학술논문

A Case of Cricoid Cartilage Necrosis after Oral Intubation in a Patient with COVID-19 Pneumonia That Was Successfully Treated by Hyperbaric Oxygen Therapy / COVID-19 肺炎に対する経口挿管後に生じた輪状軟骨壊死に高気圧酸素療法が奏効した症例
Document Type
Journal Article
Source
日本耳鼻咽喉科頭頸部外科学会会報 / Nippon Jibiinkoka Tokeibugeka Gakkai Kaiho(Tokyo). 2023, 126(2):134
Subject
COVID-19
cricoid cartilage necrosis
hyperbaric oxygen therapy
intubation management
経口挿管
輪状軟骨壊死
高気圧酸素療法
Language
Japanese
ISSN
2436-5793
2436-5866
Abstract
Cricoid cartilage necrosis is a condition that results from insufficient blood supply to the cartilage due to destruction of the cartilage membrane mucosa, often caused by trauma or pressure to the larynx. We report a case of cricoid cartilage necrosis resulting from prolonged intubation in which hyperbaric oxygen therapy proved effective. during the treatment of COVID-19 pneumonia. The patient, a 23-year-old woman, required oral intubation for 13 days, unit with 48 hours in the prone position, who presented 23 days after extubation with wheezing, subglottic stenosis, and edema of the laryngeal mucosa. She was started on treatment with antibiotics and a steroid. During tapering of the steroid dose, her symptoms relapsed, and cervical CT revealed necrosis of the right cricoid cartilage. Hyperbaric oxygen therapy was administered, and her symptoms gradually subsided. With the increase in the number of patients intubated with COVID-19 respiratory failure, the possible complication of cricoid cartilage necrosis should be considered in patients after COVID-19 recovery.