THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA
Online ISSN : 1349-9149
Print ISSN : 0285-4945
ISSN-L : 0285-4945
Case Reports
A Case of Laryngeal Web Diagnosed after Induction of Anesthesia
Haruo OOKAWANaoto YAMADATasuku SUZUKIYukie KATOOka KIMURAHideaki MATSUI
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2009 Volume 29 Issue 5 Pages 639-641

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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.
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© 2009 by The Japan Society for Clinical Anesthesia
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