Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Perinatal/Neonatal Case Presentation
  • Published:

Perinatal/Neonatal Case Presentation

Acquired Oral Commissure Defect: A Complication of Prolonged Endotracheal Intubation

Abstract

A number of complications during and following endotracheal intubation of infants are well described in the literature. We describe a rare case of an oral commissure defect acquired from prolonged endotracheal intubation in a ventilator-dependent preterm infant.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. Serlin SP, Daily WJ . Tracheal perforation in the neonate: a complication of endotracheal intubation. J Pediatr 1975;86:596–597.

    Article  CAS  Google Scholar 

  2. Mollitt DL, Schullinger JN, Santulli TV . Selective management of iatrogenic esophageal perforation in the newborn. J Pediatr Surg 1981;16:989–993.

    Article  CAS  Google Scholar 

  3. Joshi VV, Mandavia SG, Stern L, et al. Acute lesions induced by endotracheal intubation. Occurrence in the upper respiratory tract of newborn infants with respiratory distress syndrome. Am J Dis Child 1972;124:646–649.

    Article  CAS  Google Scholar 

  4. Fan LL, Flynn JW, Pathak DR . Risk factors predicting laryngeal injury in intubated neonates. Crit Care Med 1983;11:431–433.

    Article  CAS  Google Scholar 

  5. Jones R, Bodnar A, Roan Y, et al. Subglottic stenosis in newborn intensive are unit graduates. Am J Dis Child 1981;135:367–368.

    CAS  PubMed  Google Scholar 

  6. Harris H, Wirtschaffer D, Cassady G . Endotracheal intubation and its relationship to bacterial colonization and systemic infection of newborn infants. Pediatrics 1976;58:816–823.

    CAS  PubMed  Google Scholar 

  7. Browning DH, Graves SA . Incidence of aspiration with endotracheal tubes in children. J Pediatr 1983;102:582–584.

    Article  CAS  Google Scholar 

  8. Marshall TA, Deeder R, Pai S, et al. Physiologic changes associated with endotracheal intubation in preterm infants. Crit Care Med 1984;12:501–503.

    Article  CAS  Google Scholar 

  9. Todres ID, DeBros F, Kramer SS, et al. Endotracheal tube displacement in the newborn infant. J Pediatr 1976;89:126–127.

    Article  CAS  Google Scholar 

  10. Redding GJ, Fan L, Cotton EK, et al. Partial obstruction of endotracheal tubes in children: incidence, etiology and significance. Crit Care Med 1979;7:227–231.

    Article  CAS  Google Scholar 

  11. Angelos GM, Smith DR, Jorgenson R, et al. Oral complications associated with neonatal oral tracheal intubation: a critical review. Pediatr Dent 1989;11:133–140.

    CAS  PubMed  Google Scholar 

  12. Molteni RA, Bumstead DH . Development and severity of palatal grooves in orally intubated newborns. Am J Dis Child 1986;140:357–359.

    Article  CAS  Google Scholar 

  13. Duke PM, Coulson JD, Santos JI, et al. Cleft palate associated with prolonged orotracheal intubation in infancy. J Pediatr 1976;89:990–991.

    Article  CAS  Google Scholar 

  14. Erenberg A, Nowak AJ . Palatal groove formation in neonates and infants with orotracheal tubes. Am J Dis Child 1984;138:974–975.

    CAS  PubMed  Google Scholar 

  15. Kopra DE, Davis EL . Prevalence of oral defects among neonatally intubated 3- to 5- and 7- to 10-year old children. Pediatr Dent 1991;13:349–355.

    CAS  PubMed  Google Scholar 

  16. Macey-Dare LV, Moles DR, Evans RD, et al. Long-term effect of neonatal endotracheal intubation on palatal form and symmetry in 8–11-year-old children. Eur J Orthodont 1999;21:703–710.

    Article  CAS  Google Scholar 

  17. Seow WK, Humphrys C, Tudehope DI . Increased prevalence of developmental defects in low birth-weight, prematurely born children: a controlled study. Pediatr Dent 1987;9:221–225.

    CAS  PubMed  Google Scholar 

  18. Lund C . Prevention and management of infant skin breakdown. Nurs Clin North Am 1999;34:907–920.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kahn, D., Spinazzola, R. Acquired Oral Commissure Defect: A Complication of Prolonged Endotracheal Intubation. J Perinatol 25, 612–614 (2005). https://doi.org/10.1038/sj.jp.7211354

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.jp.7211354

This article is cited by

Search

Quick links