title: [General Anesthesia for a Patient with Purulent Spondylitis with Retropharyngeal Abscess and Vocal Cord Dysfunction: A Case Report].
abstract: A 43-year-old man was admitted to our hospital for neck pain, and diagnosis was fixed as purulent spondylitis with retropharyngeal abscess and vocal cord dysfunction. Deteriorating paresthesia, paralysis and airway narrowing needed airway management emergency cervical laminoplasty and abscess drainage under general anesthesia. On standby of an otorhinolaryngologist for urgent tracheotomy, nasal tracheal intubation with bronchofiberscope was performed in the patient with semi-awake condition. Postoperative airway narrowing and vocal cord dysfunction improved, and the trachea was extubated on the third day after surgery.
authors.forename: Mika
authors.initials: M
authors.lastname: Nakanishi
authors.forename: Kaoru
authors.initials: K
authors.lastname: Aoki
authors.forename: Takako
authors.initials: T
authors.lastname: Oota
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kato
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Imanishi
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D006801:Humans; D007442:Intubation, Intratracheal; D008279:Magnetic Resonance Imaging; D008297:Male; D017703:Retropharyngeal Abscess / Q000150:complications*; D013166:Spondylitis / Q000601:surgery*; D064706:Vocal Cord Dysfunction / Q000150:complications*