Anesthesia management for a case of laryngeal keel placement
Congenital laryngeal web is a rare anomaly with incidence of 1 in 10,000 births. Its clinical presentation may range from an asymptomatic patient or mild hoarseness of voice to severe respiratory stridor. The primary goals of surgical intervention for congenital laryngeal web are to establish a pate...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2017;volume=11;issue=4;spage=486;epage=489;aulast=Gosavi |
| _version_ | 1819229746055086080 |
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| author | Kundan Gosavi Paulomi Dey Sachin Swami Akshay Salunke |
| author_facet | Kundan Gosavi Paulomi Dey Sachin Swami Akshay Salunke |
| author_sort | Kundan Gosavi |
| collection | DOAJ |
| description | Congenital laryngeal web is a rare anomaly with incidence of 1 in 10,000 births. Its clinical presentation may range from an asymptomatic patient or mild hoarseness of voice to severe respiratory stridor. The primary goals of surgical intervention for congenital laryngeal web are to establish a patent airway and to achieve a good voice quality. As recurrence rate after plain excision of laryngeal web is very high, its removal may be coupled by placement of a silastic keel in between vocal cords. Endolaryngeal placement of a keel is definitely less invasive than laryngofissure, but little is known about its anesthesia management. Frequent ventilatory adjustment and endotracheal tube (ETT) manipulations are needed along with vigilant monitoring. Risk of perforation or accidental dislodgment of the ETT and laryngeal edema are other concerns in management. We report a case. |
| first_indexed | 2024-12-23T11:18:04Z |
| format | Article |
| id | doaj.art-28572dfbfff7487eaff3b453b3fdf5f8 |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-12-23T11:18:04Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-28572dfbfff7487eaff3b453b3fdf5f82022-12-21T17:49:08ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2017-01-0111448648910.4103/sja.SJA_236_17Anesthesia management for a case of laryngeal keel placementKundan GosaviPaulomi DeySachin SwamiAkshay SalunkeCongenital laryngeal web is a rare anomaly with incidence of 1 in 10,000 births. Its clinical presentation may range from an asymptomatic patient or mild hoarseness of voice to severe respiratory stridor. The primary goals of surgical intervention for congenital laryngeal web are to establish a patent airway and to achieve a good voice quality. As recurrence rate after plain excision of laryngeal web is very high, its removal may be coupled by placement of a silastic keel in between vocal cords. Endolaryngeal placement of a keel is definitely less invasive than laryngofissure, but little is known about its anesthesia management. Frequent ventilatory adjustment and endotracheal tube (ETT) manipulations are needed along with vigilant monitoring. Risk of perforation or accidental dislodgment of the ETT and laryngeal edema are other concerns in management. We report a case.http://www.saudija.org/article.asp?issn=1658-354X;year=2017;volume=11;issue=4;spage=486;epage=489;aulast=GosaviLaryngeal keel; pediatric; stenosis |
| spellingShingle | Kundan Gosavi Paulomi Dey Sachin Swami Akshay Salunke Anesthesia management for a case of laryngeal keel placement Saudi Journal of Anaesthesia Laryngeal keel; pediatric; stenosis |
| title | Anesthesia management for a case of laryngeal keel placement |
| title_full | Anesthesia management for a case of laryngeal keel placement |
| title_fullStr | Anesthesia management for a case of laryngeal keel placement |
| title_full_unstemmed | Anesthesia management for a case of laryngeal keel placement |
| title_short | Anesthesia management for a case of laryngeal keel placement |
| title_sort | anesthesia management for a case of laryngeal keel placement |
| topic | Laryngeal keel; pediatric; stenosis |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2017;volume=11;issue=4;spage=486;epage=489;aulast=Gosavi |
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