Abstract
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We report a case of unanticipated difficult intubation in a 9 year old child caused by unexpected post-tracheostomy laryngeal web. Patient was scheduled for unilateral arytenoidectomy and cordectomy by CO2 laser. After induction of anaesthesia vocal cords were seen clearly during direct laryngoscopy. Although intubation was attempted several times but tracheal tube could not be passed below the vocal cords. Endoscopic examination by surgeon revealed anterior laryngeal web below the vocal cords. Surgeon decided web excision and cordectomy using CO2 laser. For this patient was intubated with 3 mm ID uncuffed plain red rubber endotracheal tube. For preventing fire, intermittent apnea technique was used. After web excision endotracheal tube was replaced with 4.5 ID uncuffed endotracheal tube for arytenoidectomy and cordectomy. Operating procedure and extubation was uneventful. |
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Keywords :
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Intubation, Laryngeal Diseases, Lasers, Tracheostomy, Laryngoscopy, Humans.
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