Laryngotracheal hypoplasia--a rare cause of difficult intubation.
Generalized hypoplasia of the larynx and trachea is a very rare condition with only one case reported in the literature. A pregnant woman presented for an emergency laparotomy under general anaesthesia. Endotracheal intubation with conventional sizes of tracheal tubes failed, despite a Cormack and Lehane grade I laryngoscopic view. Subsequent investigations demonstrated generalized hypoplasia of the larynx and trachea. In this report, successful anaesthetic management of this case is discussed along with other possible options.
Bhagchandani
T
T
Department of Anaesthesiology and Critical Care, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.
Mohta
M
M
Sethi
A K
AK
Tyagi
A
A
D000328:Adult; D000769:Anesthesia, Inhalation / Q000379:methods*; D000013:Congenital Abnormalities / Q000175:diagnosis*; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000379:methods; D007813:Laparotomy / Q000379:methods; D007828:Laryngoscopy / Q000379:methods; D007830:Larynx / Q000002:abnormalities*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000628:therapy; D011263:Pregnancy Trimester, Third; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D014132:Trachea / Q000002:abnormalities*; D014597:Uterine Rupture / Q000175:diagnosis / Q000601:surgery*