No Hyun-Joung, Lee Jung-Man, Won Dongwook, Kang Pyoyoon, Choi Seungeun
Department of Anesthesiology and Pain Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Republic of Korea.
Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
J Dent Anesth Pain Med. 2019 Oct;19(5):301-306. doi: 10.17245/jdapm.2019.19.5.301. Epub 2019 Oct 30.
Mounier-Kuhn syndrome (MKS) is a disease characterized by dilation of the trachea and mainstem bronchi. Due to the risk of airway leakage, pulmonary aspiration, and tracheal damage, MKS can be fatal in patients undergoing tracheal intubation. Moreover, MKS may not be diagnosed preoperatively due to its rarity. In this case, a patient undergoing neurosurgery was incidentally diagnosed with MKS during general anesthesia. During anesthesia induction, difficulties in airway management led the anesthesiologist to suspect MKS. Airway leakage was resolved in this case using oropharyngeal gauze packing. Anesthesiologists should be aware of the possibility of MKS and appropriate management of the airways.
穆尼耶 - 库恩综合征（MKS）是一种以气管和主支气管扩张为特征的疾病。由于存在气道漏气、肺误吸和气管损伤的风险，MKS对于接受气管插管的患者可能是致命的。此外，由于其罕见性，MKS术前可能无法被诊断出来。在本病例中，一名接受神经外科手术的患者在全身麻醉期间被偶然诊断为MKS。在麻醉诱导期间，气道管理困难使麻醉医生怀疑为MKS。在本病例中，通过口咽纱布填塞解决了气道漏气问题。麻醉医生应意识到MKS的可能性以及气道的适当管理。
