Nasogastric tubes and TEE linked to postoperative hoarseness severity

A 10-year retrospective study of 676,641 general anesthesia patients at one hospital found that 958 were referred to otolaryngology for postoperative hoarseness, an incidence of about 0.142%. The study reports that nasogastric tube placement and transesophageal echocardiography were independently associated with hoarseness compared with other laryngopharyngeal complaints, and that these factors, along with longer surgical duration, double-lumen tube use, and female sex, were associated with greater vocal fold injury severity; delayed consultation and greater injury severity were linked to slower recovery.

Most relevant for: Patients undergoing general anesthesia with nasogastric tube placement, transesophageal echocardiography, double-lumen endotracheal intubation, or prolonged surgical duration.

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