Shilpa Jagdish Loya

Abstract

We report a case of frontal sinus abscess posted for FESS, a chronic ghutka chewer with MPC IV and restricted mouth opening. Following induction with propofol and succinylcholine we noticed lockjaw when intubation was attempted, he was ventilated and anesthesia was deepened using propofol and dexmedetomidine, after a few minutes the masseter spasm had improved and miller’s blade was used for endo tracheal intubation & the procedure was uneventful.   Keywords: Anesthesia, Restriced mouth opening, Succinylcholine, Masseter spasm, Difficult intubation, FESS

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Abstract

Tracheal stenosis is a rare occurrence but maybe life threatening. Severity of this condition varies with the length of the affected trachea and the degree of luminal narrowing. Asymptomatic cases present with the highest risk as they may be diagnosed for the first time at the time of intubation. Proper history taking with a special note of any previous hospitalization or intubation, clinical examination and radiological investigations may help us prevent complications that may arise from this condition. A case of incidental finding of tracheal stenosis leading to inability to intubate in a paediatric patient posted for pyeloplasty is reported here. Keywords: Anaesthesia, Paediatric, Tracheal stenosis.

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