| CASE REPORT
|Year : 2018 | Volume
| Issue : 4 | Page : 234-235
Anesthetic and surgical management of mucoid retention cyst in the vallecular region: An airway challenge
Christina George, Aditya Martin, Narjeet Meena Osahan, Dootika Liddle
Department of Anesthesiology and Critical Care, CMC Hospital, Ludhiana, Punjab, India
Growth of any kind in the oropharynx poses a threat to the airway especially during anaesthesia. Being aware of the challenges and adequately equipped to handle the situation is the duty of the anesthesiologist.
Methods and Material: An eight year old girl diagnosed case of multiple mucous cysts presented to the outpatient department for excision of a lower lip mucous cyst. So an ultrasound was done which revealed a large intramural mucous cyst. After a preanaesthetic checkup she was posted for the excision of the cyst.
Results: The girl was posted for Elective surgery and was induced without prior premedication as she had revealed a history of snoring in supine position. After preoxygenating with 100% oxygen, she was induced with Injection Ketamine and Sevoflurane. She started desaturated abruptly so nasal airway and finally # 2.5 LMA was inserted but SpO2 didn't improve. With backup of Ent and paediatric surgeons direct larngoscopy was attempted and #5 ETT was inserted successfully. Following which the huge vallecular cyst was removed.
Dr. Christina George
Department of Anaesthesiology, CMC Hospital, Ludhiana, Punjab
Source of Support: None, Conflict of Interest: None
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