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An Untoward Complication of Endotracheal Intubation

Paul A. Levine, MD

Arch Otolaryngol. 1980;106(9):578-580.

Abstract
• Hypopharyngeal perforation is a rare complication of endotracheal intubation. It most commonly occurs at the hands of the less experienced physician in emergency situations. The site most commonly perforated is the pharynx, posterior to the cricopharyngeal muscle; the second most common site is the piriform sinus. I report here a case of piriform sinus perforation secondary to intubation. Literature support is provided for the philosophy of early surgical intervention along with intravenous antibiotics as the treatment of choice.

(Arch Otolaryngol 106:578-580, 1980)

Author Affiliations
From the Department of Surgery, Division of Otolaryngology, Stanford (Calif) University Medical Center, and the Division of Otolaryngology, Santa Clara Valley Medical Center, San Jose, Calif.

Footnotes
Accepted for publication Feb 1, 1980.

Reprint requests to Division of Otolaryngology, Stanford University Medical Center, 300 Pasteur Dr, Room R-135, Stanford, CA 94305 (Dr Levine).

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