Airway Management in Tracheobronchopathia Osteochondroplastica -A Case Report
Keywords:
Tracheobronchopathia osteochondroplastica, intubation, fiberoptic bronchoscopy, airway assessment, subglottic airway assessment, fiberoptic bronchoscopy-assisted tracheal intubationAbstract
Tracheobronchopathia osteochondroplastica (TO), a rare large airway disorder, is a rare cause of unanticipated difficult airway. A 36years old male, known case of Tracheobronchopathia osteochondroplastica , was posted for laparoscopic cholecystectomy. CT thorax taken in 2019 showed nodular calcifications in tracheal wall and bilateral main stem bronchi. Upper Airway examination was normal. Patient was induced and endotracheal tube was placed just below the vocal cords and Fibreoptic bronchoscope was passed through and tube was positioned in such a way that nodules were avoided and unobstructed ventilation was confirmed. Intraoperative period was uneventful, check bronchoscopy postoperatively showed no bleeding/edema. Patient was reversed and extubated. TO patients experience unexpected difficulties in subglottic intubation, which creates a difficult situation. Assessment of the subglottic airway should also be taken seriously in order to avoid unexpected intubation impediment.
