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General Article
Anesthesia and Pain Medicine 2007;2(3):166-168.
Published online July 31, 2007.
Incidental Removal of Pyogenic Granuloma of Vocal Cord during Blind Intubation with Lightwand : A case report
Han Soo Kim, Jin Gu Kang, Ik Soo Chung, Jie Ae Kim
Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jakim@smc.samsung.co.kr
Abstract
We experienced a case of incidental removal of granuloma of vocal cord after blind endotracheal intubation with lightwand. The patient was a 43-years-old female suffering from hoarseness for 2 months and diagnosed as vocal cord pyogenic granuloma developed after primary closure of thyroid cartilage laceration. She had a limited neck extension suggesting difficult intubation, so endotracheal intubation with lightwand was planned to secure airway. After endotracheal intubation using lightwand, the lesion of vocal cord could not be seen in the microscopic exam. We discovered and immediately removed the granuloma on the carina level using rigid bronchoscope.
Key Words: blind, intubation, lightwand, vocal, cord, granuloma


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