Lingual Thyroid - Is awake Fibreoptic Intubation Ideal?

Authors

  •   Roopa Sachidanand Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi – 580022, Karnataka
  •   Dharmesh Arvind Ladhad Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi – 580022, Karnataka
  •   M. Anish Kumar Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi – 580022, Karnataka
  •   Vikram Kemmannu Bhat Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi – 580022, Karnataka

DOI:

https://doi.org/10.4103/kaj/2019/v17i1-2/150532

Keywords:

Airway Management, Bleeding, Lingual Thyroid, Trauma.

Abstract

Lingual thyroid is a rare developmental anomaly, resulting from failure in the descent of the thyroid tissue. Airway management of such patients is challenging due to the presence of the vascular, fragile mass in the midline on the dorsum of the tongue with inherent risk of bleeding on touch and possible rapid deterioration in the chances of securing the airway once the bleeding starts. Preoperative airway assessment, adequate planning and preparedness, expertise can prevent catastrophic complications. Despite patient co-operation, presence of expertised personnel, unique challenges can arise on an individual case to case basis. Presence of mind and institution of novel combined manoeuvres depending upon the need of the hour can aid in overcoming the obstacles and ensuring successful outcome.

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Author Biographies

Roopa Sachidanand, Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi – 580022, Karnataka

Dept. Of Anaesthesiology.

Associate Professor.

Dharmesh Arvind Ladhad, Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi – 580022, Karnataka

Dept. Of Anaesthesiology, KIMS , Hubballi

Assistant Professor

M. Anish Kumar, Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi – 580022, Karnataka

Dept. Of Anaesthesiology.

Post graduate

Vikram Kemmannu Bhat, Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi – 580022, Karnataka

Professor Dept of ENT

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Published

2021-04-28

How to Cite

Sachidanand, R., Ladhad, D. A., Anish Kumar, M., & Bhat, V. K. (2021). Lingual Thyroid - Is awake Fibreoptic Intubation Ideal?. Karnataka Anaesthesia Journal, 17(1-2), 37–39. https://doi.org/10.4103/kaj/2019/v17i1-2/150532

Issue

Volume 17, Issue 1-2, January-June 2019

Section

Case Reports
Crossref
Scopus
Google Scholar
Europe PMC

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