Abstract
We report a case of laryngeal web encountered during anesthetic induction. A 60-year-old male with chronic sinusitis was scheduled for endoscopic sinus surgery under general anesthesia. We attempted to insert a 10.8 mm OD endotracheal tube using laryngoscope, but it could not be inserted without some resistance. A laryngeal mask was inserted, and we observed a membranous lesion at the larynx by bronchoscope introduced through the laryngeal mask. The surgeon (otolaryngologist) diagnosed it as being laryngeal web. We decided to continue a general anesthesia using a 8.7 mm OD endotracheal tube, and the operation was undertaken by mutual consent. After surgery the patient did not complain of symptoms associated with airway stenosis. Since the patient had a surgical history, he was suspected as having an acquired laryngeal web.