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Chondronecrosis of the cricoid cartilage after intubation. Two case reports

Published online by Cambridge University Press:  16 August 2006

E. Wiel ,
B. Vilette ,
C. Solanet ,
J. A. Darras  and
P. Scherpereel
E. Wiel
Affiliation:
Département d'Anesthésie-Réanimation chirurgicale 2, Hôpital Claude Huriez, CHRU Lille 59037 Lille cedex, France
B. Vilette
Affiliation:
Département d'Anesthésie-Réanimation chirurgicale 2, Hôpital Claude Huriez, CHRU Lille 59037 Lille cedex, France
C. Solanet
Affiliation:
Département d'Anesthésie-Réanimation chirurgicale 2, Hôpital Claude Huriez, CHRU Lille 59037 Lille cedex, France
J. A. Darras
Affiliation:
Département d'Anesthésie-Réanimation chirurgicale 2, Hôpital Claude Huriez, CHRU Lille 59037 Lille cedex, France
P. Scherpereel
Affiliation:
Département d'Anesthésie-Réanimation chirurgicale 2, Hôpital Claude Huriez, CHRU Lille 59037 Lille cedex, France
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Abstract

Chondronecrosis of the cricoid cartilage is a rare complication of intubation. The records of two children were reviewed. An 8-month-old girl with myelomonocytic leukaemia developed chondronecrosis 10 days after a 2-day period of ventilation. A 4-year-old girl comatose after poisoning by the histamine antagonist, alimemazine, developed chondronecrosis after a 2-day period of intubation. The complication was suspected when extubation led to dyspnoea owing to laryngeal stridor and was confirmed by direct laryngoscopy. We review the development of the condition, the causative factors, treatment and prevention.

Keywords

complicationscricoid chondronecrosisintubationchildren
Type
Case Report
Information
European Journal of Anaesthesiology , Volume 14 , Issue 4 , July 1997 , pp. 461 - 463
Copyright
1997 European Society of Anaesthesiology

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