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Intractable course of a submandibular abscess following difficult endotracheal intubation : a case report
المصدر
العدد
المجلد 67، العدد 2 (30 يونيو/حزيران 2019)، ص ص. 103-106، 4ص.
الناشر
تاريخ النشر
2019-06-30
دولة النشر
لبنان
عدد الصفحات
4
التخصصات الرئيسية
الملخص FRE
• Purpose : Failure to manage airway might lead to severe life-threatening events.
Oral and pharyngeal perforation and subsequent peripharyngeal abscess formation is a perilous complication of tracheal intubation.
We present the case of a difficult endotracheal intubation and delayed recognition of an associated tear in the floor of the mouth in a patient undergoing a minor surgery.
We also describe the management of subsequent submandibular abscess.
Clinical features : A 24-year-old male was scheduled for strabismus surgery.
He was classified as Mallampati class III.
Endotracheal intubation was achieved at the third attempt, using the D-Blade™ of a C-MAC™ with a stylet.
Five hours after uneventful extubation, the patient complained of sore throat and a mild neck pain.
He was however discharged from hospital against medical advice.
Two days later, the patient presented to the emergency department after experiencing increased neck pain, odynophagia and a 39°C fever.
Computed tomography scan revealed a right submandibular abscess.
He was transferred to the OR for abscess drainage.
Because no fiberscope was available at the time of induction, intubation was attempted using a CMAC ™ video laryngoscope.
However, the abscess drained in the oral cavity.
Facing difficulties to ventilate, an emergent tracheotomy was performed immediately.
A tear in the floor of the mouth was identified and was surgically repaired.
The patient received adequate antibiotics and fully recovered twelve days later.
Conclusion: In rare cases, endotracheal intubation may lead to life-threatening pharyngoesophageal complications.
Therefore, anesthesiologists must be aware of such injuries because early detection is a cornerstone to successful management of these complications.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ayyub, Ilyan& Tohme, Joanna& Abi Lutf Allah, Antwan& Jabbur, Hisham& Shalhub, Viviane& Naccache, Nicole. 2019. Intractable course of a submandibular abscess following difficult endotracheal intubation : a case report. Journal Médical Libanais،Vol. 67, no. 2, pp.103-106.
https://search.emarefa.net/detail/BIM-934810
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ayyub, Ilyan…[et al.]. Intractable course of a submandibular abscess following difficult endotracheal intubation : a case report. Journal Médical Libanais Vol. 67, no. 2 (Apr. / Jun. 2019), pp.103-106.
https://search.emarefa.net/detail/BIM-934810
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ayyub, Ilyan& Tohme, Joanna& Abi Lutf Allah, Antwan& Jabbur, Hisham& Shalhub, Viviane& Naccache, Nicole. Intractable course of a submandibular abscess following difficult endotracheal intubation : a case report. Journal Médical Libanais. 2019. Vol. 67, no. 2, pp.103-106.
https://search.emarefa.net/detail/BIM-934810
نوع البيانات
مقالات
لغة النص
الفرنسية
الملاحظات
رقم السجل
BIM-934810
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