AANA Journal: Downfolding of the Epiglottis Through the Vocal Cords: A Case Report-Downfolding of the Epiglottis Through the Vocal Cords: A Case Report

Downfolding of the Epiglottis Through the Vocal Cords: A Case Report

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The document describes a unique case of epiglottic downfolding through the vocal cords during intubation, leading to a loss of view. Despite the patient's stable vital signs, an abnormal end-tidal capnography waveform prompted further investigation. Video laryngoscopy revealed the epiglottis prolapsed through the vocal cords, requiring corrective measures to restore its position. The incident underscored the importance of post-intubation airway evaluation and early recognition of complications. While epiglottic downfolding is rare, it can have serious repercussions if left untreated. The case emphasizes the need for meticulous assessment of airway structures and prompt intervention when abnormalities are detected. The report also highlights the role of providers in identifying subtle indicators and addressing complications effectively to ensure patient safety. Various methods were discussed for resolving epiglottic downfolding, with an emphasis on the significance of clear airway visualization post-intubation. Overall, the case study underscores the critical role of vigilant monitoring and quick response in managing unforeseen airway complications during anesthesia procedures.

Keywords

epiglottic downfolding

vocal cords

intubation

end-tidal capnography

video laryngoscopy

airway evaluation

complications

patient safety

airway structures

anesthesia procedures