Anaesthesiological problems in children with congenital laryngeal stenosis

Congenital laryngeal stenosis is a rare condition, which can be diagnosed in the early neonatal period. Manifest stenosis can be life threatening. Severe (“critical”) types of stenosis require securing an adequate airway just after the birth, as well as early tracheotomy as a life-saving procedure.

This paper presents a case report of a preterm newborn with severe laryngeal stenosis diagnosed at birth. It was not possi-ble to secure the airway even with endotracheal tubes of the smallest diameter, thus a laryngeal mask (LMA) was placed to provide adequate ventilation and oxygenation. Anaesthesia was administered in the same way during the tracheotomy procedure, which was performed in the earliest hours of the baby’s life. 

laryngeal stenosis, laryn-geal mask, newborn, airway

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