Postintubation interarytenoid adhesion

Interarytenoid fibrous adhesion is a poorly recognized complication of intu bation and is frequently confused with bilateral vocal curd paralysis. Earl y diagnosis and treatment is essential for optimal management. Otolaryngolo gists should constantly remain alert for interarytenoid fibrous scar to est ablish the diagnosis as early as possible, optimizing the probability of re storing normal breathing and quality of life and avoiding an unnecessary tr acheotomy. Surgical laser reduction is appropriate in all cases when other miscellaneous laryngeal injury lesions are eliminated. Direct laryngoscopy with careful examination of the posterior commissure and laryngeal electrom yography are the 2 main clinical diagnostic aids contributing to establish the diagnosis.