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.
Department of Anaesthesiology and Critical Care, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.
T
T
Bhagchandani
M
M
Mohta
A K
AK
Sethi
A
A
Tyagi
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*