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https://doi.org/10.20471/acc.2016.55.s1.17

Laryngeal Chondrosarcoma: Successful Use of Video Laryngoscope in Anticipated Difficult Airway Management

Vladimir Dolinaj orcid id orcid.org/0000-0002-2092-5479 ; Department of Anesthesiology, University Department of ENT, Clinical Centre of Vojvodina, Novi Sad, Serbia
Sanja Milošev orcid id orcid.org/0000-0003-2701-9919 ; Department of Anesthesiology, University Department of ENT, Clinical Centre of Vojvodina, Novi Sad, Serbia
Dušanka Janjević ; Department of Anesthesiology, University Department of ENT, Clinical Centre of Vojvodina, Novi Sad, Serbia


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Abstract

Laryngeal chondrosarcoma is a rare mesenchymal tumor, most frequently affecting cricoid cartilage. The objective of this report is to present successful video laryngoscope usage in a patient with anticipated difficult airway who refused awake fiberoptic endotracheal intubation (AFOI). A 59-year-old male patient was admitted in our hospital due to difficulty breathing and swallowing. On clinical examination performed by ENT surgeon, preoperative endoscopic airway examination (PEAE) could not be performed properly due to the patient’s uncooperativeness. Computed tomography revealed a spherical tumor that obstructed the subglottic area almost entirely. Due to the narrowed airway, the first choice for the anticipated difficult airway management was AFOI, which the patient refused. Consequently, we decided to perform endotracheal intubation with indirect laryngoscope using a C-MAC video laryngoscope (Karl Storz, Tuttlingen, Germany). Reinforced endotracheal tube (6.0 mm internal diameter) was placed gently between the tumor mass and the posterior wall of the trachea in the first attempt. Confirmation of endotracheal intubation was done by capnography. In a patient with subglottic area chondrosarcoma refusing PEAE and AFOI, video laryngoscope is a particularly helpful device for difficult airway management when difficult airway is anticipated.

Keywords

Chondrosarcoma – Surgery; Laryngeal Neoplasms – Surgery; Airway Management; Laryngoscopes; Videorecording; Case Reports

Hrčak ID:

155080

URI

https://hrcak.srce.hr/155080

Publication date:

1.3.2016.

Article data in other languages: croatian

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