Iatrogenic (Intubation) Pharyngeal Injury with Chondritis, CT
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This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0150-Iatrogenic (Intubation) Pharyngeal Injury with Chondritis, CT
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CA0150-Iatrogenic (Intubation) Pharyngeal Injury with Chondritis, CT
Case ReportHistory
Exam
Prior Study
Findings
General
There is swelling mainly in the visceral compartment of the midneck centered around the larynx and upper trachea with the edema extending into the adjacent deep neck on the right described in more detail subsequently.
The nasopharynx, oropharynx and related structures of the oral cavity and maxillofacial region are normal.
The parotid, submandibular and sublingual glands are normal.
Hypopharynx, larynx, deep neck and entire retropharyngeal space
There is soft tissue swelling within the larynx and the right false and true vocal cord level, including the right paraglottic, the posterior laryngeal wall and circumferentially in the subglottic region ending at the first tracheal ring. The aryepiglottic folds are also moderately thickened.
There is no evidence of an abscess. The soft tissue is most extensive in the subglottic region with erosion of the cricoid arch and laminae and narrowing of the airway.
There is edema mainly in the visceral compartment with minimal involvement of the adjacent deep neck.
Vascular findings
There is no evidence of thrombus, thrombophlebitis or other occlusive or inflammatory process of the jugular vein or smaller venous tributaries.
There is no evidence of thrombus, inflammation of the common, external or internal carotid artery. There is no evidence of active extravasation or a contained leakage from an arterial source.
