DOI QR코드

DOI QR Code

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.

Keywords

References

  1. Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, et al. Practice guidelines for management of the difficult airway: An updated report by the American Society of Anesthesiologists Task force on management of the difficult airway. Anesthesiology 2013;118:251-70. https://doi.org/10.1097/ALN.0b013e31827773b2
  2. Akyol MU, Martin AA, Dhurandhar N, Miller RH. Tracheobronchopathia osteochondroplastica: a case report and a review of the literature. Ear Nose Throat J 1993;72:347-50. https://doi.org/10.1177/014556139307200509
  3. Secrest PG, Kendig TA, Beland AJ. Tracheobronchopathia osteochondroplastica. Am J Med 1964;36:815-8. https://doi.org/10.1016/0002-9343(64)90189-5
  4. Nienhuis DM, Prakash UB, Edell ES. Tracheobronchopathia osteochondroplastica. Ann Otol Rhinol Laryngol 1990;99:689-94. https://doi.org/10.1177/000348949009900903
  5. Magnusson P, Rotemark G. Tracheobronchopathia osteochondroplastica. Three Case Reports. J Laryngol Otol 1974;88:159-64. https://doi.org/10.1017/S002221510007849X
  6. Leske V, Lazor R, Coetmeur D, Crestani B, Chatte G, Cordier JF. Tracheobronchopathia osteochondroplastica: a study of 41 patients. Medicine(Baltimore) 2001;80:378-90.
  7. Hirsch M, Tovi F, Goldstein J, Gerzof SG. Diagnosis of tracheopathia osteoplastica by computed tomography. Ann Otol Rhinol Laryngol 1985;94:217-9. https://doi.org/10.1177/000348948509400225
  8. Zack JR, Rozenshtein A. Tracheobronchopathia osteochondroplastica: report of three cases. J Comput Assist Tomogr 2002;26:33-6. https://doi.org/10.1097/00004728-200201000-00006
  9. Seo JH, Do SH. Tracheobronchopathia osteochondroplastica detected during difficult endotracheal intubation -A case report-. Anesthesia & Pain Medicine 2007;2:102-5.
  10. Birzgalis AR, Farrington WT, O'Keefe L, Shaw J. Localized tracheopathia osteoplastica of the subglottis. J Laryngol Otol 1993;107:352-3. https://doi.org/10.1017/S0022215100123023