Case report: anesthetic management for a partial nephrectomy in a patient with tracheobronchopathia osteoplastica

This case report describes the anesthetic management of a middle-aged woman with the rare condition tracheobronchopathia osteoplastica (TPO) who underwent a left partial nephrectomy. The patient presented with severe airway stenosis, with the narrowest tracheal segment measuring approximately 0.40 cm. After a comprehensive multidisciplinary preoperative evaluation, an individualized anesthetic plan was formulated according to a difficult airway management protocol, incorporating the use of a narrow-gauge endotracheal tube and video laryngoscopy. General anesthesia was administered uneventfully, enabling the surgery to proceed smoothly while ensuring perioperative safety. This case underscores the critical importance of meticulous planning and tailored airway management strategies in patients with TPO and severe airway compromise.