A Rare Postintubation Complication: Uvula Edema

Postintubation Uvula Edema

Abstract

Postintubation uvular edema is a rare but potentially life-threatening complication that may progress rapidly to airway obstruction if not promptly recognized and managed.

A 64-year-old woman developed significant uvular edema five hours after lumbar spinal surgery performed under general anesthesia. Although endotracheal intubation was uneventful, the patient presented in the postoperative period with progressive sore throat, uvular swelling, and respiratory distress. Initially misdiagnosed as anaphylaxis, she was treated with epinephrine, corticosteroids, and antihistamines. As her symptoms worsened, she was transferred to the intensive care unit, where the treatment regimen was modified to include inhaled epinephrine, cold vapor, and antiemetics. Her condition improved rapidly, and all symptoms resolved completely within 24 hours, with no residual sequelae.

This case highlights the need to consider postintubation uvular edema as a differential diagnosis in patients presenting with acute postoperative airway distress. Furthermore, we propose a novel grading system that incorporates both morphological findings and clinical symptoms, with particular emphasis on airway management strategies. This integrative and practical approach may facilitate early recognition, support individualized treatment decisions, and ultimately enhance patient safety.