Keimyung Med J.  2015 Jun;34(1):19-23. 10.0000/kmj.2015.34.1.19.

A Case of Laryngeal Web Injury during Intubation in Pediatric Patient

• Kim TH
• Ko DC
• Pin JW
• Choi WJ
• Ryu KH

• KMID: 2093083
• DOI: http://doi.org/10.0000/kmj.2015.34.1.19

Abstract

Laryngeal web is a rare congenital disease, and its incidence has been estimated to be 1 in 10,000 live births. A 4-year-old female child with laryngeal web was scheduled for laryngeal web removal. Smooth intubation without causing damages to the laryngeal web is important during induction. Also, it is very important to select the appropriate tube size during pediatric anesthesia. There is lack of a registered cuffed micro-laryngeal surgery (MLS) tube 3.5 mm inner diameter (ID) in Korea, and also our hospital did not have an uncuffed MLS tube 4.0 mm ID. Therefore we could not select the appropriate size of the laser tube. The patient's laryngeal web was slightly injured during intubation. We report a case of laryngeal web injury caused by intubation for laryngeal web removal and wish to state that there is lack of a registered laser tube in the size, such as a cuffed MLS tube 3.5 mm ID.

Keyword

CO2 laser; Laryngeal web; Pediatric; Uncuffed laser tube

MeSH Terms

Anesthesia
Child
Child, Preschool
Female
Humans
Incidence
Intubation*
Korea
Lasers, Gas
Live Birth