Med Lasers.  2022 Jun;11(2):120-124. 10.25289/ML.2022.11.2.120.

Successful use of C-MAC^® video laryngoscope for unexpected severe airway narrowing during anesthesia induction in a patient with a moderate-sized laryngeal tumor

• Hong Sm
• Sung Hy
• Kang Bj

• KMID: 2533584
• DOI: http://doi.org/10.25289/ML.2022.11.2.120

Abstract

Periglottic masses can be treated by laser excision, simple electrocau tery, or wide excision, including neck dissection. Smooth induction of anesthesia and airway management is a challenge in these patients. There is limited published literature on the probable airway complica tions during anesthetic induction with significant variability and low predictability among patients. We report one case of unexpectedly severe ventilatory difficulty in a patient who developed recurrent vocal cord cancer. Through the analysis of this case, we stress the limitations of clinical prediction of airway compromise during anesthetic induction and discuss the usefulness of a video laryngoscope in this kind of emergency.

Keyword

Anesthesia; Airway management; Difficult airway algorithm; Periglottic mass; Laser surgery