A case of critical airway stenosis with difficult intubation following OK-432 treatments against giant cervical lymphangiomas in neonate

Abstract

We have reported a case of massive cervical lymphangioma, which was diagnosed prenatally, and the baby was born under a elective caesarean section without any complications. However 10 days after birth, the neonate experienced exacerbated airway stenosis due to the natural and the treatment-related enlargement of the tumor. Then, emergency intubation was needed, but was difficult to perform. Finally, it was achieved using a fiber-optic scope and a video laryngoscopy. It should be noted that careful airway managements for fetal cervical tumors may be needed not only just after the birth but also for any time especially following the treatment for the tumor, because it may make the airway stenosis worse. Multidisciplinary team approach with neonatologists, pediatric surgeons, anesthesiologists, intensivists and so on are needed to save such kind of patients.