PMC3350293_01
Larynx with tumour mass after dissection. White arrow: tumour mass. Yellow arrow: barely recognizable epiglottis and severely narrowed glottic opening. Tracheal tube size 6.0.
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fig1
In theatre, it was tried to pass the same tracheal tube 6.0 through the glottis, which was impossible, because of extensive fibrosis and severe narrowing in airway diameter (Figure 1).
Three dimensional CT reconstruction of the larynx, yellow structures are air. Gray areas are bony structures. There is narrowing of the airway of 4 mm over a 4 cm long trajectory at the subglottic level. White arrow: reconstruction of air column in the feeding tube which is present in the oesophagus.
CRIM.ANESTHESIOLOGY2011-878910.002.jpg
PMC3350293_01_CRIM.ANESTHESIOLOGY2011-878910.002.jpg
fig2
The smallest airway diameter measured was four millimetres (mm) (Figure 2).