Fiberoptic intubation in a child with previous unexpected difficult airway due to lingual tonsil hypertrophy

• Type: Article in International Scientific Journal
• Date: 2019

Authors

Castro, JS (Author) Other; Costa, CC (Author) Other; Pereira, H (Author) FMUP; Oliveira, R (Author) Other; Santos, P (Author) FMUP

Journal

The Journal is awaiting validation by the Administrative Services.

Title: Revista Espanola de Anestesiologia y Reanimacion

Vol. 66

Pages: 478-482

ISSN: 00349356

Publisher: Elsevier B.V.

Indexing

ISI Web of Knowledge - 0 Citations

Scopus - 0 Citations

Other information

Authenticus ID: P-00Q-RJ5

DOI: 10.1016/j.redar.2019.03.002

Abstract (EN): Lingual tonsils are normal components of the oropharynx localized at the base of the tongue, which sometimes can become enlarged by inflammation. This may be a cause of unexpected difficult airway, considering most patients are asymptomatic and this supraglottic mass is not usually detected during a routine preoperative airway assessment. Commonly described in adults, there are limited reports in pediatric patients. We describe a case of a 12 years old boy diagnosed with a cerebellar brain tumor that was scheduled for a resection. The first surgery was postponed because of respiratory complications as a result of unexpected difficult airway due to lingual tonsil hypertrophy. His surgery was rescheduled and a plan for airway management was laid out: fibroscopic intubation with spontaneous ventilation. Considering this is a problem that cannot be identified by regular airway examination, we should be aware of the most effective ways to manage the situation as it arises.

Language: Spanish

Type (Professor's evaluation): Scientific

No. of pages: 5