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


Background: Patients with oropharyngeal masses present a challenge for anesthesiologists regarding ventilation and tracheal intubation. Therefore, preoperative evaluation and preparation play a crucial role in managing difficult airway cases.
Case report: A 45-year-old female suffered from a mass in her oropharynx, leading to dysphagia and a hoarse voice. Clinical examination and diagnostic tests indicated a challenging airway. The patient underwent fiberoptic nasotracheal intubation with successful perioperative outcomes. In addition, a tracheostomy was reserved as an alternative plan in case of unexpected difficulty during the CIV (cricothyroid vein injection) procedure.
Discussion: Thorough preoperative examination and assessment are essential to adequately prepare for potentially difficult airways. Fiberoptic bronchoscope-guided nasotracheal intubation is a secure and effective method for managing the airway in challenging situations when dealing with a spontaneously breathing patient.


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