Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

01 May 2006

Determination of Incidence and Severity of Hoarseness After Cardiac Surgery

Hamid Kamalipour, Ashkan Mowla, Maryam Hosseini Saadi, Hamid Reza Davari, Karmella Kamali

Med Sci Monit 2006; 12(5): CR206-209 :: ID: 450289

Abstract

Background: The aim of the study was to determine the incidence and severityof hoarseness and vocal cord dysfunction in 200 patients undergoing open heart surgery in Shiraz-Iran.Material/Methods: This study involved prospective evaluation of 200 patients who underwent open heartsurgery during the year 2003 in Shiraz University hospitals. All patients received the same standardanesthetic technique. In post-operative course, all patients were electively ventilated for variableperiods depending on several factors, at least until the morning after surgery. All patients underwentdirect laryngoscopy immediately after extubation by the otolaryngologist, and the existence and gradeof hoarseness was evaluated on a four-point scale 6 and 12 hours after extubation. Results: Two hundredpatients, 64.5% male and 35.5% female, with a mean age of 56.7 (S.D.=5.2) were evaluated. CABG was performedmost frequently and the mean duration of cold perfusion was 122 minutes (S.D.=15). CVP insertion, endotrachealintubation, sternotomy, and hypothermia were performed in all patients. Hoarseness was found to be presentin 17% of patients; all but one were rated to be grade one on the four-point scale. However, laryngoscopydid not reveal anything specific. Conclusions: The incidence of hoarseness in this study was 17%; similarseries reported as high as 32%. Vocal cord dysfunction never occurred in our study and hoarseness probablyresulted from intubation trauma. Although we found no case of nerve injury and cord dysfunction, vocalcord palsy as a rare cause of respiratory insufficiency in chest and neck surgeries must never be overlooked.

Keywords: Cardiac Surgical Procedures - adverse effects, Hoarseness - etiology, Intubation, Intratracheal - adverse effects, Laryngoscopy, Prospective Studies

Add Comment 0 Comments

Editorial

01 March 2024 : Editorial  

Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and Transfusion-Dependent β-Thalassemia

Dinah V. Parums

DOI: 10.12659/MSM.944204

Med Sci Monit 2024; 30:e944204

0:00

In Press

08 Feb 2024 : Clinical Research  

Serum Selenium Concentration as a Potential Diagnostic Marker for Early-Stage Colorectal Cancer: A Comparat...

Med Sci Monit In Press; DOI: 10.12659/MSM.942882  

09 Feb 2024 : Clinical Research  

Factors Influencing the Occurrence of Intraoperative Hypothermia in Patients Undergoing General Anesthesia ...

Med Sci Monit In Press; DOI: 10.12659/MSM.943463  

13 Feb 2024 : Clinical Research  

A Retrospective Study to Compare the Glasgow Coma Score, Pediatric Trauma Score, and Injury Severity Score ...

Med Sci Monit In Press; DOI: 10.12659/MSM.943501  

16 Feb 2024 : Clinical Research  

Etiology, Clinical Presentation, and Outcomes of Bacterial Meningitis in Adult Patients: A Retrospective St...

Med Sci Monit In Press; DOI: 10.12659/MSM.942904  

Most Viewed Current Articles

16 May 2023 : Clinical Research  

Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...

DOI :10.12659/MSM.940387

Med Sci Monit 2023; 29:e940387

0:00

17 Jan 2024 : Review article  

Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron Variant

DOI :10.12659/MSM.942799

Med Sci Monit 2024; 30:e942799

0:00

14 Dec 2022 : Clinical Research  

Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase Levels

DOI :10.12659/MSM.937990

Med Sci Monit 2022; 28:e937990

0:00

01 Jan 2022 : Editorial  

Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...

DOI :10.12659/MSM.935952

Med Sci Monit 2022; 28:e935952

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750