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Case Report

Open Access

Anaesthesiological problems in children with congenital laryngeal stenosis

  • BILJANA DRASKOVIC1
  • ANNA URAM BENKA1
  • DRAGAN DRASKOVIC2
  • DUSAN MARIC1
  • DUSICA SIMIC3

1,institute of Child and Asolescent Health Care of Vojvodina Clinic of Paediatric Surgery

2,Clinical Centre of Vojvodina Hajduk Veljkova 1

3,University Children's Hospital Tirsova 10

DOI: 10.22514/SV52.112010.8 Vol.5,Issue 2,November 2010 pp.38-39

Published: 01 November 2010

*Corresponding Author(s): BILJANA DRASKOVIC E-mail: drbiljanadraskovic@gmail.com

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Abstract

Congenital laryngeal stenosis is a rare condition, which can be diagnosed in the early neonatal period. Manifest stenosis can be life threatening. Severe (“critical”) types of stenosis require securing an adequate airway just after the birth, as well as early tracheotomy as a life-saving procedure.

This paper presents a case report of a preterm newborn with severe laryngeal stenosis diagnosed at birth. It was not possi-ble to secure the airway even with endotracheal tubes of the smallest diameter, thus a laryngeal mask (LMA) was placed to provide adequate ventilation and oxygenation. Anaesthesia was administered in the same way during the tracheotomy procedure, which was performed in the earliest hours of the baby’s life. 

Keywords

laryngeal stenosis, laryn-geal mask, newborn, airway

Cite and Share

BILJANA DRASKOVIC,ANNA URAM BENKA,DRAGAN DRASKOVIC,DUSAN MARIC,DUSICA SIMIC. Anaesthesiological problems in children with congenital laryngeal stenosis. Signa Vitae. 2010. 5(2);38-39.

URL:

https://www.signavitae.com/articles/10.22514/SV52.112010.8

References

1. Manson D, Filler R, Gordon R. Tracheal growth in congenital tracheal stenosis. Pediatr Radio 1996; 26:427-30.

2. Cotton RT, Prescott CJ. Congenital anomalies of the larynx. In: Cotton RT, Myer CM, editors. Practical pediatric otolaryngology. Philadel-phia, PA: Lippincott-Raven; 1999. p. 497-514.

3. Anton-Pacheco JL, Cano I, Garcia A, Martínez A, Cuadros J, Berchi FJ. Patterns of management of congenital tracheal stenosis. J Pediatr Surg 2003;38(10):1452-8.

4. Wyatt ME, Hartley BJ. Laryngotracheal reconstruction in congenital laryngeal webs and atresias. Otolaryngol Head Neck Surg 2005;132:232-8.

5. Chen I, Hsaio AL. Randomized Trial of Endotracheal Tube versus Laryngeal Mask Airway in Simulated Prehospital Pediatric Arrest. Ped-iatrics 2008;122:294-97.

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