Indian Journal of Anaesthesia  
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Year : 2011  |  Volume : 55  |  Issue : 5  |  Page : 524-527

Acute airway obstruction, an unusual presentation of vallecular cyst

1 Department of Anaesthesiology & Critical Care Medicine, Mahatma Gandhi Medical College and Research Institute, Puducherry, India
2 Department of ENT, Mahatma Gandhi Medical College and Research Institute, Puducherry, India

Correspondence Address:
Sameer M Jahagirdar
A 14, Green Avenue Apartment, Point Care Street, Mudaliyarpet, Puducherry - 605 004
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5049.89896

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A 18-year-old female presented to us with acute respiratory obstruction, unconsciousness, severe respiratory acidosis, and impending cardiac arrest. The emergency measures to secure the airway included intubation with a 3.5-mm endotracheal tube and railroading of a 6.5-mm endotracheal tube over a suction catheter. Video laryngoscopy done after successful resuscitation showed an inflamed swollen epiglottis with a swelling in the left vallecular region, which proved to be a vallecular cyst. Marsupialisation surgery was performed on the 8 th post admission day and the patient discharged on 10 th day without any neurological deficit.

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