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Case Report of an open Neck Procedure Complication Associated with Laryngeal Mask Airway Use
INTRODUCTION: The laryngeal mask airway (LMA) is a safe method to establish airway control during general anaesthesia. In otolaryngology surgery, the use of a LMA is well established in ear surgery; however, the use of a LMA during open neck procedures remains controversial. We report a case in whic...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mashhad University of Medical Sciences
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866493/ https://www.ncbi.nlm.nih.gov/pubmed/29594081 |
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author | Subramaniam, Thavakumar Casserly, Paula |
author_facet | Subramaniam, Thavakumar Casserly, Paula |
author_sort | Subramaniam, Thavakumar |
collection | PubMed |
description | INTRODUCTION: The laryngeal mask airway (LMA) is a safe method to establish airway control during general anaesthesia. In otolaryngology surgery, the use of a LMA is well established in ear surgery; however, the use of a LMA during open neck procedures remains controversial. We report a case in which the pharyngeal distortion by the LMA cuff resulted in an iatrogenic complication. CASE REPORT: A 38-year-old female with a background of multiple myeloma was referred to the otolaryngology team for an open cervical lymph node biopsy. The patient was in remission after a 2 year post chemotherapy treatment, but now presented with a 4-week history of persistent nodal enlargement. During the elective procedure, pharyngeal distortion from the laryngeal airway mask used for airway management resulted in an iatrogenic pharyngeal injury. This case is reported to highlight the importance of communication between the surgeon and anesthetist about the mode of airway management in open neck surgery. CONCLUSION: Communication between the otolaryngologist and anesthetist is pertinent when selecting the method of airway management in open neck procedures. A LMA should be used with caution during open neck procedures, with the surgeon recognizing the potential for pharyngeal distortion. |
format | Online Article Text |
id | pubmed-5866493 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Mashhad University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-58664932018-03-28 Case Report of an open Neck Procedure Complication Associated with Laryngeal Mask Airway Use Subramaniam, Thavakumar Casserly, Paula Iran J Otorhinolaryngol Case Report INTRODUCTION: The laryngeal mask airway (LMA) is a safe method to establish airway control during general anaesthesia. In otolaryngology surgery, the use of a LMA is well established in ear surgery; however, the use of a LMA during open neck procedures remains controversial. We report a case in which the pharyngeal distortion by the LMA cuff resulted in an iatrogenic complication. CASE REPORT: A 38-year-old female with a background of multiple myeloma was referred to the otolaryngology team for an open cervical lymph node biopsy. The patient was in remission after a 2 year post chemotherapy treatment, but now presented with a 4-week history of persistent nodal enlargement. During the elective procedure, pharyngeal distortion from the laryngeal airway mask used for airway management resulted in an iatrogenic pharyngeal injury. This case is reported to highlight the importance of communication between the surgeon and anesthetist about the mode of airway management in open neck surgery. CONCLUSION: Communication between the otolaryngologist and anesthetist is pertinent when selecting the method of airway management in open neck procedures. A LMA should be used with caution during open neck procedures, with the surgeon recognizing the potential for pharyngeal distortion. Mashhad University of Medical Sciences 2018-03 /pmc/articles/PMC5866493/ /pubmed/29594081 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Subramaniam, Thavakumar Casserly, Paula Case Report of an open Neck Procedure Complication Associated with Laryngeal Mask Airway Use |
title | Case Report of an open Neck Procedure Complication Associated with Laryngeal Mask Airway Use |
title_full | Case Report of an open Neck Procedure Complication Associated with Laryngeal Mask Airway Use |
title_fullStr | Case Report of an open Neck Procedure Complication Associated with Laryngeal Mask Airway Use |
title_full_unstemmed | Case Report of an open Neck Procedure Complication Associated with Laryngeal Mask Airway Use |
title_short | Case Report of an open Neck Procedure Complication Associated with Laryngeal Mask Airway Use |
title_sort | case report of an open neck procedure complication associated with laryngeal mask airway use |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866493/ https://www.ncbi.nlm.nih.gov/pubmed/29594081 |
work_keys_str_mv | AT subramaniamthavakumar casereportofanopenneckprocedurecomplicationassociatedwithlaryngealmaskairwayuse AT casserlypaula casereportofanopenneckprocedurecomplicationassociatedwithlaryngealmaskairwayuse |