A & A case reports
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Case Reports
Previously undiagnosed Reinke edema as a cause of immediate postextubation inspiratory stridor.
Reinke edema (RE) is an uncommon lesion of the vocal folds and a potential cause of complications during airway management. We report the case of a woman with previously unknown RE admitted to the intensive care unit who experienced postextubation inspiratory stridor immediately after separation from mechanical ventilation. RE should be considered among causes of postextubation stridor.
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Case Reports
Successful pregnancy and delivery in a patient with Carney complex: implications for anesthesiologists.
Carney complex is an autosomal dominant condition with widespread manifestations, including cardiac myxomas, nerve sheath tumors, and endocrinopathies. Although often associated with infertility, there are several reports of successful pregnancies in patients with Carney complex. However, none of the previous reports describe anesthetic considerations. Herein, we present a patient with Carney complex who successfully delivered vaginally with labor epidural analgesia.
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Supraorbital neuralgia, although an uncommon disorder, is the most frequent extracranial neuralgia of the trigeminal nerve. There are several small case studies reporting treatment outcomes offered by various types of medical management and even surgical treatment. ⋯ She underwent 2 treatments with pulsed radiofrequency ablation that resulted in significant relief, allowing her to return to work and normal daily activities. Pulsed radiofrequency ablation offers a nonsurgical option for patients with this painful disorder.
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Tracheal stenosis in pregnancy is a relatively rare occurrence and there are limited data regarding the perioperative management of these patients. Various surgical treatment options are available to include open repair, long-term tracheostomy, or endoscopic repair (rigid versus balloon dilation). We report the case of a woman in her third trimester of pregnancy, with known recurrent and worsening history of subglottic tracheal stenosis, who underwent awake microlaryngoscopy with potassium titanyl phosphate laser radial incision and serial tracheal balloon dilation under topical anesthesia with sedation. We further discuss her perioperative multidisciplinary management.