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British Journal of Anaesthesia, 2002, Vol. 88, No. 5 724-726
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia


Case Reports

Tracheostomy, lingular tonsillectomy and sleep-related breathing disorders

I. D. Conacher*,1, D. Meikle2 and C. O'Brien3

1Department of Cardiothoracic Anaesthesia, 2ENT Department and 3Paediatric Department, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK*Corresponding author

{dagger}LMA® is the property of Intavent Limited.

Laser resection of lingual tonsils and formal closure of a tracheostomy improved the airway in a 14-yr-old patient with Down’s syndrome. Non-invasive airway support to treat obstructive sleep apnoea was postponed with this treatment. During the anaesthetic a laryngeal mask airway was used to support the airway after lingual tonsillectomy, to assess the suitability of de-functioning the tracheostomy. Laryngeal mask airways assist management of lingual tonsils. Lingual tonsillar hypertrophy can lead to obstructive sleep disorders.

Br J Anaesth 2002; 88: 724–6


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