ArticleIndian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India2025
Delayed Onset of Post-Intubation Laryngeal Oedema: Navigating Patient Autonomy and Successful Medical Management.
Article in Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Post-intubation laryngeal oedema typically manifests early with stridor following extubation. We present a case of a patient who underwent elective surgery for breast malignancy and developed inspiratory stridor approximately 48 h post-extubation. Initial suspicion pointed towards subglottic stenosis; however, the patient opted out of the proposed surgical intervention to address her airway concerns. Thus, medical management was initiated alongside close monitoring, resulting in a successful resolution. This prompted a revised diagnosis of post-intubation subglottic oedema. This case underscores the importance of considering delayed-onset laryngeal oedema as a differential diagnosis for post-extubation stridor, even in the absence of traditional risk factors. It also explores the delicate balance between clinical judgment and respecting patient autonomy.
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