Incubation problem in a case of cystic hygroma complicated by a laryngotracheal haemangioma.

In dealing with this case of cystic hygroma a non-routine intubation was expected and some of the possible problems anticipated. However, the unusual nature of the difficulty encountered was not initially apparent and presented special problems, both with initial and subsequent management of the patient. The presence of a primary laryngeal condition in this case presented another life-threatening feature. Not only was the airway narrowed, but intubation could not be easily achieved and the possibility of haemorrhage into the respiratory tract existed. The outcome of the case reflects the high mortality associated with this essentially benign condition.