진단받지 않은 후두개와 후두개곡사이낭종으로 인한 어려운 기관 내 삽관

• 영문명: Difficult endotracheal intubation due to an undiagnosed vallecular and epiglottic cyst
• 발행기관: 조선대학교 의학연구원
• 저자명: 이정하(Jung Ha Lee) 허봉하(Bong Ha Heo) 윤대훈(Dae Hun Yun)
• 간행물 정보: 『The Medical Journal of Chosun University』제45권 제1호, 33~36쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2020.04.30

영문 초록

Laryngeal cyst in adults is a rare condition. However, if these cysts are unexpectedly discovered after anesthesia induction, an emergency situation immediately poses a life-threatening condition if proper airway management is not done. The authors report that in the case of difficult intubation tubes after anesthesia induction caused by laryngeal cyst, which was not diagnosed as asymptomatic, the oral intubation was successful without complication using the Clarus Video System (Clarus Medical, USA), an semi-rigid optical stylet. A 67-year-old male presented for laparoscopic radical prostatectomy. We discovered an undiagnosed epiglottic cyst obscuring laryngeal inlet. Fortunately, mask ventilation was possible, and after failed attempts of direct laryngoscopy, we could perform oral semi-rigid optical stylet-aided intubation. We experienced difficult intubation due to laryngeal cyst, which had no symptoms of respiratory closures before anesthesia, and in such cases it is believed that systematic preparation for “difficult airways” should be made to prevent hypoxic damage that can result from unexpected intubation failure.

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Airway Difficult intubation Epiglottic cyst