Awake fiber optic intubation in a patient of post Combined mandibulectomy and neck dissection operation.

Dr. Monal Ramani; Dr. Siddharth Parmar; Dr. Ritu Ruparel; Dr. Prachi Agnihotri

Volume : VII, Issue : X, October - 2018

Awake fiber optic intubation in a patient of post Combined mandibulectomy and neck dissection operation.

Dr. Monal Ramani, Dr. Siddharth Parmar, Dr. Ritu Ruparel, Dr. Prachi Agnihotri

Abstract :

Combined mandibulectomy and neck dissection operation is an procedure for malignant tumors of floor of oral cavity which involves partial removal of mandible , floor of mouth and/or tongue accompanied by radical neck dissection which creates very difficult airway for these patients for any subsequent surgeries. We report a case of 52 year male patient posted for left PCNL(Percutaneous Nephrolithotomy) surgery for renal stone, who was previously operated for left sided Combined mandibulectomy and neck dissection operation procedure for oral cancer under general anesthesia. After thorough preoperative preparation fiberoptic intubation was donesuccessfully in this spontaneously eathing awake patient under topical anesthesia, correct endotracheal placement of tubewas checked and intravenous anesthetics were given . Patient was successfully extubated after regaining of proper respiratory efforts and fully awake state.