[Unexpected difficult intubation caused by a laryngeal web].
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.
Nakamura
Y
Y
Department of Anesthesiology, Okayama Rosai Hospital, Okayama 702-8055.
Kurasako
N
N
Iwaki
T
T
Fukushima
T
T
Ishizu
T
T
Tanaka
T
T
Kosogabe
Y
Y
Tokioka
H
H
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