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Case Report
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DOI: https://doi.org/10.4097/kja.23810
- Use of the Disposcope endoscope for awake orotracheal intubation in an elderly patient with a large vocal cord polyp -a case report-
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Duo Yang1
, Sen Li1,2
, Jinxin Lan1,2
, Shujun Ye1
, Longsheng Zhang1,2
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1Department of Anesthesiology, Jieyang People’s Hospital, Jieyang, Guangdong Province, China
2The First Clinical Medical College, Guangdong Medical University, Zhanjiang, Guangdong Province, China
- Corresponding author: Longsheng Zhang ,Tel: +86-0663-8645635, Fax: +86-0663-8645610, Email: zhangls@gdmu.edu.cn
- Received: November 6, 2023; Revised: February 22, 2024 Accepted: March 10, 2024.
- Abstract
- Background
Vocal cord polyps are commonly encountered in the otorhinolaryngology department. The risk of anesthesia is high in patients with large vocal cord polyps. Awake intubation with appropriate airway tools provides a favorable safety profile.
Case
We present the case of a 60-year-old male patient who had been suffering from a large vocal cord polyp for 16 years. Electronic laryngoscopy revealed that the vocal cord polyp was approximately 1.5 cm in diameter. The polyp had a pedicle and demonstrated synchronous motion with respiratory excursion. It covered almost the entire glottic area during inspiration and moved away from the glottis during expiration. A Disposcope endoscope was used for awake tracheal intubation, and the surgery was completed successfully.
Conclusions
The Disposcope endoscope can be a useful option for awake orotracheal intubation in cases of anticipated difficult intubation and difficult facemask ventilation.
Keywords :Anesthesia; Airway management; Airway obstruction; Patient safety; Tracheal stenosis; Vocal cord
