Open AccessAnesthetic concerns in a huge congenital sublingual swelling obscuring airway access
Author(s) -
Neeraj Kumar,
Ashish Bindra,
Niraj Kumar,
Naveen Yadav,
Shilpa Sharma
Publication year - 2015
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.152888
Subject(s) - medicine , airway , intubation , airway management , tongue , edema , laryngoscopy , anesthesia , oral cavity , swelling , surgery , anesthetic , dentistry , pathology
Presence of intraoral pathology poses a great challenge during management of pediatric airway. We report management of big intraoral cystic swelling physically occupying the entire oral cavity restricting access to airway. Preintubation aspiration of swelling was done to decrease its size and make room for airway manipulation, followed by laryngoscopy and intubation in lateral position. Airway patency is at risk in postoperative period also, in this case, though the swelling decreased in size postoperatively but presence of significant edema required placement of tongue stitch and modified nasopharyngeal airway. Case report highlights simple maneuvers to manage a difficult case.