Laryngeal granuloma formation is an unusual complication of endotracheal intubation, especially in young children. Two neonates were evaluated for stridor and life–threatening upper airway obstruction that developed 2 days after birth. Each infant had been endotracheally intubated for several minutes to facilitate meconium suctioning in the delivery suite. Obstructive true vocal cord granulomas were seen at microlaryngoscopy, and surgical excision provided relief of airway obstruction. The pathogenesis and treatment of postintubation laryngeal granulomas are discussed.
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