A case of unexpectedly difficult intubation caused by a large asymptomatic choanal polyp

JA Clinical Reports
Yoko HoriAtsuhiro Sakamoto

Abstract

We report a case of unexpectedly difficult intubation in a patient with a huge but asymptomatic choanal polyp. A 77-year-old man with invasive bladder cancer was scheduled for total cystectomy under general anesthesia. However, tracheal intubation with a Macintosh laryngoscope proved impossible due to obstruction by a large oropharyngeal tumor. Using a video laryngoscope, intubation was successfully achieved. Choanal polyps are not uncommon, but large choanal polyps reaching the oropharynx appear relatively rare. Anesthesia and airway management for large oropharyngeal tumor has not been sufficiently discussed.

References

Apr 12, 2007·American Journal of Rhinology·Omer AydinHaluk Ozkarakaş
May 14, 2014·The Journal of Craniofacial Surgery·Yusuf KizilFikret Leri
Sep 27, 2014·Acta Medica (Hradec Králové)·Cveta Spadijer-MirkovićIvan Stanojević
Jan 27, 2015·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Ruchi TandonAditya Agarwal
Jun 9, 2015·Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat·Kadri İlaGürkan Keskin

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