few studies have investigated vocal cord granuloma formation after double-lumen endotracheal (DLT) intubation. We reported a case of a 45-year-old woman with granulation tissue formation of the bilateral vocal cords after lobectomy with DLT. We found that a 32 Fr DLT tube should be selected for thoracic surgery for female patients below 153 cm in height. This study is intended to act as a reference for those seeking to identify people at a high risk of developing airway granulomas and lower the frequency of such complications.
