METHODS: A 64-year-old man with a history of giant parapharyngeal space tumor was scheduled for bilateral endoscopic sinus surgery and nasal septoplasty. We performed awake intubation using the McGrath® video laryngoscope, which resulted in excellent laryngeal deployment and a smooth procedure.
CONCLUSIONS: We report the anesthetic management of a giant parapharyngeal space tumor with the potential for difficult airway management to maintain spontaneous breathing. Awake intubation was useful in maintaining ventilation and intubation in this case. The preparation of a cricothyroid puncture is needed in cases of intubation failure.
方法:一名有巨大咽旁间隙肿瘤病史的64岁男子计划进行双侧内窥镜鼻窦手术和鼻中隔成形术。我们使用McGrath®视频喉镜进行了清醒插管,这导致了出色的喉部展开和顺利的程序。
结论:我们报告了一个巨大咽旁间隙肿瘤的麻醉管理,该肿瘤可能难以进行气道管理以维持自主呼吸。在这种情况下,清醒插管有助于维持通气和插管。在插管失败的情况下,需要准备环甲穿刺。