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February 1971


Author Affiliations

Professor of Anesthesiology Johns Hopkins University School of Medicine

Arch Otolaryngol. 1971;93(2):221. doi:10.1001/archotol.1971.00770060307026

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To the Editor.—I have the following comments on the communication by Hahn, Martin, and Lillie "Vocal-Cord Paralysis With Endotracheal Intubation," which appeared in the September 1970 issue of the Archives (92:226-229).

The observations made by these authors come as a surprise to me probably because of the reasons that they have stipulated in the last part of their paper. A sore throat is a common accompaniment of endotracheal intubation and most of our patients do get over any hoarseness rather rapidly.

I should like to make one observation which I do think is pertinent, however. In the past several years there has been a switch to endotracheal tubes with a built-in cuff all made of plastic. These cuffs are somewhat heavier than rubber cuffs and commensurately take a higher pressure to blow them up. For the very same reasons they do not conform as well to the interior

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