PDF(Pubmed)
Abstract：
OBJECTIVE: Intubation and ventilation cannot be performed in cases of parapharyngeal space tumors as the enlargement of the upper airway leads to the obstruction and hindrance of the intubation procedure. However, there is limited literature on anesthetic management, including the airway, in this disease. Herein, we report a successful case of awake intubation in a patient with parapharyngeal space tumor.
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.
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.
摘要：
目的：咽旁间隙肿瘤不能进行插管和通气，因为上气道的扩大导致插管程序的阻塞和阻碍。然而,关于麻醉管理的文献有限，包括气道,在这种疾病中。在这里，我们报道了一例咽旁间隙肿瘤患者清醒插管的成功病例。
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。
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。
