舌状海綿状血管腫を有する患者における全身麻酔中の気道管理の課題：症例報告

The induction of general anesthesia in patients with airway compromise poses significant challenges, particularly in the presence of oral vascular tumors like hemangiomas, which are benign but can lead to substantial bleeding. This case study discusses an 82-year-old woman with endometrial carcinoma scheduled for elective total hysterectomy with bilateral salpingo-oophorectomy. Preoperative evaluation revealed a large lingual cavernous hemangioma. Key anesthetic considerations included difficulties with mask ventilation and intubation, bleeding from the hemangioma, and the risk of blood aspiration. However, the induction of anesthesia, along with mask ventilation and intubation facilitated by a video laryngoscope, was executed without complications, leading to successful extubation. On the fifth postoperative day, the patient was discharged following an uncomplicated recovery. A comprehensive airway management strategy for patients with oral cavity hemangioma enables successful intubation and general anesthesia while minimizing the necessity for invasive or rescue airway methods, underscoring the importance of strategic airway management in these scenarios.