Unsuspected tracheal web inhibits endotracheal intubation: report of a case.
A 66-year-old woman was scheduled for resection of a recurrent brain astrocytoma. During anesthesia induction, endotracheal intubation became impossible. Urgent bronchoscopy under laryngeal mask ventilation visualized a subglottic web 1 cm below the vocal cords. After bronchoscopic ablation with argon plasma coagulation, the airway intubation was successful.
Yamamoto
Shinichi
S
Department of General Thoracic Surgery, Utsunomiya Social Insurance Hospital, 11-17 Minamitakasagotyo, Utsunomiya, Tochigi, 321-0143, Japan. tcvyamap@jichi.ac.jp
Tetsuka
Kenji
K
Sato
Yukio
Y
Endo
Shunsuke
S
D000368:Aged; D001254:Astrocytoma / Q000150:complications / Q000601:surgery; D001932:Brain Neoplasms / Q000150:complications / Q000601:surgery; D001999:Bronchoscopy; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D007442:Intubation, Intratracheal; D054020:Lasers, Gas / Q000627:therapeutic use; D009364:Neoplasm Recurrence, Local / Q000150:complications / Q000601:surgery; D012086:Reoperation; D014132:Trachea / Q000473:pathology* / Q000601:surgery; D014135:Tracheal Stenosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D020535:Video-Assisted Surgery / Q000295:instrumentation