An Approach to an Anticipated Difficult Airway in a Patient with a Periglottic Mass: A Case Report

Authors

  • Mohamed Nassef Mohamed Nassef, Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates Author
  • Muzan Abdelbagi Mohamed Nassef, Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates Author
  • Mahmoud Helal Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates Author
  • Mohamed Elmahdy Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates Author
  • Mudher Alhabeeb Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates Author
  • Mohamed ShamsEldin Mohamed Nassef, Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates Author

DOI:

https://doi.org/10.47363/JCCEM/2023(2)127

Keywords:

Periglottic Mass, Patient , Diagnosis

Abstract

Rationale: Dealing with patients with periglottic masses is very challenging to anaesthesiologist and there is an overall lack of knowledge and guidelines.

Patient concerns: A 79-year-old man with the complaint of hoarseness of voice who presented for micro laryngoscopy and excision of a laryngeal mass under general anaesthesia. He had a preoperative fibreoptic laryngoscopy which revealed a 3-4 cm sized right vocal cord mass.

Diagnosis: preoperative fibreoptic laryngoscopy revealed a large vocal cord mass obstructing the laryngeal inlet.

Interventions: Intubation was facilitated by glide scope video laryngoscope and micro laryngeal endotracheal tube (MLT).

Outcomes: the mass was excised, and the patient was successfully extubated.

Lessons: the importance of this case report lies in the unique challenges we faced and the significance of the multidisciplinary team care

Author Biographies

  • Mohamed Nassef, Mohamed Nassef, Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates

    Mohamed Nassef, Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates.

  • Muzan Abdelbagi, Mohamed Nassef, Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates

    Mohamed Nassef, Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates.

  • Mahmoud Helal, Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates

    Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates.

  • Mohamed Elmahdy, Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates

    Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates.

  • Mudher Alhabeeb, Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates

    Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates.

  • Mohamed ShamsEldin, Mohamed Nassef, Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates

    Mohamed Nassef, Department of Anaesthesia and Critical Care Medicine, Al-Qassimi Hospital, Emirates Health Services, Sharjah Emirate, United Arab Emirates

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Published

2023-04-27