A case of displaced mandibular reconstruction plate and the airway

Anaesthesia, Pain & Intensive Care

article

Ashani Ratnayake¹  Saman Nanayakkara²  Manjula Herath³ 

[1] Consultant Anesthetist/ Lecturer in anesthesiology and Critical care, Faculty of Medicine, University of Peradeniya;Anesthesiology and Critical care, Faculty of Medicine, University of Peradeniya;Consultant Oro-maxillary facial surgeon, Base Hospital Diyathalawa

关键词: Difficult airway;    Oro-maxillary-facial surgeries;    Fiberoptic intubation;    Mandibular reconstruction;   

DOI  :  10.35975/apic.v27i1.2126

学科分类：社会科学、人文和艺术（综合）

来源: THK

【 摘 要 】

Difficult airway is a common problem encountered in oro-maxillo-facial surgeries. We describe a case where a displaced mandibular reconstruction plate obstructing the access to oral cavity. The airway was further compromised by previous tracheostomy, and limited neck extension owing to previous surgeries and radiotherapy. The inability of the patient to swallow increased the risk of pulmonary aspiration. The first line of airway management in such patient should be fibro-optic laryngoscopy. However, one must have alternative plans for securing airway if there are expected difficulties with fiberoptic laryngoscopy. Such plans were made considering her clinical presentation. We believe this case highlights the importance of pre-planning the strategies for airway management according to the presentation.

【 授权许可】

CC BY-NC