J Dent Anesth Pain Med.  2019 Oct;19(5):301-306. 10.17245/jdapm.2019.19.5.301.

Airway management of a patient incidentally diagnosed with Mounier-Kuhn syndrome during general anesthesia

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Republic of Korea. jungman007@gmail.com
  • 2Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
  • 3Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea.

Abstract

Mounier-Kuhn syndrome (MKS) is a disease characterized by dilation of the trachea and mainstem bronchi. Due to the risk of airway leakage, pulmonary aspiration, and tracheal damage, MKS can be fatal in patients undergoing tracheal intubation. Moreover, MKS may not be diagnosed preoperatively due to its rarity. In this case, a patient undergoing neurosurgery was incidentally diagnosed with MKS during general anesthesia. During anesthesia induction, difficulties in airway management led the anesthesiologist to suspect MKS. Airway leakage was resolved in this case using oropharyngeal gauze packing. Anesthesiologists should be aware of the possibility of MKS and appropriate management of the airways.

Keyword

Airway Management; Intubation, Intratracheal; Mounier-Kuhn Syndrome; Tracheobronchomegaly

MeSH Terms

Airway Management*
Anesthesia
Anesthesia, General*
Bronchi
Humans
Intubation
Intubation, Intratracheal
Neurosurgery
Trachea
Tracheobronchomegaly*
Full Text Links
  • JDAPM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr