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J Indian Assoc Pediatr Surg. 2018 Oct-Dec;23(4):234-235. doi: 10.4103/jiaps.JIAPS_170_17.

Anesthetic and Surgical Management of Mucoid Retention Cyst in the Vallecular Region: An Airway Challenge.

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Department of Anesthesiology and Critical Care, CMC Hospital, Ludhiana, Punjab, India.


Growth of any kind in the oropharynx poses a threat to the airway especially during anaesthesia. Being aware of the challenges and adequately equipped to handle the situation is the duty of the anesthesiologist.

Methods and Material:

An eight year old girl diagnosed case of multiple mucous cysts presented to the outpatient department for excision of a lower lip mucous cyst. So an ultrasound was done which revealed a large intramural mucous cyst. After a preanaesthetic checkup she was posted for the excision of the cyst.


The girl was posted for Elective surgery and was induced without prior premedication as she had revealed a history of snoring in supine position. After preoxygenating with 100% oxygen, she was induced with Injection Ketamine and Sevoflurane. She started desaturated abruptly so nasal airway and finally # 2.5 LMA was inserted but SpO2 didn't improve. With backup of Ent and paediatric surgeons direct larngoscopy was attempted and #5 ETT was inserted successfully. Following which the huge vallecular cyst was removed.


Airway; mucous retention cyst; vallecula challenge

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