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 ,Revised 8 October 2008 ,Accepted 11 October 2008.

References 

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  2. Ovassapian A, Glassenberg R, Randel GI, Klock A, Mesnick PS, Klafla JM. The unexpected difficult airway and lingual tonsil hyperplasia. Anesthesiology. 2002;97:124–132
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  4. Guarisco JL, Littlewood SC, Butcher RB. Severe upper airway obstruction in children secondary to lingual tonsil hypertrophy. Ann Otol Rhinol Laryngol. 1990;99:621–624
  5. Jones DH, Cohle SD. Unanticipated difficult airway secondary to lingual tonsillar hyperplasia. Anesth Analg. 1993;77:1285–1288
  6. Biro P, Shahinian H. Management of difficult intubation caused by lingual tonsillar hyperplasia. Anesth Analg. 1994;79:389
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  11. Henderson K, Abernathy S, Bays T. Lingual tonsillar hypertrophy: the anesthesiologist's view. Anesth Analg. 1994;79:814–815
  12. Breitmeir D, Wilke N, Schulz Y, et al. The lingual tonsillar hyperplasia in relation to unanticipated difficult intubation: is there any relationship between lingual tonsillar hyperplasia and tonsillectomy?. Am J Forensic Med Pathol. 2005;26:131–135
  13. American Society of Anesthesiologists Task Force on Management of the Difficult Airway . Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2003;98:1269–1277
  14. Rosenblatt WH, Wagner PJ, Ovassapian A, Kain ZN. Practice patterns in managing the difficult airway by anesthesiologists in United States. Anesth Analg. 1998;87:153–157
  15. Benumof JL. Management of the difficult adult airway. With special emphasis on awake tracheal intubation. Anesthesiology. 1991;75:1087–1110
  16. Cobley M, Vaughan RS. Recognition and management of difficult airway problems. Br J Anaesth. 1992;68:90–97
  17. Dell RG. Upper airway obstruction secondary to a lingual tonsil. Anaesthesia. 2000;55:393
  18. Matioc AA, Olson J. Use of the laryngeal tube in two unexpected difficult airway situations: lingual tonsillar hyperplasia and morbid obesity. Can J Anesth. 2004;51:1018–1021

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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