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A Retrospective Case Series of Anesthetic Patients With Epiglottic Cysts.

Authors
  • Takaishi, Kazumi1
  • Otsuka, Ryo2
  • Fujiwara, Shigeki Josephluke3
  • Eguchi, Satoru3
  • Kawahito, Shinji4
  • Kitahata, Hiroshi5
  • 1 Associate Professor.
  • 2 Clinical Fellow.
  • 3 Assistant Professor, Department of Dental Anesthesiology, Tokushima University Hospital, Tokushima, Japan. , (Japan)
  • 4 Designated Professor, Department of Community Medicine and Human Resource, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan. , (Japan)
  • 5 Professor and Chairman, Department of Dental Anesthesiology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan. , (Japan)
Type
Published Article
Journal
Anesthesia progress
Publication Date
Oct 01, 2021
Volume
68
Issue
3
Pages
168–177
Identifiers
DOI: 10.2344/anpr-68-01-01
PMID: 34606575
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Previously undiagnosed or asymptomatic epiglottic cysts may be coincidentally detected during intubation. This retrospective case series identified undiagnosed epiglottic cysts that were discovered during intubation in 4 patients who underwent oral surgery under general anesthesia at our hospital during a 6-year period. Including 2 additional cases, 1 previously diagnosed and 1 detected during preoperative imaging, epiglottic cysts were observed in 6 of 1112 cases (0.54%) total. Among the undiagnosed epiglottic cyst cases, mild dyspnea on effort or snoring was reported in 2 patients, but all others were asymptomatic. Upon discovering previously undiagnosed epiglottic cysts during intubation, it is essential to proceed cautiously, remain alert for potential airway management difficulties, and avoid injuring or rupturing the cysts. In addition, any available preoperative imaging should be reviewed as information pertinent to the airway and any abnormalities may be useful. This report discusses the anesthetic care of 6 patients with epiglottic cysts that were previously known or initially discovered during intubation. © 2021 by the American Dental Society of Anesthesiology.

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