Difficult airway management in a patient with a parapharyngeal tumor
Journal of Dental Anesthesia and Pain Medicine
;
: 153-156, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-143025
ABSTRACT
A 47-year-old man was referred to the operating room to treat a dentigenous cyst of the mandibular bone. Initial assessment of the airway was considered normal. However, after the induction of anesthesia, we could not intubate the patient due to severe distortion of the glottis. Fiberoptic bronchoscopy and video laryngoscopy were not effective. Intubation using a retrograde wire technique was successful. After the conclusion of surgery, the patient recovered without any complications. Subsequent magnetic resonance imaging of the patient's neck showed a 6 × 4 × 8.6 cm heterogeneous T2 hyperintense, T1 isointense well-enhancing mass in the prestyloid parapharyngeal space. The patient was scheduled for excision of the mass. We planned awake intubation with fiberoptic bronchoscopy. The procedure was successful and the patient recovered without complications. Anesthetic induction can decrease the muscle tone of the airway and increase airway distortion. Therefore, careful airway assessment is necessary.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Salas Cirúrgicas
/
Broncoscopia
/
Imageamento por Ressonância Magnética
/
Manuseio das Vias Aéreas
/
Glote
/
Intubação
/
Anestesia
/
Laringoscopia
/
Pescoço
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Dental Anesthesia and Pain Medicine
Ano de publicação:
2015
Tipo de documento:
Artigo
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