PDF(Pubmed)
Abstract：
BACKGROUND: An epiglottic cyst is a type of benign tumor that is formed due to the obstruction of the mucinous duct and the retention of glandular secretion. In such cases, the glottis is not visible as it is covered by the enlarged epiglottic cyst. When conventional anesthesia is administered in such patients, they might have difficulty ventilation since the epiglottic cyst can easily form a flap and move with external pressure changes and can cause the blockage of the glottis due to the loss of consciousness and the relaxation of the throat muscles of the patient. If endotracheal intubation is not initiated and effective ventilation is not established, the patient may suffer from hypoxia and other accidents.
METHODS: A 48-year-old male presented to the otolaryngology department with a foreign body sensation in the throat.
METHODS: A large epiglottic cyst was diagnosed.
METHODS: The patient was planned to undergo epiglottis cystectomy under general anesthesia. After induction of anesthesia, the cyst severely covered the glottis and made endotracheal intubation difficult. The anesthesiologist rapidly adjusted the position of the laryngeal lens; thus, the endotracheal intubation was successful under the visual laryngoscope.
RESULTS: The endotracheal intubation was successful under the visual laryngoscope and the operation went well.
CONCLUSIONS: Patients with epiglottic cysts are more likely to have difficult airways after induction of anesthesia. Anesthesiologists should take preoperative airway assessment seriously, efficiently handle difficult airway and intubation failure, and make quick and correct choices to ensure patient safety.
METHODS: A 48-year-old male presented to the otolaryngology department with a foreign body sensation in the throat.
METHODS: A large epiglottic cyst was diagnosed.
METHODS: The patient was planned to undergo epiglottis cystectomy under general anesthesia. After induction of anesthesia, the cyst severely covered the glottis and made endotracheal intubation difficult. The anesthesiologist rapidly adjusted the position of the laryngeal lens; thus, the endotracheal intubation was successful under the visual laryngoscope.
RESULTS: The endotracheal intubation was successful under the visual laryngoscope and the operation went well.
CONCLUSIONS: Patients with epiglottic cysts are more likely to have difficult airways after induction of anesthesia. Anesthesiologists should take preoperative airway assessment seriously, efficiently handle difficult airway and intubation failure, and make quick and correct choices to ensure patient safety.
摘要：
背景：会厌囊肿是一种良性肿瘤，是由于粘液管的阻塞和腺体分泌物的保留而形成的。在这种情况下,声门不可见，因为它被扩大的会厌囊肿覆盖。当在此类患者中进行常规麻醉时，他们可能难以通气，因为会厌囊肿很容易形成皮瓣，并随着外部压力的变化而移动，并且由于患者意识丧失和咽喉肌肉松弛而导致声门阻塞。如果未开始气管插管且未建立有效通气，患者可能患有缺氧和其他事故。
方法：一名48岁男性出现在耳鼻喉科，喉咙有异物感。
方法：诊断为大型会厌囊肿。
方法：患者计划在全身麻醉下进行会厌膀胱切除术。麻醉诱导后,囊肿严重覆盖声门，气管插管困难。麻醉师迅速调整了喉镜的位置；因此，可视喉镜下气管插管成功。
结果：可视喉镜下气管插管成功，手术顺利。
结论：会厌囊肿患者在麻醉诱导后更有可能出现困难的气道。麻醉医师应重视术前气道评估,有效处理困难的气道和插管失败，并做出快速和正确的选择，以确保患者的安全。
方法：一名48岁男性出现在耳鼻喉科，喉咙有异物感。
方法：诊断为大型会厌囊肿。
方法：患者计划在全身麻醉下进行会厌膀胱切除术。麻醉诱导后,囊肿严重覆盖声门，气管插管困难。麻醉师迅速调整了喉镜的位置；因此，可视喉镜下气管插管成功。
结果：可视喉镜下气管插管成功，手术顺利。
结论：会厌囊肿患者在麻醉诱导后更有可能出现困难的气道。麻醉医师应重视术前气道评估,有效处理困难的气道和插管失败，并做出快速和正确的选择，以确保患者的安全。
