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CO2-Lasertonsillotomy Under Local Anesthesia in Adults

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Tonsillar Trauma During Video Laryngoscopy: A Case Report.

Bilal Tufail¹, Muhammad Shabbir¹, Amer Majeed¹

¹Anesthesia and Critical Care, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.

|August 11, 2023

Summary

Video laryngoscopes (VL) can cause oral trauma if not used carefully. This case report details a right tonsillar perforation during GlideScope® VL use, requiring surgical repair.

Keywords:

difficult airway glidescope injury intubation tonsils trauma video laryngoscopy

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Area of Science:

Anesthesiology
Otolaryngology

Background:

Airway adjuncts, while essential for managing difficult airways, carry risks of oral trauma if not used cautiously.
Modern airway adjuncts like video laryngoscopes (VL) are widely adopted but adverse events can still occur due to infrequent use.

Observation:

This case report documents a specific instance of right tonsillar tissue perforation.
The injury occurred during the use of a GlideScope® video laryngoscope.

Findings:

The perforation necessitated primary closure by an otolaryngologist, highlighting a potential complication of VL intubation.
This adverse event underscores the importance of meticulous technique even with advanced airway management tools.

Implications:

Clinicians should exercise caution when employing video laryngoscopes to prevent iatrogenic injury.
Awareness of potential complications, such as tonsillar perforation, is crucial for safe airway management practices.