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A new diagnostic approach to congenital stridor using a laryngeal mask airway and rigid endoscope

  • A. Samet (a1), Y. Talmon (a1), R. Frankel (a2) and K. Simon

Abstract

Neonates with symptoms of stridor from birth, present a difficult diagnostic problem. We have demonstrated that by the use of a laryngeal mask airway in an anaesthetized baby breathing spontaneously, we are able to reach a diagnosis. This is accomplished by the introduction of a rigid fibre-optic endoscope through a Portex swivel connector and visualizing the glottis and larynx.

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Corresponding author

Dr A. Samet, Department of ENT Surgery. Western Galilee Regional Hospital, Nahariya. Israel.

References

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Brain, A. I. J. (1991) The development of the laryngeal mask: a brief history of the invention, early clinical studies and experimental work from which the laryngeal mask evolved. European Journal of Anaesthesiology 4 (suppl.): 517.
Briggs, R. J., Bailey, P., Howard, D. J. (1992) The laryngeal mask: a new type of airway in anaesthesia for direct laryngoscopy. Otolaryngology Head and Neck Surgery 107 (4): 603605.
Lawson, R., Thomas, L. (1993) Three diagnostic conundrums solved using laryngeal mask airway. Anaesthesia 48: 790791.
Maekawa, H., Mikava, K., Tanaka, O., Goto, R., Obara, H. (1991) The laryngeal mask may be a useful device for fibreoptic airway endoscopy in pediatric anesthesia. Anesthesiology 75(1): 169170 (letter).
Maroof, M., Siddique, M., Khan, R. M. (1992) Difficult diagnostic laryngoscopy and bronchoscopy aided by the laryngeal mask airway. Journal of Laryngology and Otology 106: 722.
McNamee, C. J., Meyns, B., Pagliero, K. M. (1991) Flexible bronchoscopy via the laryngeal mask: a new technique. Thorax 46 (2): 141142.
Pennant, J. H., White, P. F. (1933) The laryngeal mask airway – its uses in anesthesiology. Anesthesiology 79: 144163.
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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