Abstract

Introduction

Wide varieties of open surgical and laser assissted techniques are used for treatment of tracheal granulation tissue depending on site, cause and extent of lesion. Laser assisted surgeries of airway are challenge to anaesthesiologist for airway management. There are various reports of explosions during laser assisted surgeries. We report a case of successful laser assisted resection of granulation tissue surgery with Montgomery T tube in situ.

Case Report

A 22 yr male weighing 60 kg and height 165 cm was posted for elective laser assisted resection of granulation tissue in trachea. He had trauma to anterior part of neck 12yrs back which was initially managed with tracheostomy followed by repair. Few years following which he developed tracheal stenosis, and underwent 3 surgeries under local and general anaesthesia. Since last 6 months he had Montgomery T tube in situ. The patient presented with respiratory difficulty and change of voice since 1 month. He had no other co morbid-ities. Routine hematological and biochemical investigations were normal. The X ray STN neck showed T tube in place and subglottic stenosis.