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
Boice JB, Krous HF, Foley JM. Gingival and Dental Complications of Orotracheal Intubation. JAMA. 1976;236(8):957–958. doi:10.1001/jama.1976.03270090051034
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