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LT James B. Boice, MC; LCDR Henry F. Krous, MC; CAPT John M. Foley, DC

JAMA. 1976;236(8):957-958.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

WITH increasingly widespread use of endotracheal intubation in neonates, the spectrum of iatrogenic complications enlarges. It includes laryngeal edema and tracheitis,¹ subglottic stenosis,² tracheal stenosis,³ nasal stricture,⁴ swallowing of the tube,⁵ laryngotracheobronchitis, mucosal and submucosal necrosis, and hoarseness.⁶ This report concerns the gingival and dental complications following the use of an orotracheal tube in an immature infant.

Report of a Case

An 850-gm twin boy was born to a 34-year-old gravida 2 para 1 woman. The pregnancy, labor, and delivery were uncomplicated. The infant was in immediate respiratory distress, reflected by a oneminute APGAR score of 1. A chest roentgenogram demonstrated the reticulogranular pattern of idiopathic respiratory distress syndrome. Because of the small diameter of the infant's nares, an orotracheal tube was inserted. The tube, measuring 7 cm in length and 0.3 cm in diameter, was the smallest available in the newborn intensive care . . . [Full Text PDF of this Article]

Author Affiliations
USNR; USNR; USN

From the Department of Laboratory Medicine, Naval Regional Medical Center, San Diego, Calif.

Footnotes
The opinions or assertions expressed herein are those of the authors and are not to be construed as official or as reflecting the views of the Navy Department or the naval service at large.

Reprint requests to Department of Laboratory Medicine, Naval Regional Medical Center, San Diego, CA 92134 (LT Boice).

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