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August 23, 1976, Vol 236, No. 8 >
ARTICLE | August 23, 1976

Gingival and Dental Complications of Orotracheal Intubation FREE

LT James B. Boice, MCLCDR ; Henry F. Krous, MCCAPT ; John M. Foley, DC
[+] Author Affiliations

The opinions or assertions expressed herein are those of the authors and are not to be construed as official or as reflecting the views of the Navy Department or the naval service at large.

Reprint requests to Department of Laboratory Medicine, Naval Regional Medical Center, San Diego, CA 92134 (LT Boice).


JAMA. 1976;236(8):957-958. doi:10.1001/jama.1976.03270090051034
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References

WITH increasingly widespread use of endotracheal intubation in neonates, the spectrum of iatrogenic complications enlarges. It includes laryngeal edema and tracheitis,1 subglottic stenosis,2 tracheal stenosis,3 nasal stricture,4 swallowing of the tube,5 laryngotracheobronchitis, mucosal and submucosal necrosis, and hoarseness.6 This report concerns the gingival and dental complications following the use of an orotracheal tube in an immature infant.

Report of a Case  An 850-gm twin boy was born to a 34-year-old gravida 2 para 1 woman. The pregnancy, labor, and delivery were uncomplicated. The infant was in immediate respiratory distress, reflected by a oneminute APGAR score of 1. A chest roentgenogram demonstrated the reticulogranular pattern of idiopathic respiratory distress syndrome. Because of the small diameter of the infant's nares, an orotracheal tube was inserted. The tube, measuring 7 cm in length and 0.3 cm in diameter, was the smallest available in the newborn intensive care

REFERENCES

1 +
Jordan WS, Graves CL, Elwyn RA:  New therapy for postintubation laryngeal edema and tracheitis in children . JAMA 212:585-588, 1970;.
2 +
Hatch DJ:  Prolonged nasotracheal intubation in infants and children . Lancet 1:1272-1275, 1968;.
3 +
Fishman NH:  Post intubation tracheal stenosis . Ann Thorac Surg 8:47-56, 1969;.
4 +
Jung AL, Thomas GK:  Stricture of nasal vestibule: A complication of nasotracheal intubation in newborn infants . J Pediatr 85:412-414, 1974;.
5 +
Flynn CJ, Lowe AR:  Endotracheal tube swallowed by a neonate . Med J Aust 1:62-63, 1973;.
6 +
Joshi VV, Mandaria SG, Wiglesworth FW:  Acute lesions induced by endotracheal intubation . Am J Dis Child 124:646-649, 1972;.
7 +
Wilson AK, Krous HF:  Lung perforation during chest tube placement in the stiff lung syndrome . J Pediatr Surg 9:213-216, 1974;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Jordan WS, Graves CL, Elwyn RA:  New therapy for postintubation laryngeal edema and tracheitis in children . JAMA 212:585-588, 1970;.
2 +
Hatch DJ:  Prolonged nasotracheal intubation in infants and children . Lancet 1:1272-1275, 1968;.
3 +
Fishman NH:  Post intubation tracheal stenosis . Ann Thorac Surg 8:47-56, 1969;.
4 +
Jung AL, Thomas GK:  Stricture of nasal vestibule: A complication of nasotracheal intubation in newborn infants . J Pediatr 85:412-414, 1974;.
5 +
Flynn CJ, Lowe AR:  Endotracheal tube swallowed by a neonate . Med J Aust 1:62-63, 1973;.
6 +
Joshi VV, Mandaria SG, Wiglesworth FW:  Acute lesions induced by endotracheal intubation . Am J Dis Child 124:646-649, 1972;.
7 +
Wilson AK, Krous HF:  Lung perforation during chest tube placement in the stiff lung syndrome . J Pediatr Surg 9:213-216, 1974;.

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