Anaesthetic considerations in an infant with large cystic hygroma

Cystic hygroma (CH) is a benign tumour composed of large lymph containing cysts. Lymphangiomas of head and neck region frequently present challenges to the anaesthesiologists due to extension in the neck, difficult airway and postoperative complications. We hereby describe the anaesthetic management of a one and a half month old baby presenting with large cystic hygroma on the left side of neck. This mass was large enough to disturb swallowing and breathing. Therefore, it was decided to excise it surgically. Difficult intubation was anticipated and inhalational induction with intubation in a spontaneously breathing child was planned. The child was successfully extubated without any postoperative complication.