Anterior laryngeal web is a rare anomaly which is usually asymptomatic in infancy. This translates into a high incidence of unanticipated difficult intubation in these patients with consequent airway morbidity in the form of tracheostomy. We are reporting a case of unsuspected difficult intubation in a neonate due to the presence of a congenital anterior laryngeal web. After multiple failed intubation attempts with direct laryngoscopy, use of CMAC video laryngoscope improved the glottic view, enabled us to diagnose the presence of a thick anterior laryngeal web and intubate the child. We have also highlighted a pivotal history which may improve its preoperative detection.
From the *Department of Anesthesiology, Chacha Nehru Bal Chikitsalya, New Delhi, India; and †Department of Anaesthesiology, Dr Bhim Rao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.
Accepted for publication July 14, 2017.
The authors declare no conflicts of interest.
Address correspondence to Anju Gupta, MBBS, MD, DNB, MNAMS, Chacha Nehru Bal Chikitsalya, Geeta Colony, New Delhi 110031, India. Address e-mail to firstname.lastname@example.org.