RT Journal Article
SR Electronic
T1 Airway management of a rare huge-size supraglottic mass
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 711
OP 713
VO 27
IS 5
A1 Haitham A. Abou Zeid
A1 Samer A. Arab
A1 Abdel Mohsen A. Al-Ghamdi
A1 Abdel-Aziz A. Al-Qurain
A1 Khalid M. Mokhazy
YR 2006
UL http://smj.org.sa/content/27/5/711.abstract
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.