![](/images/graphics-bg.png)
Intractable course of a submandibular abscess following difficult endotracheal intubation : a case report
Source
Issue
Vol. 67, Issue 2 (30 Jun. 2019), pp.103-106, 4 p.
Publisher
Publication Date
2019-06-30
Country of Publication
Lebanon
No. of Pages
4
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
French
Notes
Record ID
BIM-934810