Anesthetic and surgical management of mucoid retention cyst in the vallecular region: An airway challenge.
- Resource Type
- Article
- Authors
- George, Christina; Martin, Aditya; Osahan, Narjeet; Liddle, Dootika
- Source
- Journal of Indian Association of Pediatric Surgeons. Oct-Dec2018, Vol. 23 Issue 4, p234-235. 2p. 1 Color Photograph.
- Subject
- *ANESTHESIA
*CYSTS (Pathology)
*OUTPATIENT services in hospitals
*KETAMINE
*LIPS
*MUCOUS membranes
*NOSE
*OXIMETRY
*OXYGEN
*RESPIRATORY obstructions
*SNORING
*SUPINE position
*SURGEONS
*ELECTIVE surgery
*PULSE oximeters
*TREATMENT effectiveness
*SEVOFLURANE
*LARYNGEAL masks
*PSYCHOLOGY
*THERAPEUTICS
- Language
- ISSN
- 0971-9261
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. [ABSTRACT FROM AUTHOR]