[Usefulness of laryngeal mask for difficult intubation in a child with congenital laryngeal webs].
We report a case of difficult intubation with congenital laryngeal web. An 11-year-old boy was scheduled for urinary surgery. After anesthetic induction, the anesthesiologist encountered resistance at the vocal cord preventing satisfactory intubation. A size 3 laryngeal mask was immediately inserted, and an adequate airway was obtained. We found a laryngeal web at the vocal cord by bronchoscope inserted thorough the laryngeal mask. The peroperative course was uneventful. Immediately after removal of the laryngeal mask, the patient developed airway obstruction due to sputum and/or laryngeal spasm. The obstruction was relieved through application of positive pressure ventilation and aspiration of the sputum.
Shinozaki
M
M
First Department of Anesthesiology, Dokkyo University School of Medicine, Tochigi.
Koguchi
T
T
Yamaguchi
S
S
Okuda
Y
Y
Okano
T
T
Kitajima
T
T
Fujisawa
T
T
D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy; D000768:Anesthesia, General; D002648:Child; D006801:Humans; D017214:Laryngeal Masks; D007830:Larynx / Q000002:abnormalities*; D008297:Male; D011175:Positive-Pressure Respiration; D011183:Postoperative Complications; D001750:Urinary Bladder, Neurogenic / Q000601:surgery