[Emergency microlaryngosurgery for a huge post-intubation laryngeal granuloma].
A 55-year-old woman who had undergone esophagectomy 3 months earlier developed a huge post-intubation laryngeal granuloma. She was scheduled for emergency microlaryngosurgery. Anesthesia was induced with 8% sevoflurane in oxygen under spontaneous respiration. After confirming no airway compromise, the spontaneous respiration was obtunded by forced manual ventilation without using a muscle relaxant. The trachea was intubated easily with an endotracheal tube. Anesthesia was maintained with sevoflurane and nitrous oxide supplemented with intravenous fentanyl. The granuloma removed was 11 x 8 mm in diameter. There were no respiratory complications during and after anesthesia and surgery.
Ozaki
Tomoko
T
Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka 814-0180.
Shono
Shinjiro
S
Hayashi
Fumiko
F
Kenmizaki
Yutaka
Y
Higa
Kazuo
K
D018685:Anesthetics, Inhalation; D004630:Emergencies; D016629:Esophagectomy; D005260:Female; D006102:Granuloma, Laryngeal / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007825:Laryngectomy / Q000379:methods*; D008738:Methyl Ethers; D008875:Middle Aged; D010100:Oxygen; D000077149:Sevoflurane
D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane; D010100:Oxygen