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Korean Journal of Anesthesiology 2006;51(3):367-370.
DOI: https://doi.org/10.4097/kjae.2006.51.3.367   
Airway Management by Extended Endotracheal Tube for a Patient with Tracheal Stenosis during Laryngeal Microscopic Surgery: A case report.
Dong Woo Han, Chul Ho Chang, Jong Seok Lee, Sungwon Na, Hye Gun Yang, Sang Beom Nam
1Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. sbnam@yumc.yonsei.ac.kr
2Department of Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.
A small sized tube can be used for a patient with tracheal stenosis. However, an ordinary endotracheal tube may be not long enough to pass over stenotic lesion of trachea in adult patient for nasotracheal intubation, when stenotic lesion is located distally. We experienced a patient with severe tracheal stenotic lesion 5 cm above the carina and 3.1 cm length of stenotic lesion scheduled for laryngeal microscopic surgery. The two 4.0 mm tubes-connected tube using modified connector was designed and prepared. We performed fiberoptic-guided awake nasotracheal intubation using the extended endotracheal tube and the patient was successfully managed without complications until the surgery was completed.
Key Words: endotracheal tube extension; laryngeal microscopic surgery; tracheal stenosis
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