Unexpected difficult intubation due to lingual tonsillar hyperplasia in a thoracotomy patient: intubation with the double-lumen tube using stylet and fiberoptic bronchoscopy.
Lingual tonsillar hyperplasia is rare, and it may cause difficulty with tracheal intubation during induction of general anesthesia. A different orotracheal intubation technique was performed using a double-lumen endotracheal tube, flexible fiberoptic bronchoscope, and a stylet, in an unexpected difficult endobronchial intubation case due to massive lingual tonsillar hyperplasia.
Orhan
Mehmet E
ME
Department of Anesthesiology, Gülhane Military Medical Academy School of Medicine, Ankara, Turkey. meorhan@gata.edu.tr
Gözübüyük
Alper
A
Sizlan
Ali
A
Dere
Umur
U
D000328:Adult; D000768:Anesthesia, General / Q000379:methods; D001999:Bronchoscopy / Q000379:methods*; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D006965:Hyperplasia / Q000473:pathology; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D014066:Palatine Tonsil / Q000473:pathology*