CASE REPORT
Year : 2015  |  Volume : 9  |  Issue : 2  |  Page : 202-203

Anesthetic concerns in a huge congenital sublingual swelling obscuring airway access


1 Department of Anesthesiology, Jai Prakash Narain Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India
2 Department of Neuroanesthesiology, Jai Prakash Narain Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India
3 Department of Pediatric Surgery, Jai Prakash Narain Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Ashish Bindra
Department of Neuroanesthesiology, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1658-354X.152888

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Presence of intraoral pathology poses a great challenge during management of pediatric airway. We report management of big intraoral cystic swelling physically occupying the entire oral cavity restricting access to airway. Preintubation aspiration of swelling was done to decrease its size and make room for airway manipulation, followed by laryngoscopy and intubation in lateral position. Airway patency is at risk in postoperative period also, in this case, though the swelling decreased in size postoperatively but presence of significant edema required placement of tongue stitch and modified nasopharyngeal airway. Case report highlights simple maneuvers to manage a difficult case.


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