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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
Against the Odds: Safe Intubation in a Young Patient With a Massive Tonsillar Tumor
Ahmad Nabil1,2, Khaled S Abuamra2, Hatem Ibrahim2
1Department of Anesthesia and Intensive Care, Ain Shams University, Cairo, EGY.
Abstract:
Oropharyngeal tumors pose significant challenges for airway management and nasogastric tube (NGT) insertion due to anatomical distortion. We report a case of a young male who underwent excision of a large left oropharyngeal mass, diagnosed as a pleomorphic adenoma. The case required meticulous planning for nasotracheal intubation and preprocedural NGT insertion, as requested by the surgeon, due to tumor-related airway distortion. After induction of general anesthesia, right-sided nasotracheal intubation was performed uneventfully using the video laryngoscope. Left-sided NGT insertion was completed preprocedurally without complications. This report highlights the strategic use of video laryngoscopy, preoperative coordination, and tailored NGT placement in managing complex head and neck cases, ensuring safe airway and nutritional access.
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