Anaesthetic Management of a Huge Oropharyngeal Mass- Case Report

Abstract

Introduction: Patients with oropharyngeal masses pose a challenge for an anesthetist in terms of ventilation and tracheal intubation. Thus, preoperative assessment and preparation become an integral part of the management of such anticipated difficult airway cases.Case report: A 45-year-old female presented with growth in the oropharynx causing dysphagia and hoarseness of voice. Clinical examination and investigations predicted a difficult airway. It was managed with fibreoptic nasotracheal intubation with successful perioperative outcomes. Tracheostomy was kept as plan B in case of the CVCI situation.Conclusion: Careful preoperative examination and assessment are required to prepare oneself for a difficult airway. Fibreoptic bronchoscope-guided nasotracheal intubation in a spontaneously breathing patient is a safe and successful technique of airway management in difficult airway cases.

Keywords

• oropharyngeal mass
• difficult airway
• preoperative preparation
• fibreoptic nasotracheal intubation