Management of Difficult Airway in a Patient with Oral Cavity Cancer: Case Report
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Abstract
For the anesthesiologist the management of a difficult airway is crucial to avoid serious complications that can endanger the life of a patient, so multiple strategies and tools have been developed to prevent mishaps. In this case report we present a patient with a diagnosis of inferior alveolar ridge carcinoma who presents with modifications in the head and neck anatomy, due to a history of previous surgical interventions and radiotherapy and chemotherapy treatment. The patient was scheduled to undergo surgery to take and apply a free graft in the neck, which was successfully performed with rapid sequence intubation in an awake patient. The Royal College of Anesthesia's fourth National Audit Project (NAP4) conducted a study in which it was reported that approximately 40% of patients presenting with an airway complication during anesthesia were related to head and neck tumors, so the following is an analysis of predicted difficult airway management.
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