AI Article Synopsis
- Vallecular cysts can obstruct the airway, especially in infants, posing serious risks during anesthesia.
- Many anesthesiologists prefer to avoid muscle relaxants and resort to cyst aspiration as a backup method during airway management.
- A case report demonstrates successful fiber-optic intubation in an infant with a large vallecular cyst, utilizing a three-person technique after videolaryngoscopy did not succeed.
Article Abstract
Vallecular cysts are a rare entity but can complicate the airway management due to the physical impediment and distortion of the laryngeal inlet. It can lead to fatal life-threatening airway obstruction postinduction of anaesthesia. Infancy compounds the risks due to lack of cooperation and physiological reserves. The literature review suggested most anaesthesiologists avoided muscle relaxants and aspiration of the cyst was used as a rescue technique. The present case report illustrates the successful airway management of an infant with a huge vallecular cyst using fibre-optic intubation by a 'three-person' technique after paraglossal videolaryngoscopy failed to secure the airway.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6768395 | PMC |
| http://dx.doi.org/10.1136/bcr-2019-231035 | DOI Listing |
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