Challenges and Strategies of Airway Control in Patients Who Underwent Mandibulectomy under Surgical Intervention: A Case Report

Reza  Tahmasabi; Ibrahim Kareem  Muhammad; Pegah  Arman; Afshin  Farhanchi

doi:10.18502/aacc.v11i5.19942

Reza Tahmasabi Department of Anesthesia, Hamadan University of Medical Sciences, Hamedan, Iran.
Ibrahim Kareem Muhammad Department of Anesthesiology, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Pegah Arman Department of Anesthesiology, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Afshin Farhanchi Department of Anesthesia, Hamadan University of Medical Sciences, Hamedan, Iran.

DOI: https://doi.org/10.18502/aacc.v11i5.19942

Keywords: Mandibulectomy; Local anesthesia; Awake intubation; Airway control; Intubation

Abstract

A 68-year-old female patient referred for mandibular reconstruction surgery. He was treated for cancer in the mandible last month. Due to the extent of the mass in the lower jaw area, this patient underwent Mandibulectomy 9 months ago. The patient was admitted to Ba'ath Hospital in Hamadan, his vital signs were stable. Before the surgery, according to his underlying diseases, a cardiovascular consultation was done and no complications affecting anesthesia were reported. The challenge of the anesthesia team in this patient was to establish a safe airway for him. According to the physical condition of the patient's neck and mandible, the patient was intubated using a Fireoptic bronchoscope. The patient's surgery lasted 2 hours and 45 minutes. During the entire period of anesthesia, the patient was under strict respiratory monitoring. After the end of the surgery, the patient was transferred to the recovery room without removing the endotracheal tube, and after ensuring that the patient's condition was stable, he was transferred to the intensive care unit.