Laryngofissure in comorbid patient under ultrasound-guided regional anesthesia of the neck
| Autor: | Mohammed Ahmed Ibrahim, Farghali Abdelrahman, Bahaa Mohammed Refaie, Mohammed Elrabie Ahmed |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Stridor Block Infarction 03 medical and health sciences Superior laryngeal nerve 0302 clinical medicine 030202 anesthesiology Biopsy medicine 0303 health sciences medicine.diagnostic_test business.industry Cervical plexus Laryngeal medicine.disease lcsh:Otorhinolaryngology Regional lcsh:RF1-547 Surgery 030301 anatomy & morphology Glossopharyngeal nerve Squamous cell papilloma Cordectomy Cervical medicine.symptom business Neck |
| Zdroj: | The Egyptian Journal of Otolaryngology, Vol 37, Iss 1, Pp 1-5 (2021) |
| ISSN: | 2090-8539 1012-5574 |
| Popis: | Background Major neck surgery is done typically under general anesthesia (GA). The neural blocks of the neck include blocking of the cervical plexus, superior laryngeal nerve, trans-laryngeal, block of the glossopharyngeal nerve, and local anesthetic infiltration. In patients with a high risk of GA, including those with pulmonary dysfunction, and prior myocardial ischemia or infarction, regional anesthesia is mainly indicated. Case presentation We record a case of a comorbid geriatric patient with dysphonia and left glottic mass that was diagnosed as squamous cell papilloma by transoral biopsy using curved biopsy forceps under local spray anesthesia, and after 6 months, this patient developed stridor for which tracheostomy, laryngofissure, and left cordectomy were then performed solely under neck blocks. Surgery was performed while the patient remained pain-free and stable without any morbidity throughout the operation. Conclusions In high-risk patients and low-resource health systems, regional anesthesia in neck surgery can be a reasonable and cheap alternate to general anesthetics. |
| Databáze: | OpenAIRE |
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