Ball valving laryngeal masses: a difficult “ball” in the anaesthetists’ court

Authors

  • Ankur Verma Department of Onco-anesthesiology, BLK-Max Hospital, New Delhi, India
  • Shubhashish Biswas Department of Onco-anesthesiology, BLK-Max Hospital, New Delhi, India
  • Pooja Singh Department of Onco-anesthesiology, BLK-Max Hospital, New Delhi, India
  • Tarun Tyagi Department of Onco-anesthesiology, BLK-Max Hospital, New Delhi, India
  • Pankaj Khatri Department of Onco-anesthesiology, BLK-Max Hospital, New Delhi, India
  • Tushar Gupta Department of Onco-anesthesiology, BLK-Max Hospital, New Delhi, India
  • Surender Kumar Dabas Department of Surgical Oncology and Robotic Surgery, BLK-Max Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20233408

Keywords:

Dynamic airway obstruction, Ball-valve, Tracheostomy

Abstract

Dynamic airway obstruction (also called ball-valve effect) is a serious condition often seen in glottic lesions. This is an anesthetic challenge as total airway obstruction can occur after the induction of general anesthesia. We present a case of a middle aged female who had a large laryngeal mass which was showing ball-valve effect. The patient had refused for tracheostomy despite it being the safest procedure in the circumstances. We then performed videolaryngoscopy and managed to intubate the patient with the help of some improvisation. The patient underwent a succesful and uneventful surgery.

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Published

2023-10-30

How to Cite

Verma, A., Biswas, S., Singh, P., Tyagi, T., Khatri, P., Gupta, T., & Dabas, S. K. (2023). Ball valving laryngeal masses: a difficult “ball” in the anaesthetists’ court. International Journal of Research in Medical Sciences, 11(11), 4228–4230. https://doi.org/10.18203/2320-6012.ijrms20233408

Issue

Section

Case Reports