Herniation of Endotracheal Tube Cuff in a Patient with Difficult Airway: A Case Report

A 16-year-old female was referred for a pan endoscopy with multiple biopsies for swellings in the nasopharyngeal and paratracheal regions. The patient had bilateral tonsil hypertrophy and grade II MPC with two finger mouth opening and soft tissue swelling compressing the trachea at C4 stage. After intubation patient had resistance to ventilation and desaturation.it was decided to remove tube and hand ventilate patient. After removal of tube, tube was seen to have cuff herniation towards upper end of ETT. The tube was changed, and the rest of the process went without a hitch.