Congenital Fibroepithelial Polyp: A Case Report of Difficult Airway

Tandon, Ruchi; Awasya, Sonal; Mehrotra, Shikha; Agarwal, Aditya

doi:10.1007/s12070-013-0687-x

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…Gueltas are special places for the conservation of biodiversity and simultaneously crucial for local communities activities. Mauritania is listed by FAO as of Low-Income Food-Deficit Country [ 40 ] and its Gross national income (GNI) per capita was 2.118 $US in 2010 (for instance: USA was 47.094 $US [ 41 ]). Livestock play an important role in the country, contributing around 10–15% of the GNI of the country [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Overlooked Mountain Rock Pools in Deserts Are Critical Local Hotspots of Biodiversity

2015

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BackgroundThe world is undergoing exceptional biodiversity loss. Most conservation efforts target biodiversity hotspots at large scales. Such approach overlooks small-sized local hotspots, which may be rich in endemic and highly threatened species. We explore the importance of mountain rock pools (gueltas) as local biodiversity hotspots in the Sahara-Sahel. Specifically, we considered how many vertebrates (total and endemics) use gueltas, what factors predict species richness, and which gueltas are of most priority for conservation. We expected to provide management recommendations, improve local biodiversity conservation, and simultaneously contribute with a framework for future enhancement of local communities’ economy. The identification of local hotspots of biodiversity is important for revaluating global conservation priorities.Methodology/Principal FindingsWe quantified the number of vertebrate species from each taxonomic group and endemics present in 69 gueltas in Mauritania, then compared these with species present in a surrounding area and recorded in the country. We evaluated the predictors of species number’s present in each guelta through a multiple regression model. We ranked gueltas by their priority for conservation taking into account the percentage of endemics and threats to each guelta. Within a mere aggregate extent of 43 ha, gueltas hold about 32% and 78% of the total taxa analysed and endemics of Mauritania, respectively. The number of species present in each guelta increased with the primary productivity and area of gueltas and occurrence of permanent water. Droughts and human activities threaten gueltas, while 64% of them are currently unprotected.Conclusion/SignificanceGueltas are crucial for local biodiversity conservation and human activities. They require urgent management plans in Mauritania’s mountains. They could provide refugia under climate change being important for long-term conservation of Sahara-Sahel biodiversity. Given their disproportional importance in relation to their size, they are local hotspots of biodiversity deserving global attention.

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Section: Discussionmentioning

confidence: 99%

Overlooked Mountain Rock Pools in Deserts Are Critical Local Hotspots of Biodiversity

2015

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“…In our case, mask-ventilation fortunately proved easy, probably because the structure of the choanal polyp hanging down from the choana made airway obstruction unlikely. On the other hand, another report has described a difficult airway with a different kind of oropharyngeal polyp [ 8 ], and attention to airway management is warranted in these cases.…”

Section: Case Presentationmentioning

confidence: 99%

“…Choanal polyps are relatively common, but large choanal polyps reaching the oropharynx are rare. Large polyps are infrequently reported in the field of otolaryngology as causes of airway obstruction [ 6 – 8 ], but no reports have been described in the field of anesthesiology. Airway obstruction after general anesthesia represents a dangerous situation for anesthesiologists.…”

Section: Introductionmentioning

confidence: 99%

A case of unexpectedly difficult intubation caused by a large asymptomatic choanal polyp

et al. 2016

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We report a case of unexpectedly difficult intubation in a patient with a huge but asymptomatic choanal polyp. A 77-year-old man with invasive bladder cancer was scheduled for total cystectomy under general anesthesia. However, tracheal intubation with a Macintosh laryngoscope proved impossible due to obstruction by a large oropharyngeal tumor. Using a video laryngoscope, intubation was successfully achieved. Choanal polyps are not uncommon, but large choanal polyps reaching the oropharynx appear relatively rare. Anesthesia and airway management for large oropharyngeal tumor has not been sufficiently discussed.

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