Journal of Clinical Anesthesia
Volume 21, Issue 6 , Pages 439-441, September 2009

Unexpected difficult intubation due to lingual tonsillar hyperplasia in a thoracotomy patient: intubation with the double-lumen tube using stylet and fiberoptic bronchoscopy

  • Mehmet E. Orhan, MD (Associate Professor)

      Affiliations

    • Department of Anesthesiology, Gülhane Military Medical Academy School of Medicine, Ankara, Turkey
    • Corresponding Author InformationCorresponding author. Anesteziyoloji ve Reanimasyon AD, GATA ve Tıp Fakültesi, 06018 Etlik, Ankara, Turkey. Tel.: +90 312 304 5909; fax: +90 312 304 5900.
    • ,
  • Alper Gözübüyük, MD (Assistant Professor)

      Affiliations

    • Department of Thoracic Surgery, Gülhane Military Medical Academy School of Medicine, Ankara, Turkey
    • ,
  • Ali Sızlan, MD (Assistant Professor)

      Affiliations

    • Department of Anesthesiology, Gülhane Military Medical Academy School of Medicine, Ankara, Turkey
    • ,
  • Umur Dere, MD (Staff Physician)

      Affiliations

    • Department of Anesthesiology, Gülhane Military Medical Academy School of Medicine, Ankara, Turkey

Received 1 November 2007; received in revised form 8 October 2008; accepted 11 October 2008. published online 07 September 2009.

Abstract 

Lingual tonsillar hyperplasia is rare, and it may cause difficulty with tracheal intubation during induction of general anesthesia. A different orotracheal intubation technique was performed using a double-lumen endotracheal tube, flexible fiberoptic bronchoscope, and a stylet, in an unexpected difficult endobronchial intubation case due to massive lingual tonsillar hyperplasia.

Keywords: Anesthesia, Difficult airway, Difficult intubation, Double-lumen endotracheal tube, Fiberoptic bronchoscopy, Lingual tonsillar hyperplasia

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PII: S0952-8180(09)00216-5

doi:10.1016/j.jclinane.2008.10.016

Journal of Clinical Anesthesia
Volume 21, Issue 6 , Pages 439-441, September 2009

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