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A Hunsaker Mon-Jet tube trapped in the larynx

Published online by Cambridge University Press:  07 June 2011

I Khan ,
M Shakeel ,
R Nagaraja ,
B Ram  and
A D Thomas
I Khan*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Aberdeen Royal Infirmary, Scotland, UK
M Shakeel
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Aberdeen Royal Infirmary, Scotland, UK
R Nagaraja
Affiliation:
Department of Anaesthesia, Aberdeen Royal Infirmary, Scotland, UK
B Ram
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Aberdeen Royal Infirmary, Scotland, UK
A D Thomas
Affiliation:
Department of Anaesthesia, Aberdeen Royal Infirmary, Scotland, UK
*
Address for correspondence: Mr Imran Khan, ENT Specialist Registrar, Ward 45, Aberdeen Royal Infirmary, Aberdeen AB25 2ZN, Scotland, UK Fax: +44 (0)1224 554569 E-mail: [email protected]
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Abstract

Objective:

We report a unique complication arising from the use of a Hunsaker Mon-Jet ventilation tube during microlaryngeal surgery, and we briefly review the literature on the use of this tube for jet ventilation.

Method:

A case report on the safe and successful management of a potential airway compromise, and a brief literature review on using the Hunsaker Mon-Jet ventilation tube during microlaryngeal surgery.

Case report:

A 46-year-old woman was scheduled to undergo removal of a vocal cord polyp under general anaesthesia. However, the polyp became stuck in the basket of the Hunsaker tube during intubation. The polyp and the Hunsaker tube were removed safely after a microlaryngeal tube was passed beyond the vocal cords. To our knowledge, this complication has not previously been reported.

Conclusion:

This case highlights the potential risk of laryngeal growths, especially vocal cord polyps, becoming trapped in the Hunsaker tube during intubation. Both the anaesthetist and the operating surgeon should be aware of this possible complication and, more importantly, how to deal with such a problem.

Keywords

LarynxAnaesthesiaVentilationVocal CordsComplications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 11 , November 2011 , pp. 1204 - 1205
Copyright
Copyright © JLO (1984) Limited 2011

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References

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