Two Neonatal Cases with Congenital Malformations and Upper Airway Compromise at Birth

(Subglottic Stenosis, Agnathia)

Abstract

Upper airway compromise can be life-threatening condition and may need rapid evaluation and immediate intervention to change the life time prognosis especially at the birth period. We report two neonatal cases with cyanosis and breathing difficulty, who were saved by emergency airway intervention.
Case 1 was a female neonate with congenital subglottic stenosis. She had marked cyanosis at admission. Although a manual attempt to insert an intubation tube failed because of mechanical resistance, laryngoscopy-guided intubation was successful.
Case 2 was a male neonate with agnathia. Since he had difficulty with intratracheal intubation, he ultimately underwent successful tracheostomy.