Anaesthetic Management of a Huge Oropharyngeal Mass- Case Report

Document Type : Case Report


1 Department of Anaesthesiology and Critical Care, Pt. B D Sharma PGIMS, Rohtak, Haryana, India

2 Department of Orthopedics, Pt. B D Sharma PGIMS, Rohtak, Haryana, India


Introduction: Patients with oropharyngeal masses pose a challenge for an anesthetist in terms of ventilation and tracheal intubation. Thus, preoperative assessment and preparation become an integral part of the management of such anticipated difficult airway cases.
Case report: A 45-year-old female presented with growth in the oropharynx causing dysphagia and hoarseness of voice. Clinical examination and investigations predicted a difficult airway. It was managed with fibreoptic nasotracheal intubation with successful perioperative outcomes. Tracheostomy was kept as plan B in case of the CVCI situation.
Conclusion: Careful preoperative examination and assessment are required to prepare oneself for a difficult airway. Fibreoptic bronchoscope-guided nasotracheal intubation in a spontaneously breathing patient is a safe and successful technique of airway management in difficult airway cases.