Kosin Med J.  2018 Dec;33(2):252-256. 10.7180/kmj.2018.33.2.252.

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

• Kim SG
• Kim H
• Son JC
• Lee JH
• An J
• Kim E

• KMID: 2430743
• DOI: http://doi.org/10.7180/kmj.2018.33.2.252

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® 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 â„¢) rather than further intubation was successfully used to maintain the airway.

Keyword

Difficult intubation; Laryngeal mask airway; Tracheobronchopathia osteochondroplastica

MeSH Terms

Aged
Anesthesia, General
Biopsy
Bronchi
Bronchoscopy
Decompression
Ganglion Cysts
Humans
Intubation
Intubation, Intratracheal*
Laryngeal Masks*
Trachea
Ulnar Nerve
Vocal Cords

Figure

• 

  Fig. 1 Numerous small nodules can be seen on the trachea using a Glidescope.

• 

  Fig. 2 Fiberoptic bronchoscopy shows that small nodules are present on the bronchus.

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