Case: Tracheostomy for layrngeal mass in 14y JRT

Gypsy had a mass in the dorsal (top) part of the larynx, which is the opening to the trachea (windpipe) that delivers air to the lungs. This can be seen within the boundaries of the cartilages of the larynx, just above the ET tube, the plastic tube we are using to give anaesthetic gas and oxygen. It was not removable, so we bypased it with a tracheosotmy, giving an alternative route for air to get into the lungs. We also had to remove a large lipoma which was threatening to flop over the “stoma”, the new breathing hole.

Gypsy had presented with severe respiratroy distress but was breathing with much more ease immediately post-op.