A Case Report of Injection Laryngoplasty Who have Difficulty in Neck Extension Using, an I-Gel Laryngeal Mask Airway

Jo, Kwang-Hee; Jung, Chan-Min; Jang, Chul-Ho; Choi, Hong-Shik

J Korean Soc Laryngol Phoniatr Logop > Volume 25(2); 2014 > Article

Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2014;25(2): 96-98.

경부 신전이 불가한 성대 마비 환자에서 I-Gel$^{TM}$ 후두마스크를 이용한 전신 마취하 성대주입술 증례

조광희¹, 정찬민¹, 장철호², 최홍식¹

¹연세대학교 의과대학 이비인후과학교실
²연세대학교 의과대학 마취과학교실

A Case Report of Injection Laryngoplasty Who have Difficulty in Neck Extension Using, an I-Gel Laryngeal Mask Airway

Kwang-Hee Jo¹, Chan-Min Jung¹, Chul-Ho Jang², Hong-Shik Choi¹

¹Department of Otorhinolaryngology, Yonsei University College of Medicine
²Department of Anesthesiology, Yonsei University College of Medicine

ABSTRACT

Injection laryngoplasty is simple and useful procedure in patient with vocal cord paralysis even under local anesthesia. For approaching vocal cord level, flexibility of neck mobility is required to operate injection laryngoplasty but it is relatively difficult to approach vocal cord in patient who has cervical fixations. Laryngeal mask airway (LMA) can be helpful:We use a LMA (I-gel$^{TM}$) during intubation without neck extension on flat supine position under general anesthesia and have a good operation filed. LMA with swivel connector give surgeons better surgical vision and make insertion of fibroscope easily during operation. Hyaluronic acid injection was done use needle (25 G, 5 cm) via percutaneous cricothyroid space : This procedure can be useful method for patients who suffer from not only weak voice but also dysphagia and aspiration high vagal palsy patient after spine surgery or uncooperative with awake injection laryngoplasty.

KEY WORDS： Laryngeal mask airway;Injection laryngoplasty;Vocal cord paralysis;

중심 단어： 후두마스크;성대주입술;성대마비;