Journal of Research & Innovation in Anesthesia

Register      Login

VOLUME 5 , ISSUE 1 ( January-June, 2020 ) > List of Articles

CASE REPORT

Anticipated Difficult Airway Management with McGrath Mac Videolaryngoscope for a Case of Pyriform Fossa Carcinoma: A Case Report

Saloni K Shah

Keywords : Anticipated difficult airway, Awake intubation, McGrath Mac videolaryngoscopy, Pyriform fossa carcinoma

Citation Information : Shah SK. Anticipated Difficult Airway Management with McGrath Mac Videolaryngoscope for a Case of Pyriform Fossa Carcinoma: A Case Report. Res Inno in Anesth 2020; 5 (1):18-20.

DOI: 10.5005/jp-journals-10049-0085

License: CC BY-NC 4.0

Published Online: 28-01-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Pyriform fossa carcinoma is usually an exophytic squamous cell carcinoma which may lead to a change in the anatomy and pathophysiology of the airway. Total laryngectomy is required in such cases. Airway management is challenging for such patients from both surgical and anesthesiologist\'s perspective during anesthesia induction. These patients usually present in the advanced stages affecting the surrounding structures, requiring a definite surgical intervention. Management of the difficult airway during the perioperative period is also a difficult task. We are reporting here anesthesia management of a case of right pyriform fossa carcinoma with glottic extension that was posted for total laryngectomy with partial pharyngectomy, right hemithyroidectomy, and bilateral modified radical neck dissection as the lymph nodes were involved. A difficult airway situation was anticipated as a soft tissue growth was crossing the midline covering the glottic opening, involving the aryepiglottic fold and vocal cords as shown on the CT scan.


PDF Share
  1. Pracy P, Loughran S, Good J, et al. Hypopharyngeal cancer: United Kingdom national multidisciplinary guidelines. J Laryngol Otol 2016;130(S2):104–110. DOI: 10.1017/S0022215116000529.
  2. Min Lee S, Lim H. McGrath® videolaryngoscopy in an awake patient with a huge dangling vocal papilloma: a case report. J Int Med Res 2019;47(7):3416–3420. DOI: 10.1177/0300060519851355.
  3. Moore A, Schricker T. Awake videolaryngoscopy versus fiberoptic bronchoscopy. Curr Opin Anaesthesiol 2019;32(6):764–768. DOI: 10.1097/ACO.0000000000000771.
  4. Chapane S, Salgaonkar S, Tadvi S. Ventilating bougie guided flexo-metalic tube intubation with airtraq-not a technique of choice? J Anaesth Crit Care Case Rep 2017;3(1):22–24.
  5. Sharma J, Purohit S, Bhatia S, et al. Awake orotracheal fibre-optic intubation: Comparison of two different doses of dexmedetomidine on intubation conditions in patients undergoing cervical spine surgery. Indian J Anaesth 2017;61(10):811–817. DOI: 10.4103/ija.IJA_169_17.
  6. Bajwa SJ. Management of difficult airway during laryngectomy and thyroidectomy. Med J DY Patil Univ 2014;7(3):342. DOI: 10.4103/0975-2870.128978.
  7. Shamim F, Jangda I, Ikram M. Successful airway management using awake videolaryngoscopy for a rare thyroid cancer with grade iii goitre and intra-tracheal invasion. Turk J Anaesthesiol Reanim 2020;48:156–159. DOI: 10.5152/TJAR.2019.13333.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.