Case reports DIFFICULT INTUBATION AND UTILITY OF TECHNOLOGY IN A PATIENT WITH CARCINOMA LEFT UPPER ALVEOLUS HAVING A LARGE THYROID MASS

Authors

  • Priyesh Gupta Junior Resident, Anesthesiology
  • Dr Akash Gupta
  • Dr nidhi Deswal
  • Dr Asma Rahat

Keywords:

Difficult airway, Awake fiberoptic intubation, transtracheal block, Large Thyroid mass

Abstract

Abstract:

Title of the abstract:

Airway management of patient with carcinoma left upper alveolus and a large thyroid mass.

Background, Aims and Objectives:

Patients presenting with two times difficult airway due to oromaxillofacial cancer and a large thyroid mass also, offer a unique opportunity for anaesthesiologists to skilfully manage their airway in operating room with right equipments and manoeuvres.

We aim to discuss such a scenario in which we managed a double difficult airway with the aid of ultrasonography and fiberoptic bronchoscope. We also discuss the challenges that could be anticipated in a patient with oral cancer along with a large neck mass.

Result:

It is crucial to carefully prepare how to handle challenging airways and provide perioperative care during a planned extubation after ensuring there is no airway compromise. Appropriate anesthetic plan is made possible by thorough airway examination and identification of challenging airway predictors. Usage of latest technology in the form of ultrasonography and fiberoptic bronchoscopy in the field of anesthesia is a major boon for the anaesthesiologists and the patients.

Conclusion:

Therefore, utilising technological advancements in the field of anesthesia and their subsequent availability in healthcare centres are necessary to tackle difficult and nearly impossible tracheal intubation successfully.

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Published

2025-06-20