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2020, Number 3

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Acta Med 2020; 18 (3)

Uvula necrosis

Del Río PMA, Villatoro PPG,  Vela TA
Full text How to cite this article 10.35366/95413

DOI

DOI: 10.35366/95413
URL: https://dx.doi.org/10.35366/95413

Language: Spanish
References: 7
Page: 316-318
PDF size: 124.97 Kb.


Key words:

Odynophagia, uvular necrosis.

ABSTRACT

Odynophagia is a common symptom after general anesthesia which does not require a specific treatment. Uvular necrosis is a rare complication rarely reported in anesthesiology. We present a case report of a 31 years old woman with severe symptoms of gastroesophageal reflux disease and diagnosed by endoscopy. She underwent laparoscopic fundoplication with general anesthesia. 48 hours after the procedure, she presents severe odynophagia that persists after nonsteroidal anti-inflammatory drugs (NSAID). At the physical exam we observe uvular necrosis. Treated with conservative measures by otorhinolaryngology service. Besides odynophagia after orotracheal intubation is really common, persistent symptoms or foreign body sensation should make us suspect in a uvular necrosis as a differential diagnosis.


REFERENCES

  1. Evans D, Lo B. Uvular necrosis after orotracheal intubation. The Am J Emerg Med. 2009; 27 (5): 631.e3-631.e4.

  2. Iftikhar M, Raziq F, Laird-Fick H. Uvular necrosis as a cause of throat discomfort after endotracheal intubation. BMJ Case Reports. 2019; 12 (7): e231227.

  3. Goldin M, Ji L. Uvula necrosis, an atypical presentation of sore throat. J Emerg Med. 2013; 44 (1): 185-186.

  4. Jayakumar D, Pratheema R, Ramakrishnan N. Ulcerative necrosis of the uvula following endotracheal intubation. Intensive Care Med. 2015; 41 (9): 1713-1713.

  5. Sunio L, Contractor T, Chacon G. Uvular necrosis as an unusual complication of bronchoscopy via the nasal approach. Respir Care. 2011; 56 (5): 695-697.

  6. Budde A, Parsons C, Eikermann M. Uvula necrosis after fibreoptic intubation. Br J Anaesth. 2018; 120 (5): 1139-1140.

  7. El-Boghdadly K, Bailey CR, Wiles MD. Postoperative sore throat: a systematic review. Anaesthesia. 2016; 71: 706-717.




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Acta Med. 2020;18