PT - JOURNAL ARTICLE AU - Abou Zeid, Haitham A. AU - Arab, Samer A. AU - Al-Ghamdi, Abdel Mohsen A. AU - Al-Qurain, Abdel-Aziz A. AU - Mokhazy, Khalid M. TI - Airway management of a rare huge-size supraglottic mass DP - 2006 May 01 TA - Saudi Medical Journal PG - 711--713 VI - 27 IP - 5 4099 - http://smj.org.sa/content/27/5/711.short 4100 - http://smj.org.sa/content/27/5/711.full SO - Saudi Med J2006 May 01; 27 AB - Laser excision of a huge-sized supraglottic mass nearly obstructing the airway passage is a real challenge to anesthesiologists. Upper airway obstruction due to neoplasm in supraglottic region, is traditionally managed by preoperative tracheostomy, however, such a common procedure can potentially have an impact on long-term outcome. A 26-year-old patient presented with dysphagia caused by left cystic vallecular synovial sarcoma. The airway was successfully secured via fiberoptic bronchoscopy, followed by excision of the supraglottic tumor with CO2 laser surgery. Tracheostomy was not required. The patient was discharged from the hospital on the 4th day of surgery. This case, highlights the possibility to secure the airway passage without performing preoperative tracheostomy resulting in good outcome and short hospital stay.