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Laryngomalacia in a 12-year-old child after laryngeal mask use

Published online by Cambridge University Press:  17 April 2009

E L Sproson ,
G J Madden  and
M W A Turner
E L Sproson*
Affiliation:
Department of ENT, Queen Alexandra Hospital, Portsmouth, UK
G J Madden
Affiliation:
Department of ENT, Queen Alexandra Hospital, Portsmouth, UK
M W A Turner
Affiliation:
Department of Anaesthetics, Queen Alexandra Hospital, Portsmouth, UK
*
Address for correspondence: Miss E L Sproson, ENT Department, Queen Alexandra Hospital, Portsmouth PO6 3LY, UK. Fax: 0870 9501124 E-mail: e.sproson@doctors.org.uk
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Abstract

Objective:

We present an unusual case of a 12-year-old child with state-dependent laryngomalacia presenting after anaesthesia with a laryngeal mask airway.

Method:

Current literature on state-dependent laryngomalacia and injury following laryngeal mask use is reviewed.

Results:

A child who had previously suffered with laryngomalacia as an infant presented with disturbed breathing at night and during exercise. After anaesthesia using a laryngeal mask airway, these symptoms became more pronounced. Microlaryngoscopy revealed laryngomalacic type movement of the larynx.

Conclusion:

Our case seems to support a more complex, multifactorial aetiology for laryngomalacia, including both the neurological control of the larynx as well as its structure.

Keywords

LaryngomalaciaCongenital StridorAnaesthesiaLaryngeal Mask Airway
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 9 , September 2009 , pp. 1042 - 1044
Copyright
Copyright © JLO (1984) Limited 2009

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