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Anesthetic management of an oropharyngeal mass: role of pre anesthetic assessment

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Case Report

Author Details : Madhu Gupta, Tarang Jain*

Volume : 7, Issue : 1, Year : 2020

Article Page : 192-194

https://doi.org/10.18231/j.ijca.2020.034

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Abstract

Pharyngeal mass often presents to the anaesthesiologist for airway management and anaesthesia, needed
to aid in diagnosis or treatment. These patients present a challenge to the anaesthesiologist as they block
the pathway for ventilation as well as intubation. Spindle cell carcinomas are rare tumors with very few
cases of oropharyngeal spindle cell carcinomas reported. These tumors of the pharynx usually present
as pedunculated masses of less than 2 cm in size. The anesthetic management for excision is usually
simple. We report a unique case of a large size 5 cm pedunculated oro pharyngeal mass, which was mobile
causing dynamic airway obstruction. A thorough pre operative examination and planning for the airway
management lead to anticipation of difficulties and easy navigation through them.

Keywords: Tongue profusion, Oropharyngeal mass, Anaesthetic management, Difficult airway.

How to cite : Gupta M, Jain T, Anesthetic management of an oropharyngeal mass: role of pre anesthetic assessment. Indian J Clin Anaesth 2020;7(1):192-194

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