A case of unexpectedly difficult intubation caused by a large asymptomatic choanal polyp

A case of unexpectedly difficult intubation caused by a large asymptomatic choanal polyp

Abstract We report a case of unexpectedly difficult intubation in a patient with a huge but asymptomatic choanal polyp. A 77-year-old man with invasive bladder cancer was scheduled for total cystectomy under general anesthesia. However, tracheal intubation with a Macintosh laryngoscope proved imposs...

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Main Authors: Yoko Hori, Kana Taniguchi, Tadashi Okabe, Atsuhiro Sakamoto
Format: Article
Language:English
Published: SpringerOpen 2016-01-01
Series:JA Clinical Reports
Subjects:
Difficult intubation
Choanal polyp
Video laryngoscope
Online Access:http://link.springer.com/article/10.1186/s40981-016-0028-7
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spelling doaj-8790e4abfafe4f8eae4aca6909a926702021-03-02T02:01:38ZengSpringerOpenJA Clinical Reports2363-90242016-01-01211310.1186/s40981-016-0028-7A case of unexpectedly difficult intubation caused by a large asymptomatic choanal polypYoko Hori0Kana Taniguchi1Tadashi Okabe2Atsuhiro Sakamoto3Department of Anesthesiology, Nippon Medical SchoolDepartment of Anesthesiology, Nippon Medical SchoolDepartment of Anesthesiology, Hitachi, Ltd. Hitachinaka General HospitalDepartment of Anesthesiology, Nippon Medical SchoolAbstract We report a case of unexpectedly difficult intubation in a patient with a huge but asymptomatic choanal polyp. A 77-year-old man with invasive bladder cancer was scheduled for total cystectomy under general anesthesia. However, tracheal intubation with a Macintosh laryngoscope proved impossible due to obstruction by a large oropharyngeal tumor. Using a video laryngoscope, intubation was successfully achieved. Choanal polyps are not uncommon, but large choanal polyps reaching the oropharynx appear relatively rare. Anesthesia and airway management for large oropharyngeal tumor has not been sufficiently discussed.http://link.springer.com/article/10.1186/s40981-016-0028-7Difficult intubationChoanal polypVideo laryngoscope
collection DOAJ
language English
format Article
sources DOAJ
author Yoko Hori
Kana Taniguchi
Tadashi Okabe
Atsuhiro Sakamoto
spellingShingle Yoko Hori
Kana Taniguchi
Tadashi Okabe
Atsuhiro Sakamoto
A case of unexpectedly difficult intubation caused by a large asymptomatic choanal polyp
JA Clinical Reports
Difficult intubation
Choanal polyp
Video laryngoscope
author_facet Yoko Hori
Kana Taniguchi
Tadashi Okabe
Atsuhiro Sakamoto
author_sort Yoko Hori
title A case of unexpectedly difficult intubation caused by a large asymptomatic choanal polyp
title_short A case of unexpectedly difficult intubation caused by a large asymptomatic choanal polyp
title_full A case of unexpectedly difficult intubation caused by a large asymptomatic choanal polyp
title_fullStr A case of unexpectedly difficult intubation caused by a large asymptomatic choanal polyp
title_full_unstemmed A case of unexpectedly difficult intubation caused by a large asymptomatic choanal polyp
title_sort case of unexpectedly difficult intubation caused by a large asymptomatic choanal polyp
publisher SpringerOpen
series JA Clinical Reports
issn 2363-9024
publishDate 2016-01-01
description Abstract We report a case of unexpectedly difficult intubation in a patient with a huge but asymptomatic choanal polyp. A 77-year-old man with invasive bladder cancer was scheduled for total cystectomy under general anesthesia. However, tracheal intubation with a Macintosh laryngoscope proved impossible due to obstruction by a large oropharyngeal tumor. Using a video laryngoscope, intubation was successfully achieved. Choanal polyps are not uncommon, but large choanal polyps reaching the oropharynx appear relatively rare. Anesthesia and airway management for large oropharyngeal tumor has not been sufficiently discussed.
topic Difficult intubation
Choanal polyp
Video laryngoscope
url http://link.springer.com/article/10.1186/s40981-016-0028-7
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