TY - JOUR
T1 - Management of Near-Complete Airway Obstruction Caused by a Vallecular Cyst in an Infant Using a Tongue Tip Traction Suture
AU - Wong, Christine M.
AU - Ghazal, Elizabeth A.
AU - Dyleski, Robin A.
AU - Applegate, Richard L.
N1 - A A Case Rep. 2016 Jan 15;6(2):31-3. doi: 10.1213/XAA.0000000000000266.
PY - 2016/1/15
Y1 - 2016/1/15
N2 - Airway obstruction in infants can be because of a number of airway issues, one of which is a vallecular cyst. Although uncommonly seen, the management strategy for this difficult airway can be applied to many other difficult airway cases. We report the use of a preoperative oral fiberoptic assessment of the airway, use of a tongue stitch, and manipulation of a flexible nasal fiberoptic bronchoscope to secure the airway. Keeping the patient breathing spontaneously with low-dose ketamine also facilitated successful tracheal intubation.
AB - Airway obstruction in infants can be because of a number of airway issues, one of which is a vallecular cyst. Although uncommonly seen, the management strategy for this difficult airway can be applied to many other difficult airway cases. We report the use of a preoperative oral fiberoptic assessment of the airway, use of a tongue stitch, and manipulation of a flexible nasal fiberoptic bronchoscope to secure the airway. Keeping the patient breathing spontaneously with low-dose ketamine also facilitated successful tracheal intubation.
KW - Bronchoscopy
KW - Humans
KW - Airway Obstruction/diagnosis
KW - Infant
KW - Airway Management/instrumentation
KW - Cysts/complications
KW - Laryngeal Diseases/complications
UR - http://www.scopus.com/inward/record.url?scp=85017077779&partnerID=8YFLogxK
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UR - https://www.mendeley.com/catalogue/7f6ff4c2-eb90-3ed8-a66e-16ad0599a200/
U2 - 10.1213/XAA.0000000000000266
DO - 10.1213/XAA.0000000000000266
M3 - Article
C2 - 26599736
SN - 2325-7237
VL - 6
SP - 31
EP - 33
JO - A & A case reports
JF - A & A case reports
IS - 2
ER -