This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Web of Science (3) Citing Articles via Google Scholar Google Scholar Articles by Mortero, R. F. Articles by Bumpous, a. J. M. Search for Related Content PubMed PubMed Citation Articles by Mortero, R. F. Articles by Bumpous, a. J. M. Related Collections Airway

---

CASE REPORTS

Severe Laryngospasm at Tracheal Extubation in a Patient with Superior Laryngeal Nerve Injury

Rosendo F. Mortero, MD^*, Zamira Orahovac, MD^*, Kentaro Tsueda, MD^*, and and Jeffrey M. Bumpous, MD

Departments of *Anesthesiology and Otolaryngology-Head and Neck Surgery, University of Louisville School of Medicine, Louisville, Kentucky

Address correspondence and reprint requests to Kentaro Tsueda, MD, Department of Anesthesiology, University of Louisville School of Medicine, Louisville, KY 40292. Address e-mail to rashep01 @gwise.louisville.edu.

Implications: Episodes of severe laryngospasm at tracheal extubation, paroxysmal coughs with choking spells after thyroidectomy, and laryngoscopic findings of superior laryngeal nerve injury are consistent with episodic laryngospasm. Laryngeal hypersensitivity should be considered in patients exhibiting episodic symptoms of laryngeal obstruction and sensory abnormality after surgery.