Unexpected subglottic stenosis in a newborn in anesthesia induction

An unexpected subglottic stenosis in a neonate with multiple congenital anomalies who was scheduled for an emergency surgery of duodenal atresia was described in this case report. Duodenal atresia was diagnosed on the first day of life. After induction with sevoflurane, despite good view of the vocal cords, it was not possible to advance endotracheal tube beyond the vocal cords. After a flexible fiberoptic examination, subglottic stenosis was diagnosed and 'an emergency tracheostomy' decision was taken. The urgency of the operation and patent postoperative airway requirement are the key points which influence this decision.