A case of unexpectedly difficult intubation caused by a large asymptomatic choanal polypReport as inadecuate




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JA Clinical Reports

, 2:2

First Online: 15 January 2016Received: 03 October 2015Accepted: 04 January 2016

Abstract

We report a case of unexpectedly difficult intubation in a patient with a huge but asymptomatic choanal polyp. A 77-year-old man with invasive bladder cancer was scheduled for total cystectomy under general anesthesia. However, tracheal intubation with a Macintosh laryngoscope proved impossible due to obstruction by a large oropharyngeal tumor. Using a video laryngoscope, intubation was successfully achieved. Choanal polyps are not uncommon, but large choanal polyps reaching the oropharynx appear relatively rare. Anesthesia and airway management for large oropharyngeal tumor has not been sufficiently discussed.

KeywordsDifficult intubation Choanal polyp Video laryngoscope  Download fulltext PDF



Author: Yoko Hori - Kana Taniguchi - Tadashi Okabe - Atsuhiro Sakamoto

Source: https://link.springer.com/







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