Saudi Journal of Anaesthesia

CASE REPORT
Year
: 2016  |  Volume : 10  |  Issue : 3  |  Page : 356--358

Anesthetic management of vallecular cyst excision in an infant: An airway challenge


Viraj N Namshikar, Nimisha V Dukle, Dattraj S Sukhthanker 
 Department of Anaesthesiology, Goa Medical College, Goa, India

Correspondence Address:
Dattraj S Sukhthanker
F-1, Navelkar Arcade, Opposite Punjab National Bank, Panaji - 403 001, Goa
India

Vallecular cyst is uncommon but well-recognized cause of upper airway obstruction in newborn and infants. We hereby present anesthetic management of a case of vallecular cyst in an infant posted for excision and marsupialization. A 4-month-old female infant weighing 3.5 kg presented with inspiratory stridor progressively worsening over 2 months. Anesthesia plan was to carry out inhalational induction maintaining spontaneous respiration and keeping tracheostomy as standby option. In this case, laryngoscopy was challenging due to the size and extent of the cyst thus necessitating gentle laryngoscopy to prevent cyst rupture and pulmonary aspiration. On performing laryngoscopy, epiglottis was not visualized, which made intubation difficult. At the end of surgery, extubation was not carried out as the possibility of laryngomalacia could not be eliminated and also in view of intraoperative airway manipulation. The patient was electively ventilated postoperatively and extubated on the 2 nd postoperative day.


How to cite this article:
Namshikar VN, Dukle NV, Sukhthanker DS. Anesthetic management of vallecular cyst excision in an infant: An airway challenge.Saudi J Anaesth 2016;10:356-358


How to cite this URL:
Namshikar VN, Dukle NV, Sukhthanker DS. Anesthetic management of vallecular cyst excision in an infant: An airway challenge. Saudi J Anaesth [serial online] 2016 [cited 2020 Feb 29 ];10:356-358
Available from: http://www.saudija.org/article.asp?issn=1658-354X;year=2016;volume=10;issue=3;spage=356;epage=358;aulast=Namshikar;type=0