PMC10228247_01
Nasointestinal ileus tube positioning. A nasointestinal ileus tube (18 Fr, 5.3 mm in diameter) was placed through the left nasal cavity.
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F1
A nasointestinal ileus tube (18 Fr, 5.3 mm in diameter) was placed through the left nasal cavity for bowel decompression (Fig. 1).
Laryngoscopic findings. There was left arytenoid edema and erythema in the larynx. The nasointestinal ileus tube was placed through the left hypopharynx.
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F2
The right vocal cord was partly paralyzed (Fig. 2).
Laryngoscopic findings immediately after removal of nasointestinal ileus tube. Left arytenoid edema and erythema had clearly decreased.
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F3
Six hours after removal, arytenoid edema decreased markedly (Fig. 3).
Laryngoscopic findings 3 days after removal and treatment. Patency of the upper airway was confirmed.
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F4
Tracheostomy was avoided because vocal cord mobility and the glottic opening were normal based on flexible laryngoscopy and wheezing had resolved (Fig. 4).
Laryngoscopic findings 8 days after removal and treatment. Left arytenoid edema and erythema had decreased significantly.
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F5
By 8 days after removal, bilateral vocal cord paralysis and arytenoid edema had resolved (Fig. 5).