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. 2021 Aug;49(4):334-337.
doi: 10.5152/TJAR.2021.291.

Unexpected difficult intubation with a double-lumen tube in a case of asymptomatic vallecular cyst

Mehtap Tunç  1 , Hilal Sazak  1 , Ramazan Baldemir  1 , Ali Alagöz  1
Affiliations

Unexpected difficult intubation with a double-lumen tube in a case of asymptomatic vallecular cyst

Mehtap Tunç et al. Turk J Anaesthesiol Reanim. 2021 Aug.

Abstract

Vallecular cyst (VC) can cause difficult intubation. If a double-lumentube (DLT) has to be placed, difficulty in tracheal intubation becomes more complicated. The gum elastic bougie (GEB) is a widely used device for facilitating tracheal intubation.However, there is not enough study with DLT to make a predictionfor success of GEB-guided intubation. Here, we aimed to describe our approach during unexpected difficult intubation due to VC in a patient required DLT insertion. We emphasize that, in case of confronting a patient with asymptomatic VC as a cause of difficult intubation, a successful DLT intubation is possible by sliding endobronchial lumen of DLT over pediatric GEB.

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Conflict of interest statement

Conflict of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1.
Figure 1.
A DLT with endobronchial lumen slided over paediatric gum bougie.
Figure 2.
Figure 2.
Appearance of the cystic lesion through FOB performed orally after placement of DLT.
Figure 3.
Figure 3.
View of the lesion with a maximum width of 2.36 cm and an antero posterior diameter of 1.25 cm at the level of vallecula.
See this image and copyright information in PMC

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