PT  - JOURNAL ARTICLE
AU  - Haitham A. Abou Zeid
AU  - Samer A. Arab
AU  - Abdel Mohsen A. Al-Ghamdi
AU  - Abdel-Aziz A. Al-Qurain
AU  - Khalid M. Mokhazy
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.