Abstract
Reinke’s oedema (RE) also known as polypoid corditis, laryngitis or chronic hypertrophic laryngitis is associated with chronic accumulation of fluid in the sub epithelial compartment of the vocal fold. 1,2 It can cause airway problems in patients with undiagnosed RE, but can also cause difficult intubation in patients already diagnosed with RE due to diffuse swelling of vocal cords. We hereby report a case of 55 year old female with RE admitted for decortication of vocal folds and discuss the anaesthetic implications
Highlights
Case Report A 61 year old female (78 kg, 160 cm), ASA I was posted for decortication of vocal cords
A 3.6mm fiberoptic bronchoscope with preloaded with a 5.0mm internal diameter microlaryngeal tube was passed through split nasopharyngeal airway in right nostril
After confirmation of fiberscope in mid trachea, a well lubricated MLT was advanced over the fiberscope into the trachea. (Figure 2) General anaesthesia was induced with propofol, fentanyl, atracurium and sevoflurane
Summary
Case Report A 61 year old female (78 kg, 160 cm), ASA I was posted for decortication of vocal cords. Indirect laryngoscopy revealed RO of both vocal cords. Patient was kept fasting for 6 hours and informed written consent for anaesthesia and surgery was taken. General anaesthesia was planned and difficult airway cart was kept ready.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
