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Case Reports
. 2020 Dec 1;67(4):230-232.
doi: 10.2344/anpr-67-03-01.

Combined Use of a Gum Elastic Bougie and Video Laryngoscopy for Intubating a Patient With an Unexpected Laryngeal Papilloma

Nanako Ikeda  1 , Tomoka Matsumura  1 , Haruna Kono  1 , Yukiko Baba  1 , Miho Hanaoka  1 , Haruhisa Fukayama  1
Affiliations
Case Reports

Combined Use of a Gum Elastic Bougie and Video Laryngoscopy for Intubating a Patient With an Unexpected Laryngeal Papilloma

Nanako Ikeda et al. Anesth Prog. .

Abstract

This is a case report of a 75-year-old man scheduled for apical resection and cystectomy of odontogenic cysts involving both maxillary central incisors who presented with a previously unknown laryngeal mass that was discovered prior to intubation. Following induction and easy mask ventilation, direct laryngoscopy revealed a large mass on the right side of the glottis that impeded passage of a standard oral endotracheal tube. Successful atraumatic intubation was performed with the combination of a video laryngoscope (King Vision, Ambu Inc, Ballerup, Denmark) and a gum elastic bougie (GEB). Although a GEB may not be used routinely for tracheal intubation, it facilitated smooth advancement of the endotracheal tube without damaging the laryngeal mass when used in combination with video laryngoscopy.

Keywords: General anesthesia; Gum elastic bougie; Laryngeal papilloma; Tracheal intubation; Video laryngoscope.

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Figures

Figure 1.
Figure 1.
The video laryngoscope showing the unexpected laryngeal mass.
Figure 2.
Figure 2.
The laryngeal mass preventing ETT advancement into the trachea.
Figure 3.
Figure 3.
The GEB in place to guide the ETT past the laryngeal mass. GEB: gum elastic bougie.
See this image and copyright information in PMC

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