PT  - JOURNAL ARTICLE
AU  - Anju Gupta
AU  - Nishkarsh Gupta
TI  - Failed videolaryngoscopy in an infant with giant vallecular cyst managed successfully with a ‘three-person technique’ of fibre-optic intubation
AID  - 10.1136/bcr-2019-231035
DP  - 2019 Sep 01
TA  - BMJ Case Reports
PG  - e231035
VI  - 12
IP  - 9
4099  - http://casereports.bmj.com/content/12/9/e231035.short
4100  - http://casereports.bmj.com/content/12/9/e231035.full
SO  - BMJ Case Reports2019 Sep 01; 12
AB  - Vallecular cysts are a rare entity but can complicate the airway management due to the physical impediment and distortion of the laryngeal inlet. It can lead to fatal life-threatening airway obstruction postinduction of anaesthesia. Infancy compounds the risks due to lack of cooperation and physiological reserves. The literature review suggested most anaesthesiologists avoided muscle relaxants and aspiration of the cyst was used as a rescue technique. The present case report illustrates the successful airway management of an infant with a huge vallecular cyst using fibre-optic intubation by a ‘three-person’ technique after paraglossal videolaryngoscopy failed to secure the airway.