title: [Unexpected difficult intubation caused by a laryngeal web].
abstract: We 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.
authors.affiliation: Department of Anesthesiology, Okayama Rosai Hospital, Okayama 702-8055.
authors.forename: Y
authors.initials: Y
authors.lastname: Nakamura
authors.forename: N
authors.initials: N
authors.lastname: Kurasako
authors.forename: T
authors.initials: T
authors.lastname: Iwaki
authors.forename: T
authors.initials: T
authors.lastname: Fukushima
authors.forename: T
authors.initials: T
authors.lastname: Ishizu
authors.forename: T
authors.initials: T
authors.lastname: Tanaka
authors.forename: Y
authors.initials: Y
authors.lastname: Kosogabe
authors.forename: H
authors.initials: H
authors.lastname: Tokioka
mesh_terms: D000328:Adult; D000402:Airway Obstruction / Q000209:etiology / Q000601:surgery; D000768:Anesthesia, General; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D007442:Intubation, Intratracheal; D017214:Laryngeal Masks; D007830:Larynx / Q000002:abnormalities*; D007889:Leiomyoma / Q000601:surgery; D011183:Postoperative Complications; D014139:Tracheostomy; D014594:Uterine Neoplasms / Q000601:surgery