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Vol. 61. Issue 1.
Pages 85-86 (January 2010)
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Vol. 61. Issue 1.
Pages 85-86 (January 2010)
Case study
Nasogastric tube syndrome: A case report
Síndrome de sonda nasogástrica: a propósito de un caso
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Belén Vielva del Campoa,
Corresponding author
bvielva@hotmail.com

Corresponding author.
, Darío Moráis Péreza, David Saldaña Garridob
a Servicio de Otorrinolaringología, Hospital Clínico Universitario de Valladolid, Spain
b Servicio de Cirugía Torácica, Hospital Ramón y Cajal, Madrid, Spain
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Abstract

Nasogastric tube syndrome (NTS) is an uncommon complication of an indwelling nasogastric tube. Ulceration and infection in the posterior cricoid region causes dysfunction in the abduction of the vocal cords and may seriously compromise patients’ airways. This pathology should be considered in patients with prolonged nasogastric intubation who start with moderate pharyngeal pain.

We report a case of a 70 year-old woman, admitted to the Neurology department of our centre due to an ischaemic cerebral accident who presented acute dyspnoea requiring emergency tracheotomy following prolonged nasogastric intubation.

Keywords:
Nasogastric tube syndrome
Laryngeal paralysis
Posterior cricoarytenoid muscle
Resumen

El síndrome de la sonda nasogástrica (NTS) es una complicación infrecuente del sondaje nasogástrico que por ulceración e infección postcricoidea provoca una disfunción en la abducción de las cuerdas vocales que puede comprometer la vía aérea. Debemos pensar en esta patología en todo paciente con sondaje nasogástrico prolongado que comience con dolor faríngeo de moderada intensidad.

Presentamos el caso de una mujer de 70 años ingresada en el Servicio de Neurología de nuestro hospital por un accidente isquémico cerebral que, tras un sondaje nasogástrico prolongado, presenta un cuadro agudo de disnea que requirió traqueotomía de urgencia.

Palabras clave:
Síndrome de sonda nasogástrica
Parálisis laríngea
Músculo cricoaritenoideo posterior

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