Dye extravasation during radiography for branchial cleft sinus compromising airway in an infant

  • Cindy Lin Department of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, Columbus, Ohio
  • Nicole Elsey Department of Anesthesiology & Pain Medicine, The Ohio State University College of Medicine, Columbus, Ohio
  • Marco Corridore Department of Anesthesiology & Pain Medicine, The Ohio State University College of Medicine, Columbus, Ohio
  • Jon Grischkan Department of Otolaryngology and Head & Neck Surgery, Nationwide Children’s Hospital and The Ohio State University, Columbus, Ohio
  • William E. Shiels Department of Radiology, Nationwide Children’s Hospital, Columbus, Ohio
  • Joseph D. Tobias Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio
Keywords: Branchial Arch Syndrome, Branchial Clefts, Branchial Cleft Anomalies, Airway Obstruction, Airway Management

Abstract

Branchial cleft anomalies are common congenital head and neck lesions in the pediatric population.
Their close proximity to laryngeal structures may lead to airway complications during the diagnosis
and management of the lesion. We present an unusual cause of airway compromise secondary to dye
extravasation during an interventional radiology procedure for evaluation of a branchial cleft sinus.
The diagnosis and treatment of branchial cleft anomalies are reviewed and options presented for the
management of airway compromise related to interventions for these anomalies.

Published
01-26-2019
Issue
Vol.19 No.2(2015): April-June
Section
Case Reports