Idiopathic subglottic stenosis in pregnancy: A deceptive laryngoscopic view

John George Karippacheril, Umesh Goneppanavar, Manjunath Prabhu, Kiran Bada Revappa

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4 Citations (Scopus)

Abstract

A 28-year-old lady with term gestation, pre-eclampsia and a vague history of occasional breathing difficulty, on irregular bronchodilator therapy, was scheduled for category 1 lower segment caesarean section in view of foetal distress. A Cormack-Lehane grade 1 direct laryngoscopic view was obtained following rapid sequence induction. However, it was not possible to insert a 7.0 or 6.0 size styleted cuffed tracheal tube in two attempts. Ventilation with a supraglottic device was inadequate. Airway was secured with a 4.0 size microlaryngeal surgery tube with difficulty. Computed tomography scan of the neck following tracheostomy for failed extubation revealed subglottic stenosis (SGS) with asymmetric arytenoid calcification. This report describes the management of a rare case of unrecognised idiopathic SGS in pregnancy.

Original languageEnglish
Pages (from-to)521-523
Number of pages3
JournalIndian Journal of Anaesthesia
Volume55
Issue number5
DOIs
Publication statusPublished - 01-09-2011
Externally publishedYes

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All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

Karippacheril, J. G., Goneppanavar, U., Prabhu, M., & Revappa, K. B. (2011). Idiopathic subglottic stenosis in pregnancy: A deceptive laryngoscopic view. Indian Journal of Anaesthesia, 55(5), 521-523. https://doi.org/10.4103/0019-5049.89894