Recurrent head and neck tumors in the setting of previous reconstructive surgery and radiation
| Autor: | Adam C. Levine, Eliezer Kinberg, Jaime B. Hyman, Shradha D. Khadge, Brett A. Miles |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Reconstructive surgery media_common.quotation_subject medicine.medical_treatment Laryngoscopy Population 03 medical and health sciences 0302 clinical medicine medicine 030223 otorhinolaryngology Intensive care medicine education media_common Teamwork education.field_of_study medicine.diagnostic_test business.industry Head and neck tumors respiratory system respiratory tract diseases Otorhinolaryngology 030220 oncology & carcinogenesis Surgery Airway management business Airway Preoperative imaging |
| Zdroj: | Operative Techniques in Otolaryngology-Head and Neck Surgery. 31:161-174 |
| ISSN: | 1043-1810 |
| DOI: | 10.1016/j.otot.2020.04.013 |
| Popis: | The approach to a difficult airway in patients presenting with recurrent head and neck tumors in the setting of previous surgery or radiation poses challenges to both anesthesiologists and otolaryngologists. Multidisciplinary planning with close communication is required for effective and safe care. It is critical to understand how each patient's prior surgery and radiation distorts the baseline airway anatomy and what complications may arise when deciding on the primary airway management and back-up plans. Preoperative imaging, flexible laryngoscopy, and airway ultrasound may be incorporated into the decision-making process in addition to the traditional airway exam. While awake airway management techniques will be very common in this patient population, anticipating potential problems, back-up planning, flexibility, and teamwork are essential for optimal patient outcomes. This article will review the common challenges encountered during airway management in this population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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