Difficult tracheal intubation with von Recklinghausen disease |
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Authors: | K Nagase S Akamatsu N Ueda H Shimonaka S Dohi |
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Affiliation: | Department of Anesthesiology and Critical Care Medicine, Gifu University School of Medicine. |
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Abstract: | We experienced a case of difficult tracheal intubation in a 15-year-old boy with von Recklinghausen disease scheduled for resection of a right neck tumor. His scoliosis made it difficult to intubate and to manage airway because he easily developed dyspnea. We tried nasotracheal intubation with the patient awake under sedation using a bronchofiberscope, but we found an unexpected tumor jeopardizing his airway patency near his vocal cord. Preoperative examination of a tumor in the airway is essential in the anesthetic management of the patients with von Recklinghausen disease. |
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