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Anterior Laryngeal Web Leading to Unanticipated Difficult Tracheal Intubation in a Neonate Diagnosed and Managed Successfully With CMAC Video Laryngoscope: A Case Report

Gupta, Anju, MBBS, MD, DNB, MNAMS*; Gupta, Nishkarsh, MBBS, MD

doi: 10.1213/XAA.0000000000000626
Case Reports: Case Report

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.

Funding: None.

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 dranjugupta2009@rediffmail.com.

© 2018 International Anesthesia Research Society
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