Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2018  |  Volume : 23  |  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

Correspondence Address:
Dr. Christina George
Department of Anaesthesiology, 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.


How to cite this article:
George C, Martin A, Osahan NM, Liddle D. Anesthetic and surgical management of mucoid retention cyst in the vallecular region: An airway challenge.J Indian Assoc Pediatr Surg 2018;23:234-235


How to cite this URL:
George C, Martin A, Osahan NM, Liddle D. Anesthetic and surgical management of mucoid retention cyst in the vallecular region: An airway challenge. J Indian Assoc Pediatr Surg [serial online] 2018 [cited 2020 Jul 2 ];23:234-235
Available from: http://www.jiaps.com/article.asp?issn=0971-9261;year=2018;volume=23;issue=4;spage=234;epage=235;aulast=George;type=0