CASE REPORT
Year : 2022  |  Volume : 16  |  Issue : 4  |  Page : 469-471

Difficult airway management in a patient with unexpected laryngeal deformities


1 Department of Anesthesiology and Pain Medicine, Jeju National University Hospital, Jeju, Republic of Korea
2 Department of Anesthesiology and Pain Medicine, Jeju National University College of Medicine, Jeju, Republic of Korea

Correspondence Address:
Hyun Jung Kim
Department of Anesthesiology and Pain Medicine, Jeju National University College of Medicine, 15 aran 13-gil, Jeju 63241
Republic of Korea
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.sja_75_22

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We report an experience with difficult airway management due to unexpected laryngeal deformities. A 69-year-old man who had been diagnosed with left vocal cord paralysis was scheduled for eye surgery. After the induction of anesthesia, mask ventilation was inadequate and intubation was impossible, so an emergency tracheostomy had to be performed. In the larynx examination, the left vocal cord was paralyzed close to the midline and the left corniculate tubercle was enlarged and partially blocked the rima glottidis. Laryngeal deformities may cause unexpected difficult airway management. Clinicians always have to pay close attention to the potential risk and prepare for emergency situations including an invasive approach to the airway.


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