Inclusion Criteria:

• Participant enrolled in primary study COMIRB #21-3873/ NCT # 05108896
• Laryngeal edema identified on participants primary study Fiberoptic Endoscopic Evaluation of Swallowing (FEES) as defined as a revised Patterson edema score greater than zero
• Admission to an ICU during their hospitalization
• Mechanical ventilation with an endotracheal tube for greater than 48 hours.
• Extubation except for compassionate extubation or transition to end-of-life care.

Exclusion Criteria:

• Patient or provider refusal
• Contraindication or corticosteroids defined as an allergic reaction (extremely rate) or taking other immunosuppressive medications.
• Chronic treatment with corticosteroids (>= 40 mg Prednisone/day, >=32 Methylprednisolone/day)
• Contraindication to enteral/oral nutrition administration.
• Pre-existing history of dysphagia or aspiration.
• Pre-existing or acute primary central or peripheral neuromuscular disorder.
• Presence of a chronic tracheostomy (present prior to ICU admission).
• Pre-existing head and neck cancer or surgery.
• Coagulopathy resulting in uncontrolled nasal or pharyngeal bleeding.
• Delirium as assessed by CAM-ICU
• Inability to obtain informed consent from patient or an appropriate surrogate.
• Age <18 years.