title: Idiopathic subglottic stenosis in pregnancy: A deceptive laryngoscopic view.
abstract: A 28-year-old lady with term gestation, pre-eclampsia and a vague history of occasional breathing difficulty, on irregular bronchodilator therapy, was scheduled for category 1 lower segment caesarean section in view of foetal distress. A Cormack-Lehane grade 1 direct laryngoscopic view was obtained following rapid sequence induction. However, it was not possible to insert a 7.0 or 6.0 size styleted cuffed tracheal tube in two attempts. Ventilation with a supraglottic device was inadequate. Airway was secured with a 4.0 size microlaryngeal surgery tube with difficulty. Computed tomography scan of the neck following tracheostomy for failed extubation revealed subglottic stenosis (SGS) with asymmetric arytenoid calcification. This report describes the management of a rare case of unrecognised idiopathic SGS in pregnancy.
authors.affiliation: Department of Anaesthesiology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: John George
authors.initials: JG
authors.lastname: Karippacheril
authors.forename: Umesh
authors.initials: U
authors.lastname: Goneppanavar
authors.forename: Manjunath
authors.initials: M
authors.lastname: Prabhu
authors.forename: Kiran Bada
authors.initials: KB
authors.lastname: Revappa