Penetrating Injury of the Oropharynx with Tonsillar Prolapse in a Patient with Hepatic Cirrhosis and Portal Hypertension: Anesthetic Management

Authors

  •   C. Deepa Department of Anaesthesiology and Critical Care, Goa Medical College, Bambolim, Goa
  •   Shaila S. Kamat Department of Anaesthesiology and Critical Care, Goa Medical College, Bambolim, Goa
  •   Teena Desai Department of Anaesthesiology and Critical Care, Goa Medical College, Bambolim, Goa

Keywords:

Airway management, hepatic cirrhosis, neck trauma, pharyngeal lacerations, portal hypertension

Abstract

A 52‑year‑old man, a known case of hepatic cirrhosis and portal hypertension, presented with a bleeding lacerated wound of his pharyngeal wall and tongue with prolapse of the tonsil. He underwent emergency surgical repair of the laceration. We discuss the airway management and other anesthetic implications of this case.

Downloads

Download data is not yet available.

Downloads

Published

2015-04-01

How to Cite

Deepa, C., Kamat, S. S., & Desai, T. (2015). Penetrating Injury of the Oropharynx with Tonsillar Prolapse in a Patient with Hepatic Cirrhosis and Portal Hypertension: Anesthetic Management. Karnataka Anaesthesia Journal, 1(2), 81–84. Retrieved from http://karnatakaanesthesiajournal.in/index.php/kaj/article/view/139249

Issue

Section

Case Reports

References

Younessi OJ, Alcaino EA. Impalement injuries of the oral cavity in children: A case report and survey of the literature. Int J Pediatr Dent 2007;17:66‑71.

Zonfrillo MR, Roy AD, Walsh SA. Management of pediatric penetrating oropharyngeal trauma. Pediatr Emerg Care 2008;24:172‑5.

Edibam C. Maxillofacial and upper‑airway injuries. In: Soni N, Bersten AD, Oh TE, editors. Oh’s Intensive Care Manual. 6th ed.Philadelphia: Butterworth Heinemann; 2009. p. 783‑90.

Hellmann JR, Shott SR, Gootee MJ. Impalement injuries of the palate in children: Review of 131 cases. Int J Pediatr Otorhinolaryngol 1993;26:157‑63.

Hengerer AS, DeGroot TR, Rivers RJ, Pettee DS. Internal carotid artery thrombosis following soft palate injuries: A case report and review of 16 cases. Laryngoscope 1984;94:1571‑5.

Incollingo F, Shevchenko Y. Airway management in a child with penetrating pharyngeal wall foreign body injury: A case report. AANA J 2007;75:329‑32.

Ratcliff DJ, Okada PJ, Murray AD. Evaluation of pediatric lateral oropharyngeal trauma. Otolaryngol Head Neck Surg 2003;128:783‑7.

Adoga AA, Sandabe MB, Bemu A, Musa E, Bakari A, Kodiya AM, et al.Impalement injury of the oro‑pharynx with fatal consequences in a child: A case report and review of the literature. Med Case Stud 2011;2:39‑43.

Rothenberg DM, O’Connor CJ, Tuman KJ. Anesthesia and the hepatobiliary system. In: Miller RD, Eriksson LI, Fleisher L, Wiener‑Kronish JP, Young WL, editors. Miller’s Anesthesia. 7th ed.

Philadelphia: Churchill Livingstone; 2010. p. 2135‑53.