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Use of laryngeal mask after repeated endotracheal intubation failure in a patient with tracheobronchopathia osteochondroplastica: case report

  • Kim, Sang Gyun (Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital) ;
  • Kim, Hyun (Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital) ;
  • Son, Jong Chul (Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital) ;
  • Lee, Ji-Hyang (Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital) ;
  • An, Jihyun (Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital) ;
  • Kim, Eunju (Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital)
  • Received : 2017.08.28
  • Accepted : 2017.10.16
  • Published : 2018.12.31

Abstract

We report a case of difficult endotracheal intubation in a patient with tracheobronchopathia osteochondroplastica. A 65-year-old man was scheduled to undergo ulnar nerve decompression and ganglion excisional biopsy under general anesthesia. During induction of general anesthesia, an endotracheal tube could not be advanced through the vocal cords due to resistance. A large number of nodules were identified below the vocal cords using a $Glidescope^{(R)}$ video-laryngoscopy, and fiberoptic bronchoscopy revealed irregular nodules on the surface of the entire trachea and the main bronchus below the vocal cords. Use of a small endotracheal tube was attempted and failed. a laryngeal mask airway (LMA $Supreme^{TM}$) rather than further intubation was successfully used to maintain the airway.

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