Case report: telelaryngoscopy-guided flexible fiberoptic intubation for laryngeal rhinosporidiosis.
Rhinosporidiosis is a chronic granulomatous disease endemic in India and Sri Lanka. The causative microorganism, Rhinosporidium seeberi, remains a poorly understood pathogen, which has been described as an aquatic protistan parasite. Rhinosporidiosis presents as multiple polypoidal lesions affecting the mucosa of the nasal cavity, nasopharynx, and oropharynx. Intralaryngeal rhinosporidiosis is a rare entity and poses a challenge for management of the airway. In this case report, we highlight our technique in the management of the airway in a case of laryngeal rhinosporidiosis using a combination of fiberoptic bronchoscope and an endoscope. The technique was atraumatic and also avoided the potential for autoinoculation, which is a frequent cause of recurrence of this disease.
Department of Anesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.
Jibin Sam
JS
Mathew
Shibani
S
Padhy
Suman
S
Lata
Hemavathi
H
Balachander
Suria
S
Gopalakrishnan
D000402:Airway Obstruction / Q000175:diagnosis; D000818:Animals; D005931:Glottis / Q000473:pathology; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D007818:Laryngeal Diseases / Q000175:diagnosis*; D007828:Laryngoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D055100:Optical Fibers; D012227:Rhinosporidiosis / Q000175:diagnosis* / Q000469:parasitology / Q000635:transmission; D012228:Rhinosporidium / Q000502:physiology*; D017216:Telemedicine