• Masui · Nov 2000

    Case Reports

    [Unexpected difficult intubation caused by a laryngeal web].

    • Y Nakamura, N Kurasako, T Iwaki, T Fukushima, T Ishizu, T Tanaka, Y Kosogabe, and H Tokioka.
    • Department of Anesthesiology, Okayama Rosai Hospital, Okayama 702-8055.
    • Masui. 2000 Nov 1;49(11):1278-80.

    AbstractWe report a case of unexpected difficult intubation in an adult caused by a laryngeal web. A 43-year-old woman with uterine myoma was scheduled for abdominal hysterectomy. After induction of anesthesia, the vocal cords were seen clearly under laryngoscopy. Although intubation was attempted several times, a 6.5 mm internal diameter tracheal tube could not be passed below the level of the vocal cords because of resistance, and we used a laryngeal mask during anesthesia. Next morning after the operation, she developed dyspnea. Bronchoscopy revealed a very narrow airway below the level of vocal cords caused by a laryngeal web. Tracheostomy was performed. Two weeks later, tracheostomy was closed without any sequela.

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