title: Mucosal Erosion of the Cricoid Cartilage After the Use of an i-Gel Supraglottic Airway Device in a Patient with Diffuse Idiopathic Skeletal Hyperostosis.
abstract: After standard hip arthroplasty, an 82-year-old patient with previously undiagnosed diffuse idiopathic skeletal hyperostosis of the cervical spine experienced life-threatening side effects after use of a supraglottic airway device (i-gel). Extensive mucosal erosion and denudation of the cricoid cartilage caused postoperative supraglottic swelling and prolonged respiratory failure requiring tracheostomy. In this case report, we highlight the importance of evaluating risk factors for failure of supraglottic airway devices.
authors.affiliation: From the Departments of *Anesthesiology and Pain Therapy, †Orthopedic and Trauma Surgery, and ‡Otorhinolaryngology, Head and Neck Surgery, Bern University Hospital and University of Bern, Bern, Switzerland.
authors.forename: Andreas C
authors.initials: AC
authors.lastname: Schaer
authors.forename: Marius J B
authors.initials: MJ
authors.lastname: Keel
authors.forename: Patrick
authors.initials: P
authors.lastname: Dubach
authors.forename: Robert
authors.initials: R
authors.lastname: Greif
authors.forename: Cédric
authors.initials: C
authors.lastname: Luyet
authors.forename: Lorenz
authors.initials: L
authors.lastname: Theiler