title: Airway management during the laryngoscopic surgery for the benign laryngeal obstructive disease.
abstract: The airway management and anesthesia maintenance during the laryngoscopic surgery is essential for a safe operation. For the benign laryngeal obstructive disease such as a large mass or a foreign body of the upper airway, it is difficult to secure the airway. Sometimes they might be hazardous and potentially lethal. We present two cases of a large laryngeal polyp and a laryngeal foreign body of pressthrough-package (PTP). They were successfully operated on with laryngomicrosurgery under neuroleptanalgesia (NLA) without intubation. The choice of the operation and airway management were discussed.
authors.affiliation: Department of Otolaryngology, Tokai University School of Medicine, Kanagawa, Japan. okami@is.icc.u-tokai.ac.jp
authors.forename: Kenji
authors.initials: K
authors.lastname: Okami
authors.forename: Takahide
authors.initials: T
authors.lastname: Hamano
authors.forename: Akihiro
authors.initials: A
authors.lastname: Sakai
authors.forename: Shinya
authors.initials: S
authors.lastname: Okada
authors.forename: Motoki
authors.initials: M
authors.lastname: Sekine
authors.forename: Ryoko
authors.initials: R
authors.lastname: Wada
authors.forename: Masahiro
authors.initials: M
authors.lastname: Iida
authors.forename: Haruo
authors.initials: H
authors.lastname: Fukuyama
authors.forename: Junko
authors.initials: J
authors.lastname: Ajimi
authors.forename: Masahiro
authors.initials: M
authors.lastname: Takahashi
mesh_terms: D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D005260:Female; D005336:Fiber Optic Technology / Q000295:instrumentation; D005547:Foreign Bodies / Q000601:surgery; D006801:Humans; D007818:Laryngeal Diseases / Q000175:diagnosis / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D007828:Laryngoscopy; D008875:Middle Aged; D009458:Neuroleptanalgesia; D011127:Polyps / Q000601:surgery; D014139:Tracheostomy; D016896:Treatment Outcome; D014827:Vocal Cords / Q000473:pathology / Q000601:surgery