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[The lingual thyroid, an unexpected and rare intubation difficulty].

H Lammer1, G Mitterschiffthaler, F Fischer

  • 1Universitätsklinik für Anaesthesie und Allgemeine Intensivmedizin, Innsbruck.

Der Anaesthesist
|April 1, 1989
PubMed
Summary

Difficult intubation occurred in a patient due to an ectopic thyroid at the tongue base. This case highlights the importance of recognizing and managing unexpected airway challenges during surgery.

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Area of Science:

  • Anesthesiology
  • Otolaryngology
  • Endocrinology

Background:

  • Preoperative assessment is crucial for identifying potential airway difficulties.
  • Anatomical variations can lead to unexpected challenges during endotracheal intubation.
  • Gynecological surgery requires careful airway management planning.

Observation:

  • A patient experienced multiple failed intubation attempts prior to gynecological surgery.
  • Airway obstruction was caused by an ectopic thyroid located at the base of the tongue.
  • Visualization of the glottis was impossible due to the ectopic thyroid mass.

Findings:

  • Ectopic thyroid tissue at the tongue base can cause severe airway obstruction.
  • Unexpected difficult airway scenarios require prompt and effective management strategies.

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  • Successful intubation was achieved after identifying the cause of obstruction.

    • Implications:

    • This case underscores the need for vigilance in identifying rare causes of difficult airways.
    • Clinicians must be prepared to manage unexpected airway obstructions during surgical procedures.
    • Early recognition and intervention are key to preventing adverse outcomes in difficult intubation cases.