Elective pre‐operative tracheostomy for head and neck oncoplastic surgery

Eipe, Naveen; Choudhrie, Ashish; Pillai, Ajith Kumar; Choudhrie, Rajiv

doi:10.1111/j.1399-6576.2005.00907.x

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…Therefore a tracheotomy was abstained from. In general and in accordance with the current literature, the authors prefer a preoperative tracheotomy in order to avoid postoperative airway difficulties and a tracheotomy in an emergeny setting [ 6 ].…”

Section: Discussionmentioning

confidence: 92%

Distant metastases of a squamous cell carcinoma of the tongue in peripheral skeletal muscles and adjacent soft tissues

et al. 2008

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A 66-year-old female patient was admitted to our department with a large tumor of the tongue measuring 10 cm in diameter. The tumor occupied nearly the entire oral cavity and showed exophytic and ulcerative areas. Histological analysis revealed a low grade squamous cell carcinoma (SCC) of the tongue. Bilateral enlarged cervical lymphatic masses were also present. The extent of the tumor infiltration was assessed by fluoro-2-deoxy-glucose-positron emission tomography (PET) scans showing an elevated activity of the tracer corresponding to the assumed cervical metastases. Additionally, pulmonary metastases were identified. Contrast enhanced computed tomography (CT) scans showed metastases in the soft tissues of the abdomen, legs and arms. Foci of distant metastases were found in the left upper anterior thoracal wall, near the intraabdominal portion of the aorta, near the right iliac crest and in both the right vastus medialis-and adductor magnus muscles. The final diagnosis was a T4N3M1(G3)(C3) SCC of the tongue with multiple distant thoracal, abdominal and intramuscular metastases. The survival expectancy was five weeks, and the patient finally deceased by cardiopulmonary complications.

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Section: Discussionmentioning

confidence: 92%

Distant metastases of a squamous cell carcinoma of the tongue in peripheral skeletal muscles and adjacent soft tissues

et al. 2008

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“…Airway management for the shared airway is often complicated by pre-operative abnormalities, intraoperative considerations and post-operative complications. [15] This patient's case report serves to provide additional information on various aspects of airway management for cervical spine surgery.…”

Section: Discussionmentioning

confidence: 99%

Airway management in cervical spine ankylosing spondylitis: Between a rock and a hard place

2013

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We report the perioperative course of a patient with long standing ankylosing spondylitis with severe dysphagia due to large anterior cervical syndesmophytes at the level of the epiglottis. He was scheduled to undergo anterior cervical decompression and the surgical approach possibly precluded an elective pre-operative tracheostomy. We performed a modified awake fibreoptic nasal intubation through a split nasopharyngeal airway while adequate oxygenation was ensured through a modified nasal trumpet inserted in the other nares. We discuss the role of nasal intubations and the use of both the modified nasopharyngeal airways we used to facilitate tracheal intubation. This modified nasal fibreoptic intubation technique could find the application in other patients with cervical spine abnormalities and in other anticipated difficult airways.

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“…In patients with panfacial fractures where there is preoperative gross distortion of the airway, impending airway obstruction, hemodynamic instability, and/or serious associated injuries such as intracranial, spine, chest, or abdominal injury, and definitive surgical airways such as a tracheostomy may be indicated (14). We also recommend preoperative tracheostomies for complex reconstructions (such as free flaps), prolonged surgeries, and requirement of postoperative ventilation or staged procedures (15). The advantages of the submental technique include the ease of its reversibility, and avoidance of the monitoring, maintenance, and potential issues associated with tracheostomy.…”

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confidence: 99%