Laryngoscopy and Bronchoscopy in an Infant With a Congenital Laryngeal Web Complicated by Bilateral Pneumothoraces: A Case Report

Michelle M. LeRiger, Marcellene H. Franzen, Ryan K. Sewell, Greta L. Duncan-Wiebe

Research output: Contribution to journalArticle

Abstract

Neonates with laryngeal webs pose unique challenges to the anesthesiologist. We present a 2-day-old neonate with aphonia and stridor who underwent microdirect laryngoscopy. Intraoperatively, a Cohen type 4 laryngeal web was diagnosed not immediately amenable to resection. Therefore, the decision was made for endotracheal intubation and subsequent tracheostomy. After endotracheal intubation, there was acute respiratory compromise and oxygen desaturation that improved moderately after urgent tracheostomy. A chest radiograph revealed a large pneumothorax. Our experience suggests that in the presence of high-grade laryngeal webs, the possibility of intraoperative development of pneumothorax should be considered if respiratory difficulties are encountered.

Original languageEnglish (US)
Pages (from-to)162-164
Number of pages3
JournalA&A practice
Volume11
Issue number6
DOIs
Publication statusPublished - Sep 15 2018

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ASJC Scopus subject areas

  • Medicine(all)

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