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CASE REPORT
Year : 2011  |  Volume : 55  |  Issue : 5  |  Page : 521-523

Idiopathic subglottic stenosis in pregnancy: A deceptive laryngoscopic view


Department of Anaesthesiology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India

Correspondence Address:
John George Karippacheril
Department of Anaesthesiology, Kasturba Medical College, Manipal, Karnataka - 576 104
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.89894

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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.


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