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Anesthetic management for emergency tracheostomy in patients with head and neck cancer: a case series

Authors
  • Kim, Ci Young1
  • Cho, Seongji1
  • Ryoo, Seung-Hwa1
  • 1 .
Type
Published Article
Journal
Journal of Dental Anesthesia and Pain Medicine
Publisher
The Korean Dental Society of Anesthsiology
Publication Date
Nov 24, 2022
Volume
22
Issue
6
Pages
457–464
Identifiers
DOI: 10.17245/jdapm.2022.22.6.457
PMID: 36601132
PMCID: PMC9763818
Source
PubMed Central
Keywords
Disciplines
  • Case Report
License
Unknown

Abstract

Tracheostomy is a surgical procedure that is commonly used to treat upper airway obstruction. In particular, patients with head and neck cancer may require elective or emergency tracheostomy because of airway obstruction due to massive bleeding of the intraoral tumor mass and rapid growth of the tumor mass in the neck area. Here, we report four cases of tracheostomy in patients with head and neck cancer with narrowed airway space and difficulty in breathing. Based on these cases and a literature review, we recommend that oral and maxillofacial surgeons and dental anesthesiologists should cooperate closely and determine the appropriate timing to perform definitive airway management for such patients during palliative treatment, along with continuous evaluation of tumor location, risk of recurrence, and airway involvement.

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