Difficult airway management in a case of bilateral congenital torticollis
Anatomical disorders of the head and neck pose a serious challenge to an anesthesiologist in terms of difficult intubation. Securing airway requires a detailed preanesthesia evaluation to assess any issues associated with the disease, especially concerning the airway. This is the case of a 46-year-o...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | BLDE University Journal of Health Sciences |
| Subjects: | |
| Online Access: | http://www.bldeujournalhs.in/article.asp?issn=2468-838X;year=2022;volume=7;issue=2;spage=323;epage=324;aulast=Priyanka |
| _version_ | 1798006490962853888 |
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| author | C Priyanka S Shanu R Brindha |
| author_facet | C Priyanka S Shanu R Brindha |
| author_sort | C Priyanka |
| collection | DOAJ |
| description | Anatomical disorders of the head and neck pose a serious challenge to an anesthesiologist in terms of difficult intubation. Securing airway requires a detailed preanesthesia evaluation to assess any issues associated with the disease, especially concerning the airway. This is the case of a 46-year-old male with congenital bilateral torticollis posted for elective functional endoscopic sinus surgery. A detailed preanesthetic checkup was done and was anticipated a difficult airway situation, hence planned for an awake intubation. We performed a successful awake fiber-optic intubation. Excessive muscular atrophy and fibrosis characterize congenital bilateral torticollis, resulting in sternocleidomastoid tension and limited cervical motion. During intubation, asymmetry in the face caused a mismatch between the facial and cervical midlines, making sniffing difficult. Successful anesthetic management in a case of congenital bilateral torticollis requires thorough knowledge about the anatomical changes and also the expertise in fiber-optic bronchoscopy. |
| first_indexed | 2024-04-11T12:56:44Z |
| format | Article |
| id | doaj.art-fe01605230b5437daaea4819ee8e03b1 |
| institution | Directory Open Access Journal |
| issn | 2468-838X 2456-1975 |
| language | English |
| last_indexed | 2024-04-11T12:56:44Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | BLDE University Journal of Health Sciences |
| spelling | doaj.art-fe01605230b5437daaea4819ee8e03b12022-12-22T04:23:04ZengWolters Kluwer Medknow PublicationsBLDE University Journal of Health Sciences2468-838X2456-19752022-01-017232332410.4103/bjhs.bjhs_74_22Difficult airway management in a case of bilateral congenital torticollisC PriyankaS ShanuR BrindhaAnatomical disorders of the head and neck pose a serious challenge to an anesthesiologist in terms of difficult intubation. Securing airway requires a detailed preanesthesia evaluation to assess any issues associated with the disease, especially concerning the airway. This is the case of a 46-year-old male with congenital bilateral torticollis posted for elective functional endoscopic sinus surgery. A detailed preanesthetic checkup was done and was anticipated a difficult airway situation, hence planned for an awake intubation. We performed a successful awake fiber-optic intubation. Excessive muscular atrophy and fibrosis characterize congenital bilateral torticollis, resulting in sternocleidomastoid tension and limited cervical motion. During intubation, asymmetry in the face caused a mismatch between the facial and cervical midlines, making sniffing difficult. Successful anesthetic management in a case of congenital bilateral torticollis requires thorough knowledge about the anatomical changes and also the expertise in fiber-optic bronchoscopy.http://www.bldeujournalhs.in/article.asp?issn=2468-838X;year=2022;volume=7;issue=2;spage=323;epage=324;aulast=Priyankaawake intubationdifficult airwayfiber-optic bronchoscopytorticollis |
| spellingShingle | C Priyanka S Shanu R Brindha Difficult airway management in a case of bilateral congenital torticollis BLDE University Journal of Health Sciences awake intubation difficult airway fiber-optic bronchoscopy torticollis |
| title | Difficult airway management in a case of bilateral congenital torticollis |
| title_full | Difficult airway management in a case of bilateral congenital torticollis |
| title_fullStr | Difficult airway management in a case of bilateral congenital torticollis |
| title_full_unstemmed | Difficult airway management in a case of bilateral congenital torticollis |
| title_short | Difficult airway management in a case of bilateral congenital torticollis |
| title_sort | difficult airway management in a case of bilateral congenital torticollis |
| topic | awake intubation difficult airway fiber-optic bronchoscopy torticollis |
| url | http://www.bldeujournalhs.in/article.asp?issn=2468-838X;year=2022;volume=7;issue=2;spage=323;epage=324;aulast=Priyanka |
| work_keys_str_mv | AT cpriyanka difficultairwaymanagementinacaseofbilateralcongenitaltorticollis AT sshanu difficultairwaymanagementinacaseofbilateralcongenitaltorticollis AT rbrindha difficultairwaymanagementinacaseofbilateralcongenitaltorticollis |