Full Text (PDF)
Indian Journal of Cancer Education and Research 11(2):p 21-24, July-December 2023. | DOI: https://doi.org//10.21088/ijcer.2321.9815.11223.3
Case Report
Awake Fiberoptic Intubation in Patient with Hyperthyroidism with Goiter posted for Commando Surgery for Carcinoma Left Buccal Mucosa
Heena Chhanwal, Aayushi null, Gunjan Shah, Ankita Patel, Nimisha Tank, Barkha Vaishnav
Author Information
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Cancer Education and Research 11(2):p 21-24, July-December 2023. | DOI: https://doi.org//10.21088/ijcer.2321.9815.11223.3
How Cite This Article:
Aayushi, Chhanwal H, Shah G, et al. Awake fiberoptic intubation in patient with hyperthyroidism with goiter posted for commando surgery for carcinoma left buccal mucosa. Indian J Canc Educ Res. 2023;11(2):73-76.Timeline
Received : March 23, 2023
Accepted : April 26, 2023
Published : May 30, 2023
Abstract
This case report describes the challenging airway management in a 50-year-old female patient with squamous cell carcinoma of left buccal mucosa with goiter and hyperthyroidism. The patient presented with a non-healing ulcerating growth on the left cheek and required Commando Surgery. Traditional airway management methods such as bag-mask ventilation and tracheostomy were not viable due to edematous larynx presence of a large goiter. Initial attempts at awake fiberoptic intubation were unsuccessful due to swelling in the vocal cords. The patient received anti-inflammatory medications to reduce the swelling and subsequently underwent successful nasal intubation. The surgery was completed without complications, and the patient was extubated after 48 hours. This case emphasizes the importance of meticulous airway planning and the use of alternative techniques in patients with limited mouth opening and airway abnormalities.
References
- 1. Wong J, Lee JS, Wong TG, Iqbal R, Wong P. Fibreoptic intubation in airway management: a review article. Singapore Med J. 2019;60(3):110-118.
- 2. Olusomi BB, Aliyu SZ, Babajide AM, Sulaiman AO, Adegboyega OS, Gbenga HO, et al. Goitre-related factors for predicting difficult intubation in patients scheduled for thyroidectomy in a resource-challenged health institution in North Central Nigeria. Ethiop J Health Sci. 2018;28(2):169-176.
- 3. Prakash S, Kumar A, Bhandari S, Mullick P, Singh R, Gogia AR. Difficult laryngoscopy and intubation in the Indian population: an assessment of anatomical and clinical risk factors. Indian J Anaesth. 2013;57(6):569-575.
- 4. Piantanida E. Preoperative management in patients with Graves' disease. Gland Surg. 2017;6(5):476-481.
- 5. Tsukamoto M, Hitosugi T, Yokoyama T. Awake fiberoptic nasotracheal intubation for a patient with a huge goiter and difficult airway. J Dent Anesth Pain Med. 2018;18(5):301-304.
- 6. Walsh ME, Shorten GD. Preparing to perform an awake fiberoptic intubation. Yale J Biol Med. 1998;71(6):537-549.
- 7. Sato S, Asai T, Hashimoto Y, Arai T, Okuda Y. [Airway obstruction during attempts at fiberoptic intubation in an awake patient]. Masui. 2014;63(5):548-551. Japanese.
- 8. Cabrini L, Baiardo Redaelli M, Ball L, Filippini M, Fominskiy E, Pintaudi M, et al. Awake fiberoptic intubation protocols in the operating room for anticipated difficult airway: a systematic review and meta-analysis of randomized controlled trials. Anesth Analg. 2019;128(5):971-980.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
Whether all authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
About this article
Cite this article
Aayushi, Chhanwal H, Shah G, et al. Awake fiberoptic intubation in patient with hyperthyroidism with goiter posted for commando surgery for carcinoma left buccal mucosa. Indian J Canc Educ Res. 2023;11(2):73-76.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| March 23, 2023 | April 26, 2023 | May 30, 2023 |
DOI: https://doi.org//10.21088/ijcer.2321.9815.11223.3
Keywords
Difficult Airway ManagementAwake fiberoptic Nasal IntubationHyperthyroidismGoiter.Awake fiberoptic Nasal IntubationHyperthyroidismGoiter.Search for Similar Articles
Similar Articles
- Unusual Presentation of Solitary Metastasis to the Right Metacarpal Bone in Rena...
- Technical Feasibility and Planning Challenges of Delivering Total Body Irradiat...
- Excellent Response Rates with Bortezomib - Cyclophosphamide – Dexamethasone (VCD...
- Optimizing Postoperative Radiation Therapy in Ewing’s Sarcoma with Lung Metasta...
- Current Therapeutic Strategies Targeting Tyrosine Kinase Receptor in Colon Canc...
Article Level Metrics
Last UpdatedFriday 31 July 2026, 16:27:24 (IST)
1319
Accesses
18
266
00
Citations
NA
NA
NA
Download citation
Article Keywords
Keyword Highlighting
Highlight selected keywords in the article text.
Timeline
| Received | March 23, 2023 |
| Accepted | April 26, 2023 |
| Published | May 30, 2023 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
