Difficult intubation stylohyoid ligament calcification.
Intubation was difficult and traumatic in a 40-year-old patient presented for emergency oesophagoscopy because the diagnosis of stylohyoid ligament calcification was not suspected. High probability of stylohyoid ligament calcification should be suspected when there is difficulty in lifting the epiglottis and fibre-optic laryngoscopy is suggested as the best way to tackle this problem to prevent trauma and possible risk of regurgitation and aspiration especially in emergency situation.
Aris
A M
AM
Department of Anaesthesiology, Faculty of Medicine, University Kebangsaan Malaysia, Kuala Lumpur.
Elegbe
E O
EO
Krishna
R
R
D000328:Adult; D002114:Calcinosis / Q000473:pathology*; D004945:Esophagoscopy / Q000009:adverse effects*; D006801:Humans; D006928:Hyoid Bone / Q000473:pathology*; D007440:Intubation / Q000009:adverse effects; D008022:Ligaments / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D011859:Radiography; D014132:Trachea / Q000293:injuries*