Anesthetic management of a rare case of mobile vocal cord polyp causing dynamic airway obstruction: A case report
We report the anesthetic management of a patient presenting with a mobile vocal cord lesion in combination with restricted mouth opening. Fiber-optic laryngoscopy revealed a highly mobile vocal cord lesion, moving in and out of the vocal cords with respiration. A very small tracheal lumen was visibl...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-10-01
|
| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/sja.sja_229_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846173799181975552 |
|---|---|
| author | Jaya Choudhary Ankita Singh Saikat Chakraborty |
| author_facet | Jaya Choudhary Ankita Singh Saikat Chakraborty |
| author_sort | Jaya Choudhary |
| collection | DOAJ |
| description | We report the anesthetic management of a patient presenting with a mobile vocal cord lesion in combination with restricted mouth opening. Fiber-optic laryngoscopy revealed a highly mobile vocal cord lesion, moving in and out of the vocal cords with respiration. A very small tracheal lumen was visible posteriorly during expiration. ASA difficult airway algorithm was applied, and the patient was successfully intubated awake with a # 5 microlaryngeal tube loaded over a pediatric bronchoscope. We aim to highlight the importance of detailed preoperative evaluation, adopting difficult airway algorithms and utilization of devices, with which we have maximum expertise with some modification as the key to avoid airway-related adverse events in such patients. |
| format | Article |
| id | doaj-art-17d1feeca1544db8b343c526769971e7 |
| institution | Kabale University |
| issn | 1658-354X 0975-3125 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj-art-17d1feeca1544db8b343c526769971e72024-11-08T10:54:32ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X0975-31252024-10-0118458058210.4103/sja.sja_229_24Anesthetic management of a rare case of mobile vocal cord polyp causing dynamic airway obstruction: A case reportJaya ChoudharyAnkita SinghSaikat ChakrabortyWe report the anesthetic management of a patient presenting with a mobile vocal cord lesion in combination with restricted mouth opening. Fiber-optic laryngoscopy revealed a highly mobile vocal cord lesion, moving in and out of the vocal cords with respiration. A very small tracheal lumen was visible posteriorly during expiration. ASA difficult airway algorithm was applied, and the patient was successfully intubated awake with a # 5 microlaryngeal tube loaded over a pediatric bronchoscope. We aim to highlight the importance of detailed preoperative evaluation, adopting difficult airway algorithms and utilization of devices, with which we have maximum expertise with some modification as the key to avoid airway-related adverse events in such patients.https://journals.lww.com/10.4103/sja.sja_229_24awake fiber-optic intubationawake tracheal intubationdifficult airwayvocal cord polyp |
| spellingShingle | Jaya Choudhary Ankita Singh Saikat Chakraborty Anesthetic management of a rare case of mobile vocal cord polyp causing dynamic airway obstruction: A case report Saudi Journal of Anaesthesia awake fiber-optic intubation awake tracheal intubation difficult airway vocal cord polyp |
| title | Anesthetic management of a rare case of mobile vocal cord polyp causing dynamic airway obstruction: A case report |
| title_full | Anesthetic management of a rare case of mobile vocal cord polyp causing dynamic airway obstruction: A case report |
| title_fullStr | Anesthetic management of a rare case of mobile vocal cord polyp causing dynamic airway obstruction: A case report |
| title_full_unstemmed | Anesthetic management of a rare case of mobile vocal cord polyp causing dynamic airway obstruction: A case report |
| title_short | Anesthetic management of a rare case of mobile vocal cord polyp causing dynamic airway obstruction: A case report |
| title_sort | anesthetic management of a rare case of mobile vocal cord polyp causing dynamic airway obstruction a case report |
| topic | awake fiber-optic intubation awake tracheal intubation difficult airway vocal cord polyp |
| url | https://journals.lww.com/10.4103/sja.sja_229_24 |
| work_keys_str_mv | AT jayachoudhary anestheticmanagementofararecaseofmobilevocalcordpolypcausingdynamicairwayobstructionacasereport AT ankitasingh anestheticmanagementofararecaseofmobilevocalcordpolypcausingdynamicairwayobstructionacasereport AT saikatchakraborty anestheticmanagementofararecaseofmobilevocalcordpolypcausingdynamicairwayobstructionacasereport |