• Yi Li, Yudong Zhang, Yu Zhang, Lei Meng, Chong Li, and Jianli Li.
• Department of Anesthesiology, Hebei General Hospital, Shijiazhuang, China.
• Medicine (Baltimore). 2024 Mar 8; 103 (10): e37409e37409.

IntroductionOne-lung ventilation (OLV) is a commonly used technique to facilitate surgical visualization during thoracic surgical procedures. Double-lumen endotracheal tubes and one-lumen tracheal tube combined with bronchial blocker might lead to intubation-related laryngeal injury.Patient ConcernsIn the perioperative period, how to avoid further damage to the vocal cord while achieving OLV during operation is challenging work.DiagnosisShe was diagnosed with systemic lupus erythematosus, bilateral vocal cord paralysis, and lung tumor.InterventionsWe used a combination of a laryngeal mask airway with bronchial blocker to avoid further damage to the vocal cord when achieving OLV.OutcomesAt 1-month follow-up, she had fully recovered without obvious abnormalities.ConclusionWhen OLV was required for patients with bilateral vocal cord paralysis, a combination of a laryngeal mask airway with bronchial blocker was considered a better choice.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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