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Laryngeal Stenosis in Acromegaly

A Possible Cause of Airway Difficulties Associated with Anesthesia

SHAKEELA Z. HASSAN, MD^*, GREGORY J. MATZ, MD, A. M. LAWRENCE, MD, PhD, and PHILLIP A. COLLINS, MD

*Associate Professor, Department of Anesthesiology, University of Chicago, Chicago, Illinois 60637. Associate Professor, Department of Surgery (Otolaryngology), University of Chicago, Chicago, Illinois 60637. Professor, Department of Medicine (Endocrinology), University of Chicago, Chicago, Illinois 60637. Associate Professor, Department of Radiology, University of Chicago, Chicago, Illinois 60637.

Abstract

After difficult intubation in an acromegalic patient was encountered, 7 additional acromegalic patients were studied by measuring the cricoid width and anteroposterior diameter. Cricoid width and anteroposterior diameter were generally found to be narrower than in a group of normal patients. Such narrowing may explain airway problems encountered in acromegalic surgical patients.

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