Supraglottic carcinoma presents significant challenges in airway management during general anesthesia. We report a case of a 26-year-old female with extensive supraglottic growth undergoing a biopsy. Awake fiber-optic intubation was performed due to the risk of airway obstruction and difficulty with direct laryngoscopy. Upper airway anesthesia was achieved with nebulized lignocaine and the spray-as-you-go technique. Successful intubation was followed by an uneventful surgical procedure and a smooth recovery. This case highlights the efficacy and safety of awake fiber-optic intubation in managing difficult airways in patients with supraglottic tumors, minimizing complications and enhancing patient outcomes.
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http://dx.doi.org/10.4103/sja.sja_466_24 | DOI Listing |
Obes Surg
February 2025
Hamad Medical Corporation, Doha, Qatar.
Background: Obesity poses significant challenges by altering upper airway anatomy and making mask ventilation and tracheal intubation difficult. In 2023, 46.1% women and 35.
View Article and Find Full Text PDFSaudi J Anaesth
January 2025
Department of Anaesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences, New Delhi, India.
Supraglottic carcinoma presents significant challenges in airway management during general anesthesia. We report a case of a 26-year-old female with extensive supraglottic growth undergoing a biopsy. Awake fiber-optic intubation was performed due to the risk of airway obstruction and difficulty with direct laryngoscopy.
View Article and Find Full Text PDFIn high-risk patients undergoing emergency tracheostomy, especially with advanced malignancies and comorbidities, vigilant monitoring and immediate management of complications like extensive subcutaneous emphysema are crucial. Prompt intervention and interdisciplinary collaboration are essential to optimize outcomes and effectively address severe postoperative issues.
View Article and Find Full Text PDFAnesth Analg
February 2025
Department of Anesthesiology and Pain Management, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
Background: The supraglottic airway device (SGD) was introduced as a breakthrough in airway management. The Fastrach emerged as the first commercially available intubating SGD, drawing extensive investigation. I-gel is a more recent device that has gained popularity, can be used as an intubating SGD, and replaced Fastrach in many institutions.
View Article and Find Full Text PDFInt J Surg Case Rep
September 2024
King Edward Medical University, Mayo Hospital, Lahore, Pakistan.
Introduction And Importance: Laryngeal Spindle Cell Carcinoma (SpCC), a rare subtype constituting only 0.5% of cases, poses diagnostic challenges due to its biphasic nature and histological resemblance to other neoplasms. Our study explores unique observations, including monoclonal epithelial origin and an unusually large tumor triggering respiratory distress.
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